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Distinguishes ventricular tachycardia (VT) from supraventricular tachycardia with aberrant conduction (SVT-A) in patients presenting with wide complex tachycardia (WCT).
Step 1: Is there an RS complex in ANY precordial lead (V1–V6)?
An RS complex has both an R wave (upward deflection) and an S wave (downward deflection below baseline) in the same lead. If the QRS is monophasic (all-positive or all-negative), there is NO RS complex.
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