Diagnosis and management of ventricular tachycardia
Ventricular tachycardia (VT) describes rapid heart rhythms originating from the ventricles. Accurate diagnosis of VT is important to allow prompt referral to specialist services for ongoing management. The diagnosis of VT is usually made based on electrocardiographic data, most commonly 12-lead echo...
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| Veröffentlicht in: | Clinical medicine (London, England) Jg. 23; H. 5; S. 442 - 448 |
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| Sprache: | Englisch |
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England
Elsevier Ltd
01.09.2023
Royal College of Physicians |
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| ISSN: | 1470-2118, 1473-4893, 1473-4893 |
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| Abstract | Ventricular tachycardia (VT) describes rapid heart rhythms originating from the ventricles. Accurate diagnosis of VT is important to allow prompt referral to specialist services for ongoing management. The diagnosis of VT is usually made based on electrocardiographic data, most commonly 12-lead echocardiography (ECG), as well as supportive cardiac telemetric monitoring. Distinguishing between VT and supraventricular arrhythmias on ECG can be difficult. However, the VT diagnosis frequently needs to be made rapidly in the acute setting. In this review, we discuss the definition of VT, review features of wide-complex tachycardia (WCT) on ECG that might be helpful in diagnosing VT, discuss the different substrates in which VT can occur and offer brief comments on management considerations for patients found to have VT. |
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| AbstractList | Ventricular tachycardia (VT) describes rapid heart rhythms originating from the ventricles. Accurate diagnosis of VT is important to allow prompt referral to specialist services for ongoing management. The diagnosis of VT is usually made based on electrocardiographic data, most commonly 12-lead echocardiography (ECG), as well as supportive cardiac telemetric monitoring. Distinguishing between VT and supraventricular arrhythmias on ECG can be difficult. However, the VT diagnosis frequently needs to be made rapidly in the acute setting. In this review, we discuss the definition of VT, review features of wide-complex tachycardia (WCT) on ECG that might be helpful in diagnosing VT, discuss the different substrates in which VT can occur and offer brief comments on management considerations for patients found to have VT. Ventricular tachycardia (VT) describes rapid heart rhythms originating from the ventricles. Accurate diagnosis of VT is important to allow prompt referral to specialist services for ongoing management. The diagnosis of VT is usually made based on electrocardiographic data, most commonly 12-lead echocardiography (ECG), as well as supportive cardiac telemetric monitoring. Distinguishing between VT and supraventricular arrhythmias on ECG can be difficult. However, the VT diagnosis frequently needs to be made rapidly in the acute setting. In this review, we discuss the definition of VT, review features of wide-complex tachycardia (WCT) on ECG that might be helpful in diagnosing VT, discuss the different substrates in which VT can occur and offer brief comments on management considerations for patients found to have VT.Ventricular tachycardia (VT) describes rapid heart rhythms originating from the ventricles. Accurate diagnosis of VT is important to allow prompt referral to specialist services for ongoing management. The diagnosis of VT is usually made based on electrocardiographic data, most commonly 12-lead echocardiography (ECG), as well as supportive cardiac telemetric monitoring. Distinguishing between VT and supraventricular arrhythmias on ECG can be difficult. However, the VT diagnosis frequently needs to be made rapidly in the acute setting. In this review, we discuss the definition of VT, review features of wide-complex tachycardia (WCT) on ECG that might be helpful in diagnosing VT, discuss the different substrates in which VT can occur and offer brief comments on management considerations for patients found to have VT. |
| Author | Tedrow, Usha Whitaker, John Wright, Matthew J |
| Author_xml | – sequence: 1 givenname: John surname: Whitaker fullname: Whitaker, John email: john.whitaker@kcl.ac.uk organization: School of Biomedical Engineering and Imaging Sciences at King's College, London, UK – sequence: 2 givenname: Matthew J surname: Wright fullname: Wright, Matthew J organization: School of Biomedical Engineering and Imaging Sciences at King's College, London, UK – sequence: 3 givenname: Usha surname: Tedrow fullname: Tedrow, Usha organization: Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37775174$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.7326/0003-4819-104-6-766 10.1161/JAHA.120.016598 10.7861/clinmed.cme.20.1.3 10.7326/0003-4819-109-11-905 10.1111/pace.12064 10.1016/j.hrthm.2019.04.002 10.1093/eurheartj/ehz467 10.1016/S0006-3495(86)83559-7 10.1161/CIRCEP.108.829341 10.1093/eurheartj/ehl473 10.1016/j.hrthm.2019.03.002 10.1016/0002-9149(79)90371-0 10.15420/aer.2020.20 10.1016/j.jacc.2020.03.019 10.1093/eurheartj/ehac262 10.1016/j.hrthm.2009.06.017 10.1161/01.CIR.68.5.917 10.1161/01.CIR.83.5.1649 10.1161/CIRCEP.116.002476 10.1016/0002-9149(88)91169-1 10.1016/0012-1606(77)90279-2 10.2174/1573403X10666140514103309 |
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| Keywords | ECG Ventricular tachycardia wide-complex tachycardia arrhythmia ablation |
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| SubjectTerms | ablation Adenosine arrhythmia Cardiac arrhythmia Cardiovascular disease CME Cardiology Diagnosis, Differential ECG Electrocardiography Heart Heart Ventricles Humans Morphology Propagation Tachycardia, Supraventricular - diagnosis Tachycardia, Ventricular - diagnosis Tachycardia, Ventricular - therapy Ventricular tachycardia wide-complex tachycardia |
| Title | Diagnosis and management of ventricular tachycardia |
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