Wide Complex Tachycardias: can ECG algorithms safely rule out ventricular tachycardia in the emergency department?

HPI

A 45-year-old man with PMHx of hypertension, obesity, and tobacco use presents to the ED with palpitations. Symptoms have been intermittent throughout the day with an associated episode of syncope. He is noted to be tachycardic at triage and the following ECG is obtained:

Presenting ECG — Wide Complex Tachycardias: can ECG algorithms safely rule out ventricular tachycardia in the emergency department?

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