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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
WQRST Causes: • Ventricular ... Supraventricular tachycardia (SVT ... ) - with aberrancy ... WCT #diagnosis #cardiology ... #ekg #ecg #electrocardiogram
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Regular Rhythm SVT ... AVNRT • AVRT ... Irregular Rhythm SVT ... Regular rhythm SVT ... Irregular rhythm SVT
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
tachycardia • Regular SVT ... QRS • Regular SVT ... • Irregular SVT ... • Irregular SVT ... #Causes #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... Differentiating ventricular ... supraventricular tachycardia (SVT ... #electrocardiogram ... #differential #cardiology
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
SVT - Wide Tachycardias ... SVT with BBB All ... is positive in aVR ... #VT #VTach #SVT ... #ekg #cardiology
Electrocardiographic Features of Digoxin Toxicity
 • Virtually any arrhythmia is possible. None specific for digoxin toxicity
associated combine some SVT ... automaticity) with slow ventricular ... digitalis #Toxicity #Electrocardiogram ... #ekg #ecg #toxicology ... #cardiology #diagnosis
VT versus SVT with Aberration - Interpretation Cheat Sheet

Features favouring VT
● Absence of typical RBBB or
VT versus SVT with ... sinus beat and a ventricular ... Brugada algorithm ... VentricularTachycardia #SVT ... #Aberration #Aberrancy
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
cardioversion • If known SVT ... WPW) - Avoid AV ... nodal agents (e.g ... Treatment #management #cardiology ... #algorithm
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
w/ BBB (3) SVT ... block - ventricular ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential