The Differential Diagnosis of a Regular Tachycardia with a Wide QRS Complex on the 12-Lead ECG: Ventricular Tachycardia, Supraventricular Tachycardia with Aberrant Intraventricular Conduction, and Supraventricular Tachycardia with Anterograde Conduction Over an Accessory Pathway

1994 ◽  
Vol 17 (9) ◽  
pp. 1515-1524 ◽  
Author(s):  
EDUARDO ANTUNES ◽  
JOSEP BRUGADA ◽  
GUNTER STEURER ◽  
ERIK ANDRIES ◽  
PEDRO BRUGADA
Keyword(s):  
Differential Diagnosis ◽  
Ventricular Tachycardia ◽  
Supraventricular Tachycardia ◽  
Accessory Pathway ◽  
Qrs Complex ◽  
Intraventricular Conduction

Evaluation of the Specificity of Morphological Electrocardiographic Criteria for the Differential Diagnosis of Wide QRS Complex Tachycardia in Patients With Intraventricular Conduction Defects

Circulation ◽  
1997 ◽  
Vol 96 (10) ◽  
pp. 3527-3533 ◽  
Author(s):  
Teresa Alberca ◽  
Jesús Almendral ◽  
Petra Sanz ◽  
Aureliano Almazan ◽  
Jose Luis Cantalapiedra ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Qrs Complex ◽  
Intraventricular Conduction

scholarly journals Belhassen Syndrome in Teenager Originating from Left Anterior Fascicle

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
Keyword(s):  
Differential Diagnosis ◽  
Ventricular Tachycardia ◽  
Female Patient ◽  
Supraventricular Tachycardia ◽  
Electrophysiological Study ◽  
Narrow Qrs

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.

Evaluation and acute management of wide QRS complex tachycardia

ESC CardioMed ◽  
2018 ◽  
pp. 2256-2259
Author(s):  
Sei Iwai ◽  
Jason Jacobson
Keyword(s):  
Emergency Department ◽  
Ventricular Tachycardia ◽  
Supraventricular Tachycardia ◽  
Hospital Setting ◽  
Acute Management ◽  
Qrs Complex ◽  
Haemodynamic Stability ◽  
Clinical Challenge ◽  
Qrs Duration

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.

Specificity of electrocardiographic criteria for the differential diagnosis of wide QRS complex tachycardia in patients with intraventricular conduction defect

Heart Rhythm ◽  
2013 ◽  
Vol 10 (9) ◽  
pp. 1393-1401 ◽  
Author(s):  
Tomás Datino Romaniega ◽  
Jesús Almendral ◽  
Pablo Ávila ◽  
Esteban González-Torrecilla ◽  
Felipe Atienza ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Qrs Complex ◽  
Intraventricular Conduction ◽  
Conduction Defect

scholarly journals Differential Diagnosis of Wide QRS Tachycardias

2020 ◽  
Vol 9 (3) ◽  
pp. 155-160
Author(s):  
Demosthenes G Katritsis ◽  
Josep Brugada
Keyword(s):  
Differential Diagnosis ◽  
Ventricular Tachycardia ◽  
Clinical Practice ◽  
Supraventricular Tachycardia ◽  
Correct Diagnosis ◽  
Diagnostic Methods ◽  
Qrs Duration

In this article, the authors discuss the differential diagnostic methods used in clinical practice to identify types of wide QRS tachycardias (QRS duration >120 ms). A correct diagnosis is critical to management, as misdiagnosis and the administration of drugs usually utilised for supraventricular tachycardia can be harmful for patients with ventricular tachycardia.

Differential diagnosis of supraventricular tachycardias

ESC CardioMed ◽  
2018 ◽  
pp. 2054-2060
Author(s):  
Haran Burri
Keyword(s):  
Differential Diagnosis ◽  
Ventricular Tachycardia ◽  
Supraventricular Tachycardia ◽  
Clinical Investigations ◽  
Supraventricular Tachycardias ◽  
Narrow Complex Tachycardia

This chapter overviews the electrocardiographic diagnosis of various aetiologies of narrow complex tachycardia, as well as the criteria for distinguishing aberrant conduction from ventricular tachycardia in cases of wide QRS tachycardia. Clinical investigations for diagnosis of supraventricular tachycardia are also covered.

Differential diagnosis of supraventricular tachycardias

2018 ◽  
Author(s):  
Haran Burri
Keyword(s):  
Differential Diagnosis ◽  
Ventricular Tachycardia ◽  
Supraventricular Tachycardia ◽  
Clinical Investigations ◽  
Supraventricular Tachycardias ◽  
Narrow Complex Tachycardia

This chapter overviews the electrocardiographic diagnosis of various aetiologies of narrow complex tachycardia, as well as the criteria for distinguishing aberrant conduction from ventricular tachycardia in cases of wide QRS tachycardia. Clinical investigations for diagnosis of supraventricular tachycardia are also covered.

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