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Atrial Arrhythmias ECG 28

1. Atrial fibrillation with an uncontrolled ventricular response
2. Right bundle branch block

This ECG does not meet criteria for ventricular tachycardia. The R in lead V2 is larger than the R', however the criteria examine this QRS morphology change in lead V1, not lead V2. The morphology is that of a typical right bundle branch block. The QRS complexes are irregularly irregular which can occur at times with ventricular tachycardia, but is not common and more often seen in atrial fibrillation. 

Related Topic Reviews: Atrial Fibrillation ECG Review, Right Bundle Branch Block