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Morphological Criteria for Discriminating Ventricular Tachycardia from Supraventricular Tachycardia with Aberration

Source Article: Wide Complex Tachycardia –
Morphological Criteria ... Distinguishing #Criteria ... #Cardiology #ECG ... #VTach #SVT #Differences ... #Comparison #Brugada
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... elevation: Differential ... #AVR #leadAVR #ecg ... #differential # ... cardiology
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
is positive in aVR ... #VT #VTach #SVT ... #Comparison #VentricularTachycardia ... #Versus #ecg #ekg ... #cardiology #diagnosis
VT versus SVT with Aberration - Interpretation Cheat Sheet

Features favouring VT
● Absence of typical RBBB or
Morphology criteria ... #VTach #VentricularTachycardia ... #SVT #Aberration ... #Aberrancy #Comparison ... #Diagnosis #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
criterion 1 - ST ... criterion 2 - ST ... • Sgarbossa criterion ... #differential # ... cardiology #electrocardiogram
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... • Migraine Cardiac ... Tachyarrhythmia: • VT ... • AVNRT/AVRT ... #Cardiology #Differential
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
- Syncope Syndromes ... assoc with 1K, AV ... Wong @mchlwng #Syncope ... #diagnosis #cardiology ... electrocardiogram #differential
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
WOBBLER for ECG ... O - Obstructed AV ... associated with sudden cardiac ... #EKG #ECG #Diagnosis ... #Cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... or AVRT • Standing ... #Palpitations #Cardiology ... #Differential #
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
O: Obstructed AV ... as first-degree AV ... risk of sudden cardiac ... risk for sudden cardiac ... #cardiology #differential