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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 ... Distinguishing #Criteria ... #Cardiology #ECG ... #VTach #SVT #Differences
RBBB Ventricular Tachycardia Criteria - Lead V1 - Telemetry Diagnosis
WCT is VT IF:
 • R >
RBBB Ventricular ... Diagnosis WCT is VT ... Tachycardia #WCT #VTach ... diagnosis #cardiology ... #ekg #ecg #telemetry
LBBB Ventricular Tachycardia Criteria - Lead V1 - Telemetry Diagnosis
WCT is VT IF:
 • Initial r
LBBB Ventricular ... Diagnosis WCT is VT ... Tachycardia #WCT #VTach ... diagnosis #cardiology ... #ekg #ecg #telemetry
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... w/ abberancy - ... DANGER (4) Vfib ... flutter (3) SVTs ... Distal AV block - ventricular
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
bpm) • Sinus Bradycardia ... Escape Rhythm • Ventricular ... • Premature ventricular ... interval) • AFib ... with conduction aberrancy
Hallmark ECG features of Ventricular Tachycardia (VT)
AV indicates atrioventricular; LAD, left axis deviation; LBBB, left bundle
Hallmark ECG features ... of Ventricular ... Tachycardia (VT) ... #Ventricular #Tachycardia ... #VTach #ECG #EKG
VT versus SVT with Aberration - Interpretation Cheat Sheet

Features favouring VT
● Absence of typical RBBB or
Cheat Sheet Features ... sinus beat and a ventricular ... Morphology criteria ... #VTach #VentricularTachycardia ... #Aberrancy #Comparison
Pava Criteria - R-Wave Peak Time (RWPT) - Lead II - Ventricular Tachycardia Criteria - Telemetry
RWPT) - Lead II - Ventricular ... Diagnosis WCT is VT ... #WCT #VTach #leadII ... #diagnosis #cardiology ... #ekg #ecg #RWPT
Anatomical Differential Diagnosis for Arrhythmias
 • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS)
 • AV
SA node: Sinus bradycardia ... tachycardia (V-tach ... VT (i.e. ... Fibrillation (V-Fib ... Diagnosis #Causes #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... supraventricular or ventricular ... tachycardia • Ventricular ... /Vfib/Afib/WPW) ... #Palpitations #Cardiology