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Öğe Simultaneous narrow and wide QRS complex tachycardia: Misdiagnosis or missed diagnosis?(Wiley, 2022) Aslan, Ahmet Oğuz; Merovci, İdriz; Tunçez, Abdullah; Öksüz, Fatih; Kara, Meryem; Özcan Çetin, Elif Hande; Korkmaz, Ahmet; Özeke, Özcan; Çay, Serkan; Özcan, Fırat; Aras, Dursun; Topaloğlu, SerkanA38?year?old woman presented with recurrent episodes oftachycardia in the absence of structural heart disease anddocumented with narrow QRS complex tachycardia (NCT) on a24?h Holter ECG. During the electrophysiological study (EPS), herNCT was induced easily by programmed ventricular extrastimuluswith the retrograde right bundle (RB) branch block (RBBB).Öğe Widening of the QRS complex during the wide complex tachycardia: What is the mechanism?(Wiley, 2022) Aslan, Ahmet Oğuz; Merovci, Idriz; Tunçez, Abdullah; Öksüz, Fatih; Al, Ertan A.; Kara, Meryem; Özcan Çetin, Elif Hande; Korkmaz, Ahmet; Özeke, Özcan; Çay, Serkan; Özcan, Fırat; Aras, Dursun; Topaloğlu, SerkanA28?year?old woman underwent an electrophysiology study (EPS)because of episodes of palpitations with documented narrow (NCT)and wide QRS complex tachycardia (WCT) on a 24?hHolterECG.During the EPS, the patient was in sinus rhythm (SR) with normalatrio?His (AH) and His?ventricular (HV) intervals of 45 and 55 ms,respectively. The intracardiac electrograms of the tachycardia duringthe spontaneous transition from a WCT with a right bundle branchblock (BBB) morphology (first WCT, f?WCT) to a wider right BBB one(second WCT, s?WCT) are shown in Figure1. Spontaneous conversionbetween the s?WCT and the f?WCT has also been detected during theEPS (Figure2). What is the underlying mechanism?











