Any tachycardic rhythm with a left or right bundle branch block that is NOT ventricular tachycardia is considered "supraventricular tachycardia with aberrancy". This would even include sinus ...
This ECG has a narrow QRS complex initally ... the origin of the rhythm with the options being ventricular tachycardia or supraventricular tachycardia (SVT) with aberrancy (left bundle).
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