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Morphological Criteria for Discriminating Ventricular Tachycardia from Supraventricular Tachycardia with Aberration

Source Article: Wide Complex Tachycardia –
Morphological Criteria ... Distinguishing #Criteria ... #EKG #Electrocardiogram ... #VTach #SVT #Differences ... #Comparison #Brugada
Various wide complex tachycardia (WCT) differentiation algorithmic designs and algorithms.
The most commonly utilized approaches to differentiate
including the Brugada ... ,2 Vereckei aVR, ... Differentiation #Ventricular ... #Tachycardia #VTach ... #ECG #EKG #Electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... • Classic EKG ... Differentiating ventricular ... than Brugada criteria ... #electrocardiogram
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
is positive in aVR ... - a sinus and ventricular ... - Brugada's sign ... #VT #VTach #SVT ... #Comparison #VentricularTachycardia
66 yo with syncope - Ventricular Tachycardia

This ECG shows a wide-complex tachycardia in a right bundle
according to the Brugada ... criteria. ... @ECGQuizzes #VTach ... VentricularTachycardia #Clinical ... #EKG #Electrocardiogram
Hallmark ECG features of Ventricular Tachycardia (VT)
AV indicates atrioventricular; LAD, left axis deviation; LBBB, left bundle
of Ventricular ... Tachycardia (VT) ... AV indicates atrioventricular ... #VTach #ECG #EKG ... #Electrocardiogram
VT versus SVT with Aberration - Interpretation Cheat Sheet

Features favouring VT
● Absence of typical RBBB or
sinus beat and a ventricular ... Brugada algorithm ... Morphology criteria ... #VTach #VentricularTachycardia ... #Aberrancy #Comparison
Osborn waves - positive deflections at the J point (negative in aVR and V1) with a
point (negative in aVR ... brain injury, medications ... or idiopathic ventricular ... This EKG was recorded ... #ECG #Clinical
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
depression in aVR ... are involved • Brugada ... V5-6 • Left Ventricular ... prominent T waves • Ventricular ... #ekg #electrocardiogram
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
Winter T Wave on ECG ... Diagnostic Criteria ... (0.5mm-1mm) in aVR ... #EKG #Clinical ... #Electrocardiogram