Sudden QRS morphology change during ventricular pacing in a scar-related isthmus What is the mechanism?
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Phenomenon of sudden QRS morphology change during ventricular pacing in a scar-related isthmus.

Abrupt bidirectional block inside the isthmus.

Newly overt antidromic conduction previously concealed due to collision with the orthodromic wavefront coming from the previous beat.

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