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  2. The supraventricular impulse reaches the His-Purkinje system while the right bundle branch is still refractory and therefore blocks the impulse. The resulting QRS complex has a right bundle branch block morphology (rSR pattern), which is due to aberrant ventricular conduction (aberration, aberrancy).
    ecgwaves.com/topic/aberrant-ventricular-conductio…
    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…
     
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