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Background: The R wave in lead aVR, during the wide QRS complex tachycardia, is commonly observed in a ventricular tachycardia (VT) arising from certain locations in the ventricles. Objectives: This was a retrospective and a proof of concept study to correlate the sites of origin of VT and premature ventricular contractions (PVCs) with the occurrence of R wave in lead aVR. Methods: Patients with VT or high density of PVCs were included. Surface and intracardiac electrograms were recorded during the arrhythmia. VTs and PVCs arising from the inferior, inferolateral, or apical region of the ventricles were grouped into Zone 2. Those arising from the other areas of the ventricles were grouped into Zone 1. Results: Sixty‐four patients were included in the study. The mean age was 57 years. There were 47 males. Among 64 patients with VT or PVCs, 28 patients had an R wave in aVR (43.7%), In 26 of 28 patients with an R wave in aVR, the site of origin of the arrhythmia was in Zone 2. The R wave in aVR was absent in 36 patients, 34 of whom had the origin of arrhythmia focus in Zone 1. The presence of an R wave in aVR correctly identified Zone 2 as a site of origin of the arrhythmia with high sensitivity (93%) and specificity (94%). Conclusions: The presence of an R wave in aVR during wide QRS complex tachycardia or PVC is a valuable observation for identifying the site of origin of the arrhythmia and hence in distinguishing supraventricular tachycardia with aberrancy from VT. [ABSTRACT FROM AUTHOR]

Bangla, as spoken in Bangladesh, is inseparable from the nation itself. The language movement of 1952, where several people died, played a significant role in the independence and the birth of Bangladesh. In fact, on 17th November 1999, UNESCO immortalized the movement by proclaiming 21st February as the International Mother Language Day. Bangla, the national and official language of Bangladesh, is unique to the people of its country because it embodies the spiritual, the cultural, and, above all, the historical nature of the nation. Despite its significance to the people of Bangladesh, giving a meaningful Bangla name to a child may be considered amoral. On the contrary, keeping an Arabic name, irrespective of its meaning, is honorable, ethical, and, as some Mollahs would have it, a moral duty of Muslim parents. The justification is simple, because Arabic is the language of the Quran, any Arabic name is acceptable. Anayetullah (Aadhunik muslim namer Sreshtha Sankalon, Sarsina Library, 2008) suggests that Bangla names are meaningless and go against Islamic tradition. The influence of religion when selecting a name in Bangladesh needs to be investigated from a critical discourse analysis (CDA) perspective, because people need to be made aware of why Bangla names are considered amoral.

An electrocardiogram showing atrial flutter in which varying ratios of AV conduction and the cyclical recurrence of varying QRS morphologies are observed is presented. [ABSTRACT FROM AUTHOR]