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Broad complex tachycardia must always be presumed to originate from the ventricles unless reliably shown otherwise. Ventricular tachycardia (VT) must not be misdiagnosed as supraventricular tachycardia (SVT) – a misdiagnosis the other way round is not as dangerous . After emergency treatment, a patient with broad complex tachycardia must be referred for a specialist assessment. The referral letter should include a detailed medical history and a copy of an ECG recording taken both during the tachycardia and during normal rhythm.
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