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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Vydáno v:Clinical medicine (London, England) Ročník 23; číslo 5; s. 442 - 448
Hlavní autoři: Whitaker, John, Wright, Matthew J, Tedrow, Usha
Médium: Journal Article
Jazyk:angličtina
Vydáno: England Elsevier Ltd 01.09.2023
Royal College of Physicians
Témata:
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
ECG
Ventricular tachycardia
wide-complex tachycardia
arrhythmia
ablation
ISSN:1470-2118, 1473-4893, 1473-4893
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Shrnutí: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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ISSN:1470-2118
1473-4893
1473-4893
DOI:10.7861/clinmed.2023-23.5.Cardio3