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Sep 2018; Volume 18,Issue 3

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Electrocardiogram shows bidirectional ventricular tachycardia with alternating QRS axes and bundle branch block morphology. Subsequent transthoracic 2-dimensional echocardiogram with contrast identified an apical left ventricular aneurysm.

This image is from the article “Left Ventricular Aneurysm Presenting as Bidirectional Ventricular Tachycardia” by Abdulah Alrifai, MD, Mohamad Kabach, MD, Jonathan Nieves, MD, and Robert Chait, MD

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