Abstract

Homologous ventricular electrical separation is a rare electrocardiogram manifestation; it is defined as a specific subtype of ventricular separation caused by excitation that originates from the supraventricular rhythm and travels through the His-Pukenje system, resulting in severe asynchrony of biventricular depolarization and production of 2 QRS complexes. It always indicates irreversible cardiac impairment and electrical instability. (Level of Difficulty: Advanced.)

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