Diagnosis of broad complex tachycardias with ambulatory monitoring of atrial electrography.

Abstract
Simultaneous 24 hour ambulatory monitoring of the surface electrocardiogram and the intra-atrial electrocardiogram was evaluated in eight patients with broad complex tachycardia. The technique using a J shaped atrial pacing wire permitted a distinction between ventricular tachycardia and supraventricular tachycardia in all eight patients. Formal electrophysiological testing would still be required, however, in patients in whom diagnostic doubt remained.
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