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Received: January 02, 2018; Accepted: February 15, 2018; Published: February 19, 2018 An 84 year-old man presented to Emergency department complaining of cough and fever. He was known to be ischemic heart disease with coronary angiogram done in 2011 showed total occlusion of LAD and 50% Circumflex artery. Recent Echocardiography showed LV EF 35%. No chest pain. He is known to suffer from Parkinsonism non complaint to medications due to hallucination as side effect.

Wide complex tachycardia in ischemic heart disease patient: What is the rhythm?