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Orthodromic AVRT vs. Typical Coumel’s sign ⚡️

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Diego Segura-Rodríguez

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The finding of slowing of tachycardia with the development of bundle branch block ipsilateral to the location of the accessory pathway was first described by Coumel and is known as Coumel’s sign.

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#EPeeps here is our #EP_Kiel Evgeny Lian illustration for Coumel Law! Based on incredible publication If a wide complex tachy➡️narrow complex tachy with ⬆️HR- this is orthodromic AVRT with AP on the same side as the blocked bundle branch! #CardioTwitter
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#EPeeps here is our #EP_Kiel Evgeny Lian illustration for Coumel Law! Based on incredible publication If a wide complex tachy➡️narrow complex tachy with ⬆️HR- this is orthodromic AVRT with AP on the same side as the blocked bundle branch! #CardioTwitter

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