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Physical Examination BP: 128/76 mmHg HR: 124 bpm, irregular RR: 16/min, SpO2: 98% on room air JVP: Normal Heart: Irregular rhythm, no murmurs or gallops Lungs: Clear No peripheral edema Investigations ECG: Wide-complex tachycardia, QRS duration 140 ms, HR 124 bpm, no discernible P waves Cardiac enzymes: Within normal limits Electrolytes: K+ 4.2 mmol/L, Mg2+ 2.1 mg/dL Creatinine: 1.8 mg/dL (baseline 1.6) Echocardiogram: LVEF 38%, mild left ventricular hypertrophy, old inferolateral wall hypokinesis Troponin: Negative Diagnosis: Sustained monomorphic ventricular tachycardia (VT) in a patient with structural heart disease (ischemic cardiomyopathy)

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