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Morphological Criteria for Discriminating Ventricular Tachycardia from Supraventricular Tachycardia with Aberration

Source Article: Wide Complex Tachycardia –
Morphological Criteria ... Distinguishing #Criteria ... #Cardiology #ECG ... #EKG #Electrocardiogram ... #Differences #Comparison
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial Tachycardia ... • At least 3 different ... • Hypoxia • Pulmonary ... #MAT #Cardiology ... #EKG #Management
Lead aVR on EKG
Lead aVR can provide some unique insight into 5 different conditions:

 - Acute
insight into 5 different ... narrow complex tachycardias ... in wide complex tachycardias ... using the Vereckei criteria ... #Diagnosis #Cardiology
Wolff–Parkinson–White syndrome (WPW) is one of several disorders of the electrical system of the heart that
supraventricular tachycardia ... reciprocating tachycardia ... Pathophysiology #Diagnosis #Cardiology ... #MedStudent #EKG ... DeltaWave #ShortPR #Criteria
Multifocal (or multiform) atrial tachycardia (MAT) is an abnormal heart rhythm, specifically a type of supraventricular
multiform) atrial tachycardia ... chronic obstructive pulmonary ... When a number of different ... #Clinical #MedStudent ... #EKG #MAT #MultifocalAtrialTachycardia
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... with caution in pulmonary ... with caution in pulmonary ... #Treatment #management ... #cardiology #algorithm
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
SVT - Wide Tachycardias ... QRS complexes at different ... VT #VTach #SVT #Comparison ... VentricularTachycardia #Versus #ecg ... #ekg #cardiology
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Multifocal atrial tachycardia ... of at least 3 different ... atrial #rhythm #tachycardia ... #cardiology #diagnosis ... #clinical #comparison
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
electrocardiographic criteria ... of at least 3 different ... wap #diagnosis #cardiology ... #ekg #ecg #electrocardiogram ... #comparison
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology