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  2. SVT with aberrancy and VT differ in the way that they engage the His-Purkinje network: VT propagates from ventricular muscle, with initial slow myocyte-to-myocyte conduction time. This causes a delayed/slurred initial QRS component SVT with aberrancy displays initial sharp QRS deflections that arise from the preserved bundle branch
    litfl.com/vt-versus-svt-its-as-easy-as-abcde/
    Multiple ECG abnormalities have been proposed to differentiate these rhythms. The regularity of the rhythm can be helpful. An irregularly irregular rhythm can suggest SVT with aberrant conduction due to atrial fibrillation. In contrast, monomorphic VT is generally a regular rhythm.
    manualofmedicine.com/topics/cardiology/never-mis…
    In SVT patients with aberrancy, the QRS axis is confined between −60° and +120°. Extreme axis deviation (from −90° to ±180°) is strongly indicative of VT in the presence of RBBB and LBBB. 7
    www.aerjournal.com/articles/differential-diagnosis-…
     
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