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Morphological Criteria for Discriminating Ventricular Tachycardia from Supraventricular Tachycardia with Aberration

Source Article: Wide Complex Tachycardia –
Morphological 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 ... Tachycardia (VT ... Supraventricular tachycardia (SVT ... WCT #diagnosis #cardiology ... #ekg #ecg #electrocardiogram
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
SVT - Wide Tachycardias ... SVT with BBB All ... - a sinus and ventricular ... #VT #VTach #SVT ... #ekg #cardiology
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 ... Morphology criteria ... VentricularTachycardia #SVT
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
tachycardia (VT ... supraventricular tachycardia (SVT ... and to detect VT ... #electrocardiogram ... #differential #cardiology
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
diastolic filling patterns ... restrictive left ventricular ... : electrocardiogram ... #Diagnosis #Cardiology ... Classification #Grades #Criteria
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
100 Wide (1) VT ... w/ BBB (3) SVT ... Distal AV block - ventricular ... #electrocardiogram ... #cardiology #differential
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
or VT • Rapid ... Arrhythmias: • SVT ... or VT • Terminates ... vagal maneuvers: SVT-AVNRT ... decreased brain flow (VT
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6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
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Cardiogenic shock
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1
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1

1
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Septic shock
↓
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Cardiac Tamponade
.
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1
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RV
» HEMODYNAMIC PATTERNS ... RR VT 10-16 ... Respiratory Rate Wt*VT ... 4.0-8.0 L/min VT ... 80-300 mL (VT
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Early-repolarization pattern ... QRS complex Pulmonary ... leads • S1Q3T3 pattern ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram