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Morphological Criteria for Discriminating Ventricular Tachycardia from Supraventricular Tachycardia with Aberration

Source Article: Wide Complex Tachycardia –
Tachycardia #Aberration #Aberrancy ... Distinguishing #Criteria #Cardiology ... #ECG #EKG #Electrocardiogram ... #VTach #SVT #Differences ... Comparison #Brugada #Algorithm
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Differential Diagnosis Algorithm ... with conduction aberrancy ... with conduction aberrancy ... tachyarrhythmias #Cardiology ... #causes
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
Causes of Tachycardia ... Differential Diagnosis Algorithm ... with aberrancy ... with aberrancy ... #Causes #cardiology
Vereckie Algorithm - Lead aVR - Ventricular Tachycardia - Telemetry Diagnosis
WCT is VT IF:
 • Initial
Vereckie Algorithm ... - Lead aVR - Ventricular ... Diagnosis WCT is VT ... Tachycardia #WCT #VTach ... #cardiology #ekg
VT versus SVT with Aberration - Interpretation Cheat Sheet

Features favouring VT
● Absence of typical RBBB or
morphology ● AV ... Brugada algorithm ... #VTach #VentricularTachycardia ... #Aberrancy #Comparison ... #Diagnosis #Cardiology
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
deflection not AVRT ... • SVT. 140-280 ... • Monomorphic VTach ... Aberrancy, HyperK ... #wide #narrow #algorithm
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... w/ BBB (3) SVT ... w/ abberancy - ... 200ms from longer pause ... electrocardiogram #cardiology
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
cardioversion • If known SVT ... with aberrancy, ... WPW) - Avoid AV ... nodal agents (e.g ... #algorithm
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Reflux • Hiatal hernia ... vagal maneuvers: SVT-AVNRT ... or AVRT • Standing ... #Palpitations #Cardiology