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Morphological Criteria for Discriminating Ventricular Tachycardia from Supraventricular Tachycardia with Aberration

Source Article: Wide Complex Tachycardia –
Tachycardia #Aberration #Aberrancy ... #EKG #Electrocardiogram ... #VTach #SVT #Differences ... #Comparison #Brugada ... #Algorithm
VT versus SVT with Aberration - Interpretation Cheat Sheet

Features favouring VT
● Absence of typical RBBB or
morphology ● AV ... Brugada algorithm ... AV dissociation ... #VTach #VentricularTachycardia ... #Aberrancy #Comparison
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
is positive in aVR ... (> 160ms) - AV ... #VT #VTach #SVT ... #Comparison #VentricularTachycardia ... #Versus #ecg #ekg
Vereckie Algorithm - Lead aVR - Ventricular Tachycardia - Telemetry Diagnosis
WCT is VT IF:
 • Initial
Vereckie Algorithm ... - Lead aVR - Ventricular ... Diagnosis WCT is VT ... Tachycardia #WCT #VTach ... #avr #diagnosis
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
deflection not AVRT ... • Monomorphic VTach ... • DDx: SVT + ... Aberrancy, HyperK ... #wide #narrow #algorithm
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
cardioversion • If known SVT ... with aberrancy, ... WPW) - Avoid AV ... nodal agents (e.g ... 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 ... ) UOP > 0.5 cc/kg ... #criticalcare #algorithm