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hi everyone and welcome to the emergency physicians ECG course this is Hisham Ibrahim Im one of the emergency medicine consultants in the UK and today we will discuss two cases that weve covered in the Facebook page of the emergency physicians ECG course those were case number two and case number 28 theyve both covered the same condition that I think its a really interesting one and we will try to cover both cases in this video so lets start with case number 28 because its got the more interesting ECG and the more educational one in terms of the findings so this was a case about a 19 year old male patient presented to IDI with recurrent episodes of palpitations and pre syncopal events there was no chest pain at all or breathlessness at any point of time hes had a 12-lead ECG on arrival to IDI and here we go so broke complex regular tachycardia the patient was in VT so clearly a really concerning rhythm and when the patient was seen with this rhythm he was immediately transferre