wpw syndrome presented with VT

34 yr old male c/o palpitation and mild chest discomfort -left sided,non radiating ,no associated symptoms.No H/onDM,HTN,DLP,CAD, smoking or family history 0/E pt stable PR irregular BP 140/80 spo2 98% chest b/l clear

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Negative deflection of p wave & qrs, no low voltage criteria seen in V3 to V6, No dextrocardia. Probably lead 1 placed in wrong way SVT
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S tachycardia ? MI ? Hypertensive changes.
Ventricular fibrillation
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Dextdocardia with SVT
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Sinus Tachycardia