Harrison's Principles of Internal Medicine McGraw Hill
PART 10: Disorders of the Cardiovascular System
SECTION 3   Disorders of Rhythm
e30 Atlas of Cardiac Arrhythmias
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Figure e30-16

Figure e30-16  Wide complex tachycardia. Atrial flutter with 2:1 AV conduction (block) and LBBB, not to be mistaken for VT. Typical atrial flutter activity is clearly present in lead II at a cycle rate of about 320/min, with an effective ventricular rate of about 160/min.

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