The three irregularly irregular rhythms are atrial fibrillation ... and ventricular tachycardia. Treat a wide-complex tachycardia like ventricular tachycardia until proven otherwise.
This wide QRS complex tachycardia has a typical left bundle branch block pattern, but two things give the clue that this is ventricular tachycardia. There is a fusion beat (second from left ...
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