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Morphological Criteria for Discriminating Ventricular Tachycardia from Supraventricular Tachycardia with Aberration

Source Article: Wide Complex Tachycardia –
Morphological Criteria ... Tachycardia #Aberration #Aberrancy ... #Cardiology #ECG ... #EKG #Electrocardiogram ... #Differences #Comparison
Lead aVR on EKG
Lead aVR can provide some unique insight into 5 different conditions:

 - Acute
Lead aVR on EKG ... from SVT with aberrancy ... using the Vereckei criteria ... better than Brugada criteria ... #Diagnosis #Cardiology
Ventricular Tachycardia in Wide Complex Tachycardia - Telemetry Diagnosis
 • Lead V1 - LBBB Criteria
 •
Ventricular Tachycardia ... Lead V1 - LBBB Criteria ... RWPT) • Lead aVR ... VTach #diagnosis #cardiology ... #ekg #ecg #telemetry
Left Ventricular Hypertrophy (LVH) Criteria
• Sokolow + Lyon 
 - S V1 + R V5 or
Left Ventricular ... Hypertrophy (LVH) Criteria ... Voltage #Left #Ventricular ... #Hypertrophy #ECG ... #EKG #Cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... Differentiating ventricular ... • Vereckei criteria ... VT than Brugada criteria ... #AVR #leadAVR #ecg
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Regular • If ventricular ... known SVT with aberrancy ... WPW) - Avoid AV ... nodal agents (e.g ... • If AF with aberrancy
VT versus SVT with Aberration - Interpretation Cheat Sheet

Features favouring VT
● Absence of typical RBBB or
sinus beat and a ventricular ... Morphology criteria ... SVT #Aberration #Aberrancy ... #Comparison #Diagnosis ... #Cardiology
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
is positive in aVR ... - a sinus and ventricular ... VT #VTach #SVT #Comparison ... VentricularTachycardia #Versus #ecg ... #ekg #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
(3) SVT w/ abberancy ... block - ventricular ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
electrocardiographic criteria ... terminalis) or in AV ... wap #diagnosis #cardiology ... #ekg #ecg #electrocardiogram ... #comparison