Ventricular Tachycardia
Results:
Wide & Regular Tachydysrhythmia DDx
Key Points Definition: Wide complex tachycardia (WCT) is defined by QRS duration >120 ms. The differentials are distinguished using the rhythm, regular wide complex rhythms (RWCT) are discussed here. The…
Wide Complex Tachycardias: precordial concordance and what to do when some leads appear narrow and others appear wide
A 38-year-old man is brought to the emergency department by EMS for palpitations after he is found to be tachycardic. He is noted to be hypotensive with SBP of 70…
Wide Complex Tachycardias: differentiation between the four different types of ventricular tachycardia & the importance of recognizing arrhythmias in tachy-brady syndromes
A 73-year-old woman is found by family in bed with decreased level of consciousness. She is brought into the ED for evaluation and is found to have bradycardia and episodic…
Post-cardiac arrest ECGs: evaluation of ischemia, dysrhythmias, and their mimics
A 55-year-old man presents to the emergency department with nonspecific chest pain. 20 minutes into his evaluation he is found to be diaphoretic and unresponsive in cardiac arrest with ventricular…
Wide Complex Tachycardias: using old ECGs, Lewis leads, and rabbit ears to distinguish VT from SVT
A 48-year-old woman presents to the emergency department with palpitations. She is noted to be tachycardic at triage. The following ECG is obtained:
Differential Diagnoses: what to consider in patients with regular wide complex tachycardias (RWCT)
A 45-year-old male presents to the ED with palpitations and is found to be markedly tachycardic. The following ECG is obtained:
STAT ECG Diagnoses: knowing what you are looking for when differentiating the different types of regular wide complex tachycardias
A 79-year-old male is brought into the ED by EMS with palpitations and lightheadedness while doing light yardwork. He is found to have a wide complex tachycardia at 155 bpm,…
STAT ECG Diagnoses: the definition of electrical storm and what you need to know about it
A 58-year-old man with PMHx of cardiomyopathy (EF ~30%) presents to the ED with intermittent episodes of palpitations and near syncope. The following ECG was obtained during an episode:
STAT ECG Diagnoses: what is the signifcance of a new T wave inversion in aVL?
A 45-year-old male presents to the ED with chest pain and shortness of breath. The following ECG is obtained:
STAT ECG Diagnoses: ventricular rhythms in patients being evaluated for acute coronary syndromes (ACS)
A 45-year-old male presents to the ED with chest pain and diaphoresis. He is being treated for a suspected MI and is noted to have a change in rhythm. The following…
ECG Basics & Fundamentals: cardiac rhythm strips and how to identify the three main types of ventricular tachycardia
A 58-year-old woman with PMHx of HTN and polysubstance abuse presents to the ED after a syncopal episode. She has been having nausea, vomiting, and diarrhea. She is noted to…
STAT ECG Diagnoses: the great immitator strikes again in a case of wide complex tachycardia
A 48-year-old female presents to the ED 2 days after Thanksgiving with complaints of severe generalized weakness, palpitations, and chest discomfort. She is noted to be tachycardic and tachypneic at…
Palpitations: a cardiac cause with increased risk of arrhythmia and sudden cardiac death
A 50-year-old woman presents to the emergency department with palpitations. She has had signs and symptoms of an upper respiratory tract infection with low grade fevers. She is tachycardic but…
Wide Complex Tachycardias: when suspected ventricular tachycardia is too wide and too slow
A 56-year-old man with PMHx of HTN, DM, PVD, and ESRD on dialysis presents to the ED with dyspnea. The following ECG was obtained on arrival:
Wide Complex Tachycardias: the three major types of ventricular tachycardia
A 60-year-old man presents to the ED chest pain concerning for ACS, and a prehospital ECG concerning for inferior STEMI. The following ECG is obtained on arrival to the ED:
2017 ECG Competition Answers (Part 2/2)
This week we review the answers to questions 7-14 from the 5th annual UMEM Residency ECG Competition. Make sure to attempt to answer the questions before clicking the red box…
Bradyarrhthmias: considerations in unstable patients with discussion on an important causes of refractory bradycardia
A 42-year-old woman presents to the ED with decreased level of consciousness after a seizure. She has no obvious signs of trauma, and vitals signs are normal except for marked…
Wide Complex Tachycardias: considerations in unstable patients with discussion on an important VT mimic
A 78-year-old woman called EMS for palpitations and mild chest pressure. She was shocked 4 times prior to arrival for a wide complex tachycardia and waxing and waning mental status…
ECG Basics & Fundamentals: electrical cardioversion of an unstable regular wide complex tachycardia
A 50-year-old man is brought to the ED with a regular wide complex tachycardia (RWCT) shown below. He is pain free with a normal blood pressure and mental status. His…
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…
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