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Morphological Criteria for Discriminating Ventricular Tachycardia from Supraventricular Tachycardia with Aberration

Source Article: Wide Complex Tachycardia –
#Aberration #Aberrancy ... Criteria #Cardiology #ECG ... #EKG #Electrocardiogram ... #VTach #SVT #Differences ... Comparison #Brugada #Algorithm
Wide Complex Tachycardia - ECG Definition and Causes
 • Wide Complex Tachycardia (WCT) is a cardiac
- ECG Definition ... (SVT) - with ... aberrancy in the ... diagnosis #cardiology #ekg ... #ecg #electrocardiogram
Vereckie Algorithm - Lead aVR - Ventricular Tachycardia - Telemetry Diagnosis
WCT is VT IF:
 • Initial
Vereckie Algorithm ... Diagnosis WCT is VT ... #WCT #VTach #avr ... diagnosis #cardiology #ekg ... #ecg #telemetry
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Management Algorithm ... : HR > 180bpm ECG ... AP Stable? ... supraventricular #tachycardia ... #peds #Pediatric
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Differential Diagnosis Algorithm ... with conduction aberrancy ... setting of long QT ... with conduction aberrancy ... #causes
Algorithm for the Management of Ventricular Tachycardia Electrical Storm
ES diagnosed (≥ 3 episodes of VT/ICD therapies
Algorithm for the ... of Ventricular Tachycardia ... cardioversion Stable ... of reversible causes ... #VTach #diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
w/ abberancy - ... flutter (3) SVTs ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
cardioversion • If known SVT ... with aberrancy, ... nodal agents (e.g ... • If AF with aberrancy ... management #cardiology #algorithm
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
prolonged PR and QT ... diminished and ST ... #Hyperkalemia #EKG ... #ECG #Changes # ... Progression #Table
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... Treat underlying cause ... Control rate (e.g ... Treat underlying cause ... management #cardiology #algorithm