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Morphological Criteria for Discriminating Ventricular Tachycardia from Supraventricular Tachycardia with Aberration

Source Article: Wide Complex Tachycardia –
Distinguishing #Criteria #Cardiology ... #ECG #EKG #Electrocardiogram ... #VTach #SVT #Differences ... #Comparison #Brugada ... #Algorithm
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... Tachycardia (MAT ... • Oxygen • Treatment ... #Cardiology #Diagnosis ... #ECG #EKG #Management
Supraventricular tachycardia (SVT) is an abnormally fast heart rhythm arising from improper electrical activity in upper
Supraventricular tachycardia ... (SVT) is an abnormally ... (PSVT), atrial ... #Clinical #MedStudent ... #Cardiology #EKG
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
probable inferior STEMI ... polymorphic ventricular tachycardia ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia ... #VT
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Management Algorithm ... : HR > 180bpm ECG ... supraventricular #tachycardia ... #Management #Algorithm ... peds #Pediatric #treatment
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
on EKG 47 year ... Ectopic atrial rhythm ... with ST elevations ... #EKG #clinical ... #ecg
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... cardioversion • If known SVT ... nodal agents (e.g ... #Treatment #management ... #cardiology #algorithm
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Arrhythmias on ECG ... tachycardia ECG ... #cardiology #diagnosis ... #ekg #electrocardiogram ... #clinical #comparison
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... EKG Findings ... capture of the atria ... arrhythmia • Atrial ... more intensive treatment