{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T02:09:10Z","timestamp":1776132550704,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T00:00:00Z","timestamp":1710460800000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Noninvasive Electrocardiol"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To develop a new algorithm to differentiate ventricular tachycardia (VT) from preexcited tachycardia (pre\u2010ET) according to left bundle branch block (LBBB) and right bundle branch block (RBBB) patterns.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study included 67 electrocardiograms (ECGs) with VT and 63 ECGs with pre\u2010ET, collected from our hospital and through PubMed. Of those, 64 were allocated to the derivation cohort and the rest to the validation cohort. The diagnoses of the ECGs were confirmed using an electrophysiological study. Parameters and classifiers from prior algorithms along with the propagation speeds in the early portion of the QRS complex (initial deflection index) in leads V1, V6, aVR, II, and III were manually measured. The performance of the new algorithm was compared with that of prior algorithms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The initial deflection index in lead III was the strongest predictor of pre\u2010ET in LBBB\u2010pattern wide\u2010QRS tachycardia (<jats:italic>p<\/jats:italic>\u2009=\u20090.003, AUC 0.805). The initial deflection index in lead V1 was the most powerful predictor of pre\u2010ET in RBBB\u2010pattern wide\u2010QRS tachycardia (<jats:italic>p<\/jats:italic>\u2009=\u20090.001, AUC 0.848). Compared to earlier algorithms, those using the initial deflection indexes: lead III in LBBB patterns (cutoff value &gt;0.3) and lead V1 in RBBB patterns (cutoff value \u22640.48), demonstrated superior performance in screening VT, with AUC values of 0.828. The initial deflection indexes proved effective as discriminators between VT and pre\u2010ET in the validation cohort.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In LBBB\u2010pattern wide\u2010QRS tachycardia, the early propagation speed of pre\u2010ET was faster than that in VT. Conversely, in RBBB\u2010pattern wide\u2010QRS tachycardia, it was slower.<\/jats:p><\/jats:sec>","DOI":"10.1111\/anec.13112","type":"journal-article","created":{"date-parts":[[2024,3,16]],"date-time":"2024-03-16T06:37:46Z","timestamp":1710571066000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Discrimination between ventricular tachycardia and <scp>wide\u2010QRS<\/scp> preexcited tachycardia"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5815-6994","authenticated-orcid":false,"given":"Jae Hoon","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Dong\u2010A University College of Medicine  Busan South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,3,15]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.2642"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2019.09.013"},{"issue":"1","key":"e_1_2_11_4_1","first-page":"27","article-title":"Ventricular preexcitation. 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