Wide Complex Tachycardias: does response to Valsalva maneuvers or adenosine rule out ventricular tachycardia?

ECG Weekly Workout with Dr. Amal Mattu


Before watching the video, look closely at this ECG and ask yourself:

  1. What is the heart rate and rhythm?
  2. Does response to adenosine or Valsalva maneuvers help rule out ventricular tachycardia?
  3. What is the most likely diagnosis and how would you disposition this patient after conversion to normal sinus rhythm?