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Morphological Criteria for Discriminating Ventricular Tachycardia from Supraventricular Tachycardia with Aberration

Source Article: Wide Complex Tachycardia –
Tachycardia with Aberration ... Distinguishing #Criteria #Cardiology ... #ECG #EKG #Electrocardiogram ... #VTach #SVT #Differences ... #Comparison #Brugada
Various wide complex tachycardia (WCT) differentiation algorithmic designs and algorithms.
The most commonly utilized approaches to differentiate
approaches to differentiate ... aVR,6 and limb lead ... #Tachycardia #VTach ... #ECG #EKG #Electrocardiogram ... #Diagnosis #Cardiology
VT versus SVT with Aberration - Interpretation Cheat Sheet

Features favouring VT
● Absence of typical RBBB or
concordance in all ... 100 ms in any V lead ... Visualmed #VT #VTach ... #Aberrancy #Comparison ... #Diagnosis #Cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... anterior descending (LAD ... aVR • Classic EKG ... #differential # ... cardiology
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
on EKG 47 year ... The mother of all ... a PFO during a bowel ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
SVT with BBB All ... #VT #VTach #SVT ... #Comparison #VentricularTachycardia ... #Versus #ecg #ekg ... #cardiology #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... wave inversion in avL ... electrocardiogram #cardiology ... Interpretation #differential
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 • Advantages: Continuous recording, records asx events, all
Compared Ambulatory ECG ... records asx events, all ... (most) ECG leads ... Monitoring #Devices #Comparison ... #cardiology #management
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain • ECG ... : Bad block? ... bradycardia #diagnosis #differential ... #management #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... ACTIVATE CATH LAB ... TIMI III flow in all ... DCSI #Initiative #Management ... #Cardiology