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Morphological Criteria for Discriminating Ventricular Tachycardia from Supraventricular Tachycardia with Aberration

Source Article: Wide Complex Tachycardia –
with Aberration ... #Aberration #Aberrancy ... #VTach #SVT #Differences ... #Comparison #Brugada ... #Algorithm
Vereckie Algorithm - Lead aVR - Ventricular Tachycardia - Telemetry Diagnosis
WCT is VT IF:
 • Initial
Vereckie Algorithm ... - Lead aVR - Ventricular ... Diagnosis WCT is VT ... #WCT #VTach #avr ... diagnosis #cardiology #ekg
VT versus SVT with Aberration - Interpretation Cheat Sheet

Features favouring VT
● Absence of typical RBBB or
Aberration - Interpretation ... Brugada algorithm ... #VTach #VentricularTachycardia ... #SVT #Aberration ... #Aberrancy #Comparison
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
SVT - Wide Tachycardias ... is positive in aVR ... #VT #VTach #SVT ... #Comparison #VentricularTachycardia ... #Versus #ecg #ekg
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
cardioversion • If known SVT ... WPW) - Avoid AV ... nodal agents (e.g ... diltiazem or B-blockers ... management #cardiology #algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
High CO / Low SVR ... Failure, Toxins/Medications ... Low CO / High SVR ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... PALPITATIONS: Medications ... withdrawal of β-blockers ... vagal maneuvers: SVT-AVNRT ... or AVRT • Standing