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Morphological Criteria for Discriminating Ventricular Tachycardia from Supraventricular Tachycardia with Aberration

Source Article: Wide Complex Tachycardia –
Distinguishing #Criteria #Cardiology ... #ECG #EKG #Electrocardiogram ... #VTach #SVT #Differences ... #Comparison #Brugada ... #Algorithm
Various wide complex tachycardia (WCT) differentiation algorithmic designs and algorithms.
The most commonly utilized approaches to differentiate
including the Brugada ... #Tachycardia #VTach ... #ECG #EKG #Electrocardiogram ... #Diagnosis #Cardiology ... #Algorithms
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
"Sinus Tach" at ... #Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
Approach to ECGs ... - Brugada's sign ... #VT #VTach #SVT ... #Comparison #VentricularTachycardia ... #cardiology #diagnosis
VT versus SVT with Aberration - Interpretation Cheat Sheet

Features favouring VT
● Absence of typical RBBB or
Brugada algorithm ... Visualmed #VT #VTach ... Aberration #Aberrancy #Comparison ... #Diagnosis #Cardiology
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
Diagnosis and Management ... • Atrial Flutter ... • Monomorphic VTach ... #cardiology #wide ... #narrow #algorithm
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
flutter, ectopic atrial ... Control rate (e.g ... Control rate (e.g ... Tachycardia #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 ... Ischemic Symptoms  EKG ... Obtain femoral arterial ... DCSI #Initiative #Management ... #Cardiology
Purpose: We sought to develop a patient decision aid to promote shared decision-making for patients who
natural frequency (e.g ... randomized controlled trial ... #Management #PatientInfo ... #Cardiology #EM
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... Obtain EKG if: ... one post op Cardiology ... CARP, DECREASE V trials ... medical and surgical management