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Minor configuration differences in an SVT with BBB included the appearance or disappearance of a notch or small Q wave, R wave, or S wave. Major differences included the appearance or disappearance of a component over 50% of the QRS amplitude or a change in amplitude over 50%. Other significant changes were a change in axis less than 45 degrees or an increase in QRS duration of over 10ms. Changes suggestive of ventricular origin included an axis change of over 45 degrees, a complete new BBB, or a decrease in QRS duration.













