Abnormal Antero-Septal Precordial Leads
The patient is a 53-year-old male with a history of diabetes mellitus type 2 and arrhythmias. He is seen because of feeling "strange" and is experiencing lightheadedness. Ventricular tachycardia (VT) has been reported in the past, requiring secondary prevention implantable cardioverter defibrillator (ICD) implantation. Sotalol was recently added.
An electrocardiogram (ECG) is performed (Figure 1) and shows which of the following?