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A 47 year old man with a long history of palpitations and, lately, blackouts.
Wolf-Parkinson-White syndrome with atrial fibrillation
lirregularly irregular, wide complex tachycardial
limpulses from the atria are conducted to the ventricles via eitherl
lboth the AV node and accessory pathway producing a broad fusion complexl
lor just the AV node producing a narrow complex (without a delta wave)l
lor just the accessory pathway producing a very broad 'pure' delta wavel
lpeople who develop this rhythm and have very short R - R intervals are at higher risk of VFl