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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
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
Diagnosis and Management ... deflection not AVRT ... • DDx: SVT + ... Aberrancy, HyperK ... #wide #narrow #algorithm
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... cardioversion • If known SVT ... 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 ... #criticalcare #algorithm ... #treatment #management
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Pericarditis, Tamponade EKG ... Findings: - AV ... block, Aberrancy ... Low voltage Treatment ... Myocarditis #diagnosis #management
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Recurrent Polymorphic VT ... Algorithm Drugs ... Hypocalcemia (rarely) Treatment ... #Polymorphic #VTach ... #Algorithm