G. V. REDDY, M.D.
To the editor: In the June issue, Dr. Wellens (1) succinctly describes the various steps to be followed when evaluating a patient with wide QRS tachycardia. In Step 4 of Table 1 in that editorial, he states that "If [the QRS configuration is] left bundle branch block shaped, an R wave during tachycardia that is smaller than the R wave during sinus rhythm on V1 or V2 suggests ventricular tachycardia ....'' This is, in fact, contrary to what he stated in an earlier article (2). We think the R-wave amplitude on V1 or V2 during ventricular tachycardia with left bundle.
REDDY GV. Correction: Wide Complex Tachycardia. Ann Intern Med. ;105:635. doi: 10.7326/0003-4819-105-4-635_1
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Published: Ann Intern Med. 1986;105(4):635.
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