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Morphological Criteria for Discriminating Ventricular Tachycardia from Supraventricular Tachycardia with Aberration

Source Article: Wide Complex Tachycardia –
#Criteria #Cardiology ... #ECG #EKG #Electrocardiogram ... #VTach #SVT #Differences ... #Comparison #Brugada ... #Algorithm
Various wide complex tachycardia (WCT) differentiation algorithmic designs and algorithms.
The most commonly utilized approaches to differentiate
including the Brugada ... ,2 Vereckei aVR, ... #Tachycardia #VTach ... #ECG #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... • Classic EKG ... ddx: AVNRT, AVRT ... #AVR #leadAVR #ecg ... electrocardiogram #diagnosis #ekg
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Diagnosis Algorithm ... Aflutter • AVNRT ... • AVRT (ie ... tachyarrhythmias #Cardiology ... Diagnosis #Algorithm
Vereckie Algorithm - Lead aVR - Ventricular Tachycardia - Telemetry Diagnosis
WCT is VT IF:
 • Initial
Vereckie Algorithm ... - Lead aVR - Ventricular ... #Vereckie #Algorithm ... #WCT #VTach #avr ... #ekg #ecg #telemetry
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
Tachycardia - Differential ... deflection not AVRT ... /AVNRT. ... Aberrancy, HyperK ... #wide #narrow #algorithm
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
SVT - Wide Tachycardias ... is positive in aVR ... - Brugada's sign ... #VT #VTach #SVT ... #Versus #ecg #ekg
VT versus SVT with Aberration - Interpretation Cheat Sheet

Features favouring VT
● Absence of typical RBBB or
sinus beat and a ventricular ... Brugada algorithm ... #VTach #VentricularTachycardia ... #Aberrancy #Comparison ... #Diagnosis #Cardiology
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
cardioversion • If known SVT ... WPW) - Avoid AV ... nodal agents (e.g ... Treatment #management #cardiology ... #algorithm
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... vagal maneuvers: SVT-AVNRT ... or AVRT • Standing ... #Palpitations #Cardiology