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Morphological Criteria for Discriminating Ventricular Tachycardia from Supraventricular Tachycardia with Aberration

Source Article: Wide Complex Tachycardia –
Distinguishing #Criteria #Cardiology ... #ECG #EKG #Electrocardiogram ... #Differences #Comparison ... #Brugada #Algorithm
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Isoelectric segment with positive ... Inferior leads: "Positive ... Flutter #aflutter #ecg ... #cardiology #clinical ... #diagnosis #comparison
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
(i.e. entirely positive ... axis") — QRS is positive ... VT #VTach #SVT #Comparison ... VentricularTachycardia #Versus #ecg ... #ekg #cardiology
Algorithm for the Evaluation of Regular, Wide-Complex Tachycardia
1. aVR: Is the initial deflection in aVR positive?
Algorithm for the ... deflection in aVR positive ... Interpretation #ECG ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
VT versus SVT with Aberration - Interpretation Cheat Sheet

Features favouring VT
● Absence of typical RBBB or
show entirely positive ... Brugada algorithm ... Positive or negative ... Aberration #Aberrancy #Comparison ... #Diagnosis #Cardiology
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
standing erect, the pulmonary ... The pulmonary vascular ... In the supine position ... In these cases comparison ... #Clinical #Radiology
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
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... event, follow ACC algorithm ... Obtain EKG if: ... days before Pulmonary ... one post op Cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... ECG is vital while ... #differential #algorithm ... #management #cardiology
Endocarditis Summary

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