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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
Wide Complex Tachycardia - ECG Definition and Causes
 • Wide Complex Tachycardia (WCT) is a cardiac
Supraventricular tachycardia (SVT ... ) - with aberrancy ... Ventricular pacing • Electrocardiogram ... WCT #diagnosis #cardiology ... #ekg #ecg #electrocardiogram
VT versus SVT with Aberration - Interpretation Cheat Sheet

Features favouring VT
● Absence of typical RBBB or
Brugada algorithm ... Positive or negative ... VentricularTachycardia #SVT ... #Aberration #Aberrancy ... Comparison #Diagnosis #Cardiology
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
SVT with BBB All ... entirely positive or negative ... positive in aVR and negative ... #ekg #cardiology ... #diagnosis #electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... an isolectric ST ... considered to have ’relative ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Vereckie Algorithm - Lead aVR - Ventricular Tachycardia - Telemetry Diagnosis
WCT is VT IF:
 • Initial
Vereckie Algorithm ... Diagnosis WCT is VT ... downstroke of negative ... avr #diagnosis #cardiology ... #ekg #ecg #telemetry
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Criteria - Diagnostic Checklist ... Discordance" = ST ... Modified #Diagnosis #Checklist ... #EKG #electrocardiogram ... #ecg #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
w/ BBB (3) SVT ... w/ abberancy - ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
Major electrocardiogram findings induced by left ventricular hypertrophy (LVH)
An increase in left ventricular mass augments the
Major electrocardiogram ... associated with ST ... hypertrophied muscle and relative ... #EKG #Diagnosis ... #Cardiology #Electrocardiogram
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
cardioversion • If known SVT ... with aberrancy, ... nodal agents (e.g ... Treatment #management #cardiology ... #algorithm