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.
Cavendish, a city near many skiing resorts, is the coldest city in Vermont. Its average annual low is 31 degrees. That's much better weather for skiing than the record low in the state, -50 degrees.