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Morphological Criteria for Discriminating Ventricular Tachycardia from Supraventricular Tachycardia with Aberration

Source Article: Wide Complex Tachycardia –
Morphological Criteria ... Distinguishing #Criteria ... #Cardiology #ECG ... #Differences #Comparison ... #Brugada #Algorithm
Ventricular Tachycardia in Wide Complex Tachycardia - Telemetry Diagnosis
 • Lead V1 - LBBB Criteria
 •
Lead V1 - LBBB Criteria ... Lead V1 - RBBB Criteria ... #Algorithm # ... VTach #diagnosis #cardiology ... #ekg #ecg #telemetry
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
It starts as sinus ... probable inferior STEMI ... polymorphic ventricular tachycardia ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Wolff–Parkinson–White syndrome (WPW) is one of several disorders of the electrical system of the heart that
supraventricular tachycardia ... reciprocating tachycardia ... Pathophysiology #Diagnosis #Cardiology ... #MedStudent #EKG ... DeltaWave #ShortPR #Criteria
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... Equivalents / Don't Miss Signs ... deWinter T waves - starts ... #Ischemia #ECG ... electrocardiogram #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... V2 • Wellens sign ... pain • Wellens sign ... #Equivalents #ECG ... #differential #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... underlying cause #Stable ... Treatment #management #cardiology ... #algorithm
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... nodal agents (e.g ... irregular protocol #Stable ... Treatment #management #cardiology ... #algorithm
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... Initiative #Management #Cardiology
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
SVT - Wide Tachycardias ... - Brugada's sign ... - Josephson's sign ... VT #VTach #SVT #Comparison ... #ekg #cardiology