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Morphological Criteria for Discriminating Ventricular Tachycardia from Supraventricular Tachycardia with Aberration

Source Article: Wide Complex Tachycardia –
Tachycardia with Aberration ... Article: Wide Complex ... #VTach #SVT #Differences ... #Comparison #Brugada ... #Algorithm
VT versus SVT with Aberration - Interpretation Cheat Sheet

Features favouring VT
● Absence of typical RBBB or
dissociation (P and QRS complexes ... beats (hybrid complex ... negative (QS) complexes ... Brugada algorithm ... #Comparison #Diagnosis
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
: - No RS complexes ... - Very broad complexes ... produce a hybrid complex ... onset of the QRS complex ... #Comparison #VentricularTachycardia
Lead aVR on EKG
Lead aVR can provide some unique insight into 5 different conditions:

 - Acute
AVRT in narrow complex ... Differentiating VT ... from SVT with aberrancy ... in wide complex ... #Utility #ALiEM
Algorithm for the Evaluation of Regular, Wide-Complex Tachycardia
1. aVR: Is the initial deflection in aVR positive?
Algorithm for the ... Regular, Wide-Complex ... If yes, then VT. ... Interpretation #ECG ... #EKG #Electrocardiogram
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
of Stable Wide-Complex ... cardioversion • If known SVT ... nodal agents (e.g ... Follow narrow-complex ... management #cardiology #algorithm