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Cardiology
ECG Quiz 1- Answer
This ECG is diagnostic of Arrhythmogenic Right Ventricular Dysplasia.
The diagnostic features being:
The palpitations he had was because of ventricular tachycardia which had a classic left bundle branch block and left axis deviation. This is suggestive of VT origin from the right ventricular apex. These patients have fat deposition replacing the ventricular myocardium, most often in the right ventricle causing ventricular tachycardia and right ventricular dysfunction and failure.