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Morphological Criteria for Discriminating Ventricular Tachycardia from Supraventricular Tachycardia with Aberration

Source Article: Wide Complex Tachycardia –
Supraventricular Tachycardia ... Distinguishing #Criteria #Cardiology ... #ECG #EKG #Electrocardiogram ... #VTach #SVT #Differences ... #Comparison #Brugada
Supraventricular Tachycardia EKG

Here’s a great ECG case of a 50-year-old lady who presented with palpitations

Her heart
This rhythm is all ... @EM_RESUS #AVRT ... #Tachycardia #EKG ... #Cardiology #EKG ... #Clinical
Vereckie Algorithm - Lead aVR - Ventricular Tachycardia - Telemetry Diagnosis
WCT is VT IF:
 • Initial
Algorithm - Lead aVR ... Diagnosis WCT is VT ... #WCT #VTach #avr ... #diagnosis #cardiology ... #ekg #ecg #telemetry
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
starts as sinus rhythm ... polymorphic ventricular tachycardia ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia ... #VT
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
SVT - Wide Tachycardias ... is positive in aVR ... #VT #VTach #SVT ... #Comparison #VentricularTachycardia ... #Versus #ecg #ekg
Supraventricular tachycardia (SVT) is an abnormally fast heart rhythm arising from improper electrical activity in upper
Supraventricular tachycardia ... fast heart rhythm ... supraventricular tachycardia ... #Clinical #MedStudent ... #Cardiology #EKG
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
depression in aVR ... elevation in aVR ... is a good ECG sign ... #Clinical #EM #IM ... #Cardiology #EKG
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Regular Rhythm: ... or AVRT - Observe ... Control rate (e.g ... Control rate (e.g
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... vagal maneuvers: SVT-AVNRT ... or AVRT • Standing ... #Palpitations #Cardiology
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... or uncertain rhythm ... cardioversion • If known SVT ... nodal agents (e.g ... #cardiology #algorithm