A wide-complex tachycardia is defined as a rapid rhythm (generally 150 beats/min or more when attributable to an arrhythmia) with a QRS duration of 0.12 seconds or more. It can represent any aberrantly conducted supraventricular tachycardia (SVT), including paroxysmal SVT caused by atrioventricular (AV) reentry, aberrantly conducted atrial. Vital signs are blood pressure 110/82, heart rate 94, respiratory rate 16, temperature 37.1°C, and SaO2 97% on room air. He awakens easily and has a minimal resting tremor. On neurologic examination, he exhibits past pointing, difficulty with rapid alternating movements, horizontal nystagmus, and decreased sensation to light touch and pinprick. .

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