VT
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Ventricular Tachycardia (VT)
Key Points Definition: VT is a wide complex tachycardia arising from the ventricles, defined as ≥3 consecutive ventricular beats, QRS duration >120 ms, with rapid heart rate typically 120-250 bpm….
2025 In-Training Exam Preparation (Part I/III)
It’s safe to assume that board exams will test your ability to diagnose and manage wide complex tachyarrhythmias. Here is a challenging wide complex rhythm in a patient with palpitations…
Recent UMMC Cases
A 67 -year-old man presents to a busy emergency department with acute chest pain and shortness of breath. The following ECG is obtained, but he leaves without being seen because…
Wide Complex Tachycardias: using modified ECG leads to distinguish ventricular tachycardia from supraventricular tachycardias (VT vs. SVT)
A 60-year-old man presents to the emergency department with left sided chest pain and lower extremity edema. Initial vitals: HR= 155, BP = 120/96, RR = 22, SpO2 = 90%,…
Wide Complex Tachycardias: can ECG algorithms safely rule out ventricular tachycardia in the emergency department?
A 45-year-old man with PMHx of hypertension, obesity, and tobacco use presents to the ED with palpitations. Symptoms have been intermittent throughout the day with an associated episode of syncope….
Wide Complex Tachycardias: What is the Lewis lead and how you can use modified ECG leads to help make the diagnosis
A 60-year-old male presents to the ED with acute chest pain and lower extremity edema. He is noted to be tachycardic on arrival. The following ECG is obtained:
STAT ECG Diagnoses: getting rhythm strips right and knowing when acute intervention is needed
A 66-year-old man is transferred to the ED from an urgent care where he presented for shortness of breath and was diagnosed with heart failure. He was recently discharged s/p…
Literature Review: pearls and pitfalls in the ECG diagnosis for ventricular tachycardia
A 45-year-old with no known past medical history presents to the ED with palpitations. She is hemodynamically stable. The following ECG is obtained:
EMS ECGs: opportunity to save lives prehospital by recognizing severe hyperkalemia
A 69-year-old man presents to the emergency department with palpitations. He is otherwise well. The following ECG is obtained:
Several challenging EMS cases to help you make the diagnosis and save more lives!
A 44-year-old man with PMHx of diabetes is transported to the ED by EMS for lethargy and altered mental status. His finger stick blood glucose measurement read as “high”. The…
Rhythm Interpretation: the importance of patient assessment in managing malignant arrhythmias
A 74-year-old woman presents to the ED with shortness of breath. She has been taking azithromycin for cough. The following ECG is obtained:
Does response to adenosine rule out ventricular tachycardia?
A 54-year-old man with no PMHx presents to the ED with palpitations. He is noted to be tachycardic but is stable with a normal blood pressure. The following ECG is…
ECG Tags
- & Myocardial Ischemia
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- 1st degree AV Block
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- Benign early repolarization
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- bidirectional ventricular tachycardia
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- Board review
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- de Winter
- de Winter T-wave
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- defibrillation
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- deWinter T-waves
- Dextrocardia
- differential diagnoses
- differential diagnoses for left axis deviation
- Diffuse ST elevation
- Diffuse ST Elevation DDx
- Diffuse ST-segment Elevation
- Diffuse STE
- dig effect
- digoxin
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- Digoxin toxicity
- DKA
- Dominant R wave
- Dominant R wave in aVR
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- dresslers
- dresslers syndrome
- Dysrhythmia
- Dysrhythmia in LVADs
- Dysrhythmias
- Earliest ECG Evidence of Occlusion MI
- Early cardiac ischemia
- Early ECG evidence of ischemia
- Early ischemia
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- ecg 101
- ECG Basics
- ECG competition
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- ecg history
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- Fusion Beats
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- high risk pe
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- Himalayan T-waves
- history of ecg
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- HOCM
- Hypeacute T waves
- hyperacute
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- Hypercalcemia
- Hyperkalemia
- Hyperkalemia emergencies
- hyperkalemia mimics
- Hyperkalemia vs. STEMI
- Hyperkalemia vs. VT
- Hyperkalemic paralysis
- Hyperkalemic Periodic Paralysis
- Hyperkalemic Periodic Paralysis (“Impressive Syndrome”)
- Hypermagnesemia
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- in-training exam
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- ITE prep
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- J point
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- Jervell
- Jervell and Lange-Nielsen Syndrome
- JLNS
- Josephson Sign
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- junctional escape rhythms
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- lead V1
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- Left axis deviation
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- left bundle branch block
- left posterior fascicular block
- Left Ventricular Hypertrophy (LVH)
- Left ventricular hypertrophy vs. STEMI
- lewis
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- life savers
- limb lead misplacement
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- Literature review
- Long QT
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- long ST segment
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- low voltage differential
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- LPFB
- LQT1 (KCNQ1 Mutation)
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- LV Aneurysm
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- narrow complex regular tachycardia differential
- Narrow Complex Tachycardia
- narrow qrs bradycardia
- New Q Waves
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- Nielsen
- Nikelekam T-waves
- No clear P waves DDx
- Non-conducted P wave (P:QRS>1) DDx
- non-conducted PACs
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- normal
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- Not Enough P Waves (P:QRS < 1) DDx
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- NSVT
- Occlusion MI
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- OMI
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- OMI Pattern
- OMI Pattern: ST Depression V1-V4
- OMI Patterns in Left Bundle Branch Block
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- PFO
- PGY-2 (Intermediate) Resident Curriculum
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- PJC
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- plaque rupture
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- right atrial enlargement
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- Sinus arrest
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- ST
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- strain
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- Supraventricular tachycardia
- Supraventricular Tachycardia (SVT)
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- syncope ddx
- syncope differentials
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- the basics
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- voltage
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- Wide & Regular Tachydysrhythmia DDx
- wide complex irregular tachycardia
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- wide vs. narrow QRS
- Wolff Parkinson White
- Wolff-Parkinson White (WPW) Syndrome
- WPW
- wpw syndrome
- WPW syndrome and Pseudo-MI patterns
- WPW vs STEMI
- WPW with Antidromic SVT
- WPW with atrial fibrillation
- WPW with Orthodromic SVT
- WPW with SVT
- Young patients
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