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A 67-year-old male patient with chest tightness and diaphoresis presented to the emergency department 1 hour before admission. The patient had a myocardial infarction with stent implantation history F I G U R E 1 Electrocardiograms obtained on admission. Ventricular tachycardia with right bundle branch block pattern and extreme right axis deviation indicating the left ventricle apical origin.