12-lead ECG during tachycardia. (A) 12-lead ECG during tachycardia in the patient presented in the 'Clinical vignette' section. This shows a narrow complex tachycardia with a ventricular rate of 187 bpm and difficult-to-characterize p-waves.
Montpelier may be the state capital of Vermont, but as the smallest state capital in the United States, it possesses all the charm and character of a small town or village.
The village is the waypoint community for the towns of Hartland & Norwich, VT, and Lebanon, Hanover, & Plainfield, NH. Just across the state line and the Connecticut River, one can find Dartmouth College and the Dartmouth-Hitchcock Medical Center, both less than 15 minutes from White River Junction, VT.