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Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
SVT with BBB All ... or LBBB morphology ... in contrast to RBBB ... #Versus #ecg #ekg ... #cardiology #diagnosis
Hallmark ECG features of Ventricular Tachycardia (VT)
AV indicates atrioventricular; LAD, left axis deviation; LBBB, left bundle
Hallmark ECG features ... Ventricular Tachycardia (VT ... axis deviation; LBBB ... axis deviation; RBBB ... #Diagnosis #Cardiology
RBBB Ventricular Tachycardia Criteria - Lead V1 - Telemetry Diagnosis
WCT is VT IF:
 • R >
RBBB Ventricular ... Diagnosis WCT is VT ... Biphasic QRS #RBBB ... V1 #diagnosis #cardiology ... #ekg #ecg #telemetry
LBBB Ventricular Tachycardia Criteria - Lead V1 - Telemetry Diagnosis
WCT is VT IF:
 • Initial r
LBBB Ventricular ... Diagnosis WCT is VT ... downstroke #LBBB ... V1 #diagnosis #cardiology ... #ekg #ecg #telemetry
VT versus SVT with Aberration - Interpretation Cheat Sheet

Features favouring VT
● Absence of typical RBBB or
VT versus SVT with ... Absence of typical RBBB ... or LBBB morphology ... Morphology criteria ... #Cardiology
Lead aVR on EKG
Lead aVR can provide some unique insight into 5 different conditions:

 - Acute
Lead aVR on EKG ... Differentiating VT ... from SVT with aberrancy ... #Diagnosis #Cardiology ... #EKG #ECG #Lead
Algorithm for the Evaluation of Regular, Wide-Complex Tachycardia
1. aVR: Is the initial deflection in aVR positive?
consistent with either LBBB ... or RBBB? ... Interpretation #ECG ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Remember that RBBB ... STEMI Criteria misses ... Occlusion #Total #ECG ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Wide Complex Tachycardia - ECG Definition and Causes
 • Wide Complex Tachycardia (WCT) is a cardiac
Tachycardia - ECG ... Ventricular Tachycardia (VT ... - with fixed BBB ... WCT #diagnosis #cardiology ... #ekg #ecg #electrocardiogram
Morphological Criteria for Discriminating Ventricular Tachycardia from Supraventricular Tachycardia with Aberration

Source Article: Wide Complex Tachycardia –
Tachycardia #Aberration #Aberrancy ... #Cardiology #ECG ... #EKG #Electrocardiogram ... #VTach #SVT #Differences ... #Comparison #Brugada