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Morphological Criteria for Discriminating Ventricular Tachycardia from Supraventricular Tachycardia with Aberration

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

 - Acute
Lead aVR on EKG ... narrow complex tachycardias ... from SVT with aberrancy ... #Diagnosis #Cardiology ... #EKG #ECG #Lead
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial Tachycardia ... hypertension Management ... #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
if necessary to max ... known SVT with aberrancy ... nodal agents (e.g ... #Treatment #management ... #cardiology #algorithm
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... aVR • Classic EKG ... #AVR #leadAVR #ecg ... electrocardiogram #diagnosis #ekg ... #differential #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
(3) SVT w/ abberancy ... (MAT) - 3 ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Arrhythmias on ECG ... ECG Recognition ... QRS morphology (aberrant ... #cardiology #diagnosis ... #ekg #electrocardiogram
Wolff–Parkinson–White syndrome (WPW) is one of several disorders of the electrical system of the heart that
bundle of Kent) may ... reciprocating tachycardia ... Pathophysiology #Diagnosis #Cardiology ... #MedStudent #EKG ... DeltaWave #ShortPR #Criteria
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... atrial flutter or MAT ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... with sinus tachycardia ... these can hint at ... Michael Macias, EM ... #Radiology #POCUS