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Morphological Criteria for Discriminating Ventricular Tachycardia from Supraventricular Tachycardia with Aberration

Source Article: Wide Complex Tachycardia –
#Cardiology #ECG ... #EKG #Electrocardiogram ... #VTach #SVT #Differences ... #Comparison #Brugada ... #Algorithm
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
Approach to ECGs ... QRS complex of normal ... #VT #VTach #SVT ... #Comparison #VentricularTachycardia ... #Versus #ecg #ekg
VT versus SVT with Aberration - Interpretation Cheat Sheet

Features favouring VT
● Absence of typical RBBB or
Brugada algorithm ... Morphology criteria ... #VTach #VentricularTachycardia ... #Aberrancy #Comparison ... #Diagnosis #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate with AV nodal ... Control rate (e.g ... pulmonary disease or CHF ... Control rate (e.g ... #algorithm
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
cardioversion • If known SVT ... - Avoid AV nodal ... agents (e.g., diltiazem ... Treatment #management #cardiology ... #algorithm
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
neuroexam - Oral ... disease b) CHF ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if:
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... ECG is vital while ... #differential #algorithm ... #treatment #table ... #heartfailure #chf