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Morphological Criteria for Discriminating Ventricular Tachycardia from Supraventricular Tachycardia with Aberration

Source Article: Wide Complex Tachycardia –
#Aberration #Aberrancy ... Distinguishing #Criteria #Cardiology ... #ECG #EKG #Electrocardiogram ... #VTach #SVT #Differences ... #Comparison #Brugada
#EKG taken on a patient with an acute pulmonary embolism with right heart strain showing tachycardia,
#EKG taken on a ... strain showing tachycardia ... in V1 - V4 #Clinical ... pulmonaryembolism #AcutePE #criticalcare ... #cardiology #ECG
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
Note there is ST ... authors state that ST ... aVR is a good ECG ... #Clinical #EM #IM ... #Cardiology #EKG
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... cardioversion • If known SVT ... with aberrancy, ... nodal agents (e.g ... #cardiology #algorithm
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
polymorphic ventricular tachycardia ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia ... #VT
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... myocarditis Clinical ... Pericarditis, Tamponade EKG ... - AV block, Aberrancy ... Low voltage Treatment
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Arrhythmias on ECG ... ECG Recognition ... QRS morphology (aberrant ... #ekg #electrocardiogram ... #clinical #comparison
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
shock state) • Tachycardia ... telemetry, 12-Lead EKG ... Anaphylactic >> IM ... Management #Summary #criticalcare ... #treatment #workup
There is a wide QRS and peaked T-waves.   In particular, notice how flat the
notice how flat the ST ... #Clinical #EM #IM ... #Cardiology #Hyperkalemia ... #PeakedT #EKG