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Report the Use tax on Vermont Sales & Use Tax Return, Form SU-451. NOTE: Individuals making ... Buyers not required to file Vermont Sales & Use Tax returns.
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Hello people and welcome to another video from mid-tube and how to differentiate ventricular tachycardia from SVT with aberrant now if I give you this ECG you had to describe this ECG you would say it's a regular broad complex tachycardia without P waves and the possible differentials for this ECG would be either ventricular tachycardia or SVT with aberrant so again a wide complex tachycardia could be either ventricular tachycardia or SVT withaberrancy and what aberrant means or aberrant conduction means is that supraventricular impulse is delayed or blocked at the level of the bundle branches or the level of the distance per country system resulting in a wide abnormal MRS complex and a Burns you cane continued to any of the following it could be due to a pre-existing bundle branch block giving a white few rest complex it could be a rate related aberration which is a functional bundle branch block and what happens is that the rapidly generated super ventricular impulses reach the conducting fibers at the history of country system before these conducting fibers fully recover from their previous impulse I in they are still refractory and such a delay and recovery of these fibers could be due than underlying disease in the history country system or due to hyperkalemia ordure to certain antiarrhythmic however what is most important to understand is that these broad MRS complexes and the rate related aberration will return tonormalupon termination of the SVT in other words in a normal sinus rhythm you will have normal MRS complexes and rate related aberration this is in contrast to bundle branch blocks in which you will have wide or broad MRS complexes innormalsinus rhythm and the third cause of aberration is called pre-excitationsyndrome involving an accessory pathway anew joined premeditation syndrome is the wolff-parkinson-white syndrome and the accessory pathway is called the bundle of Kent and then pre-excitationsyndrome you would have a wide Complex tachycardia due to one of the two reasons the first reason is that you have a reentry circuit involving the accessory pathway with the antegradeconduction being through the accessory pathway as seen in the NT drama KV RT as explained in the previous video and the second reason is that you have simply an SVT using the accessory pathway to reach the ventricles rather than using the hiss per country system to reach the ventricles and therefore this gives wide MRS complex and this kind of SVT could be atrial tachycardia atrial flutter or even atrial fibrillation but of course in atrial fibrillation he would have an irregularly irregular rhythm, so these are the two main mechanisms in which you have a broad complex tachycardia and pre-excitationsyndromes now these are not all because of white complex tachycardia, but you also have other few causes such as ventricular paced rhythm which is pacemaker induced tachycardia and which usually have a characteristic easy to finding the pacing spike now coming...

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