Pulseless ventricular tachycardia electrocardiogram: Difference between revisions

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VisualWikitext

Latest revision as of 09:11, 9 July 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aisha Adigun, B.Sc., M.D.[2]

Overview

An ECG is very helpful in the diagnosis of Pulseless ventricular tachycardia. Findings on an ECG suggestive or diagnostic of Pulseless ventricular tachycardia include regular R-R intervals, rapid ventricular rate with an indistinguishable atrial rate (absence of p-waves), Av dissociation, and a wide QRS complex (more 0.12 sec).

Electrocardiogram

An ECG is very helpful in the diagnosis of Pulseless ventricular tachycardia. Findings on an ECG suggestive or diagnostic of Pulseless ventricular tachycardia include;^[1]

Regular R-R intervals,
Rapid ventricular rate with an indistinguishable atrial rate (absence of p-waves),
Av dissociation, and
A wide QRS complex (more 0.12 sec)

Several ECG criteria have been created to help diagnose VT. See Electrocardiogram for a comprehensive description of the criteria.

2017 AHA/ACC/HRS Guidelines for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death (DO NOT EDIT)^[2]

Noninvasive Evaluation (DO NOT EDIT)^[2]

Class I
"1. In patients with sustained, hemodynamically stable, wide complex tachycardia, a 12-lead ECG during tachycardia should be obtained. (Level of Evidence B)"
"2. In patients with ventricular arrhythmia symptoms associated with exertion, suspected ischemic heart disease, or catecholaminergic polymorphic ventricular tachycardia, exercise treadmill testing is useful to assess for exercise induced ventricular arrythmia. (Level of Evidence B)"
"3.In patients with suspected or documented ventricular arrythmia, a 12-lead ECG should be obtained in sinus rhythm to look for evidence of heart disease. (Level of Evidence B)"
"4. Ambulatory electrocardiographic monitoring is useful to evaluate whether symptoms, including palpitations, presyncope, or syncope, are caused by ventricular arrhythmia. (Level of Evidence B)"

References

↑ Foglesong A, Mathew D. PMID 32119354 Check |pmid= value (help). Missing or empty |title= (help)
↑ ^2.0 ^2.1 "www.onlinejacc.org" (PDF).

Template:WH Template:WS

[pmid32119354-1] Foglesong A, Mathew D. PMID 32119354 Check |pmid= value (help). Missing or empty |title= (help)

[urlwww.onlinejacc.org-2] 2.0 ^2.1 "www.onlinejacc.org" (PDF).

[1]

[2]

@@ Line 3: / Line 3: @@
 {{CMG}}; {{AE}}{{Aisha}}
 ==Overview==
-There are no ECG findings associated with [disease name].
-OR
+An ECG is very helpful in the diagnosis of [[Pulseless ventricular tachycardia]]. Findings on an ECG suggestive or diagnostic of [[Pulseless ventricular tachycardia]] include regular R-R intervals, rapid ventricular rate with an indistinguishable atrial rate (absence of p-waves), Av dissociation, and a wide QRS complex (more 0.12 sec).
-An ECG may be helpful in the diagnosis of [disease name]. Findings on an ECG suggestive of/diagnostic of [disease name] include [finding 1], [finding 2], and [finding 3].
+==Electrocardiogram==
-==Electrocardiogram==
+An ECG is very helpful in the diagnosis of [[Pulseless ventricular tachycardia]]. Findings on an ECG suggestive or diagnostic of [[Pulseless ventricular tachycardia]] include;<ref name="pmid32119354">{{cite journal |vauthors=Foglesong A, Mathew D |title= |journal= |volume= |issue= |pages= |date= |pmid=32119354 |doi= |url=}}</ref>
+#Regular R-R intervals,
+#Rapid ventricular rate with an indistinguishable atrial rate (absence of p-waves),
+#Av dissociation, and
+#A wide QRS complex (more 0.12 sec)
+Several ECG criteria have been created to help diagnose VT. See [[Ventricular tachycardia electrocardiogram|Electrocardiogram]] for a comprehensive description of the criteria.
-There are no ECG findings associated with [disease name].
+==2017 AHA/ACC/HRS Guidelines for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death (DO NOT EDIT)<ref name="urlwww.onlinejacc.org">{{cite web |url=https://www.onlinejacc.org/content/72/14/e91.full.pdf |title=www.onlinejacc.org |format= |work= |accessdate=}}</ref>==
-OR
+===Noninvasive Evaluation (DO NOT EDIT)<ref name="urlwww.onlinejacc.org">{{cite web |url=https://www.onlinejacc.org/content/72/14/e91.full.pdf |title=www.onlinejacc.org |format= |work= |accessdate=}}</ref>===
-An ECG may be helpful in the diagnosis of [disease name]. Findings on an ECG suggestive of/diagnostic of [disease name] include
+{| class="wikitable"
-*[Finding 1]
+|-
-*[Finding 2]
+| Colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]
-*[Finding 3]
+|-
+| Bgcolor="LightGreen"|<nowiki>"</nowiki>'''1.''' In patients with sustained, hemodynamically stable, [[wide complex tachycardia]], a [[12-lead ECG]] during [[tachycardia]] should be obtained. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence B]])<nowiki>"</nowiki>''
+|-
+| Bgcolor="LightGreen"|<nowiki>"</nowiki>'''2.''' In patients with [[ventricular arrhythmia]] symptoms associated with exertion, suspected [[ischemic heart disease]], or [[catecholaminergic polymorphic ventricular tachycardia]], exercise treadmill testing is useful to assess for exercise induced ventricular arrythmia. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence B]])<nowiki>"</nowiki>''
+|-
+| Bgcolor="LightGreen"|<nowiki>"</nowiki>'''3.'''In patients with suspected or documented ventricular arrythmia, a 12-lead ECG should be obtained in [[sinus rhythm]] to look for evidence of [[heart disease]]. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence B]])<nowiki>"</nowiki>''
+|-
+| Bgcolor="LightGreen"|<nowiki>"</nowiki>'''4.''' [[Ambulatory electrocardiographic monitoring]] is useful to evaluate whether symptoms, including [[palpitations]], [[presyncope]], or [[syncope]], are caused by [[ventricular arrhythmia]]. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence B]])<nowiki>"</nowiki>''
+|}
 ==References==