Ventricular tachycardia history and symptoms: Difference between revisions
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{{CMG}}; '''Associate Editor-in Chief''': {{Sara.Zand}} [[User:Avirupguha|Avirup Guha, M.B.B.S.]][mailto:avirup.guha@gmail.com] | {{CMG}}; '''Associate Editor-in Chief''': {{Sara.Zand}} [[User:Avirupguha|Avirup Guha, M.B.B.S.]][mailto:avirup.guha@gmail.com] | ||
==Overview== | ==Overview== | ||
[[Family history]] of [[sudden death]] in any young [[patient]] is immediate evaluation for inherited [[arrhythmia]] syndromes. The symptoms of ventricular tachycardia will depend on the ventricular rate, the duration of [[tachycardia]], and the presence of underlying disease. In general, the symptoms include [[shortness of breath]], [[weakness]], [[palpitations]], [[fatigue]], and [[syncope]]. | [[Family history]] of [[sudden death]] in any young [[patient]] is immediate evaluation for inherited [[arrhythmia]] syndromes. The symptoms of [[ventricular tachycardia]] will depend on the [[ventricular ]] rate, the duration of [[tachycardia]], and the presence of underlying disease. In general, the symptoms include [[shortness of breath]], [[weakness]], [[palpitations]], [[fatigue]], and [[syncope]]. In [[patient] presented with [[VT]] clinical histoy should be taken about [[coronary heart disease]], [[valvular heart disease]] ([[mitral valve prolapse]]), [[congenital heart disease]], [[thyroid disease]], [[acute kidney injury]], [[Chronic kidney disease]], [[electrolyte abnormalities]], [[stroke]],[[embolic events]], [[lung disease]], [[epilepsy]] ([[arrhythmic syncope]] can be misdiagnosed as [[epilepsy]]), [[ alcohol]], [[illicit drug]] use, and use of over-the-counter medications caused [[QT prolongation]] and [[torsades de pointed]]. | ||
== History == | == History == | ||
Revision as of 03:35, 22 May 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-in Chief: Sara Zand, M.D.[2] Avirup Guha, M.B.B.S.[3]
Overview
Family history of sudden death in any young patient is immediate evaluation for inherited arrhythmia syndromes. The symptoms of ventricular tachycardia will depend on the ventricular rate, the duration of tachycardia, and the presence of underlying disease. In general, the symptoms include shortness of breath, weakness, palpitations, fatigue, and syncope. In [[patient] presented with VT clinical histoy should be taken about coronary heart disease, valvular heart disease (mitral valve prolapse), congenital heart disease, thyroid disease, acute kidney injury, Chronic kidney disease, electrolyte abnormalities, stroke,embolic events, lung disease, epilepsy (arrhythmic syncope can be misdiagnosed as epilepsy), alcohol, illicit drug use, and use of over-the-counter medications caused QT prolongation and torsades de pointed.
History
- For patents presenting with VT, history of underlying heart disease, other comorbidities, medications, and family history of SCD in first relative should be taken.
Bellow table shown clinical history related to VT:
Symptoms
- Ventricular tachycardia can be symptomatic or asymptomatic.
- Common symptoms of ventricular tachycardia include:[3][4]
References
- ↑ Zimetbaum, Peter; Josephson, Mark E. (1998). "Evaluation of Patients with Palpitations". New England Journal of Medicine. 338 (19): 1369–1373. doi:10.1056/NEJM199805073381907. ISSN 0028-4793.
- ↑ Noda, Takashi; Shimizu, Wataru; Taguchi, Atsushi; Aiba, Takeshi; Satomi, Kazuhiro; Suyama, Kazuhiro; Kurita, Takashi; Aihara, Naohiko; Kamakura, Shiro (2005). "Malignant Entity of Idiopathic Ventricular Fibrillation and Polymorphic Ventricular Tachycardia Initiated by Premature Extrasystoles Originating From the Right Ventricular Outflow Tract". Journal of the American College of Cardiology. 46 (7): 1288–1294. doi:10.1016/j.jacc.2005.05.077. ISSN 0735-1097.
- ↑ Koplan BA, Stevenson WG (March 2009). "Ventricular tachycardia and sudden cardiac death". Mayo Clin. Proc. 84 (3): 289–97. doi:10.1016/S0025-6196(11)61149-X. PMC 2664600. PMID 19252119.
- ↑ Morady F, Shen EN, Bhandari A, Schwartz AB, Scheinman MM (March 1985). "Clinical symptoms in patients with sustained ventricular tachycardia". West. J. Med. 142 (3): 341–4. PMC 1306023. PMID 3993009.