Value of onset sequence in discriminating ventricular tachycardia from supraventricular tachycardia

Author(s):  
C.-M.J. Chiang ◽  
J.M. Jenkins ◽  
L.A. DiCarlo
2020 ◽  
Vol 33 (4) ◽  
pp. 200-204
Author(s):  
Lívia Teixeira Martins e Silva ◽  
Paula Damasco do Vale ◽  
Jairo Macedo da Rocha ◽  
Carla Septimio Margalho ◽  
Henrique César de Almeida Maia

A 16-year-old female patient was hospitalized due to narrow QRS tachycardia suggestive of fascicular ventricular tachycardia. Initially, the differential diagnosis with supraventricular tachycardia can be challenging. The tachyarrhythmia is well controlled with medication, but electrophysiological study and ablation may be necessary in patients who remain symptomatic.


ESC CardioMed ◽  
2018 ◽  
pp. 2256-2259
Author(s):  
Sei Iwai ◽  
Jason Jacobson

Wide QRS complex tachycardia (WCT) is a common clinical challenge, and can present in a variety of settings, including the emergency department, in the in-hospital setting, during operations, and even in the outpatient arena. The proper, and timely, acute management of WCT is contingent on the proper evaluation and diagnosis of the tachycardia. WCT, an arrhythmia with a QRS duration of over 120 ms, at a rate of over 100 beats per minute, can be due to either supraventricular tachycardia with aberrant conduction or due to ventricular tachycardia. The management of these two entities can vary considerably, especially if the patient presents without significant haemodynamic stability.


Author(s):  
Antoine Schneider ◽  
Rinaldo Bellomo

Cardiac arrhythmias are common in hospitalized patients, with their incidence increasing in older patients and those with comorbidities. Cardiac arrhythmias represent a trigger for approximately 10% of rapid response team (RRT) activations. Of those, atrial fibrillation (AF) is the most commonly observed. Other common cardiac arrhythmias in the in-hospital setting include supraventricular tachycardia, atrial flutter, ventricular tachycardia, and bradycardias. Members of the RRT should be skilled in the diagnosis and management of these common arrhythmias. This chapter presents an overview of cardiac arrhythmias that RRT members are likely to encounter, discussing their incidence and significance, as well as their immediate management.


2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Mohammed Abdullahi Talle ◽  
Faruk Buba ◽  
Aimé Bonny ◽  
Musa Mohammed Baba

Syncope is a common manifestation of both hypertrophic cardiomyopathy (HCM) and Wolff-Parkinson-White (WPW) syndrome. The most common arrhythmia in HCM is ventricular tachycardia (VT) and atrial fibrillation (AF). While preexcitation provides the substrate for reentry and supraventricular tachycardia (SVT), AF is more common in patients with preexcitation than the general population. Concurrence of HCM and WPW has been reported in many cases, but whether the prognosis or severity of arrhythmia is different compared to the individual disorders remains unsettled. We report a case of HCM and Wolff-Parkinson-White (WPW) syndrome in a 28-year-old male Nigerian soldier presenting with recurrent syncope and lichen planus.


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