The Lewis Lead | Zendy

Annelies L.M. Bakker | Zendy; Gerard Nijkerk | Zendy; Björn E. Groenemeijer | Zendy; Reinier A. Waalewijn | Zendy; Egbert M. Koomen | Zendy; Richard L. Braam | Zendy; Hein J.J. Wellens | Zendy

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The Lewis Lead

Author(s) -

Annelies L.M. Bakker,

Gerard Nijkerk,

Björn E. Groenemeijer,

Reinier A. Waalewijn,

Egbert M. Koomen,

Richard L. Braam,

Hein J.J. Wellens

Publication year - 2009

Publication title -

circulation

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 7.795

H-Index - 607

eISSN - 1524-4539

pISSN - 0009-7322

DOI - 10.1161/circulationaha.109.852053

Subject(s) - medicine , lead (geology) , intensive care medicine , geology , geomorphology

An 80-year-old man was admitted to our hospital because of complaints of dizziness and palpitations. His medical history revealed an anteroseptal myocardial infarction 26 years earlier. The patient was hemodynamically stable with a blood pressure of 95/60 mm Hg and a heart rate of 120 bpm. The ECG (Figure 1A) showed a wide QRS complex tachycardia, 120 bpm. The electric axis was northwest. From the tracing, atrioventricular dissociation was suggested but not readily apparent. QRS morphology in leads V1 (qR) and V6 (R/S <1) was consistent with a diagnosis …

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