Ventricular tachycardia physical examination: Difference between revisions
| Line 3: | Line 3: | ||
{{CMG}}; '''Associate Editor-in Chief''': [[User:Avirupguha|Avirup Guha, M.B.B.S.]][mailto:avirup.guha@gmail.com] | {{CMG}}; '''Associate Editor-in Chief''': [[User:Avirupguha|Avirup Guha, M.B.B.S.]][mailto:avirup.guha@gmail.com] | ||
==Overview== | ==Overview== | ||
[[Physical examination]] should consist of a thorough [[cardiac]] exam, [[lung]] exam, and close monitoring of [[vital]] signs. Findings on physical exam mayinclude [[hemodynamic compromised]], [[cannon a wave in [[jugolar venous pulsation]], evidence of sternotomy scar due to CABG]], and [[ICD]] pocket. | [[Physical examination]] should consist of a thorough [[cardiac]] exam, [[lung]] exam, and close monitoring of [[vital]] signs. Findings on physical exam mayinclude [[hemodynamic compromised]], [[cannon a wave in [[jugolar venous pulsation]], evidence of [[sternotomy]] scar due to previous [[ CABG]], and [[ICD]] pocket. | ||
==Physical Examination== | ==Physical Examination== | ||
Revision as of 04:05, 22 May 2021
|
Ventricular tachycardia Microchapters |
|
Differentiating Ventricular Tachycardia from other Disorders |
|---|
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Ventricular tachycardia physical examination On the Web |
|
to Hospitals Treating Ventricular tachycardia physical examination |
|
Risk calculators and risk factors for Ventricular tachycardia physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-in Chief: Avirup Guha, M.B.B.S.[2]
Overview
Physical examination should consist of a thorough cardiac exam, lung exam, and close monitoring of vital signs. Findings on physical exam mayinclude hemodynamic compromised, [[cannon a wave in jugolar venous pulsation, evidence of sternotomy scar due to previous CABG, and ICD pocket.
Physical Examination
Physical findings depend in part on the P-to-QRS relationship with/without signs of AV dissociation.[1]
Vital Signs
- Carotid sinus massage may slow the atrial rate and, in some cases, expose AV dissociation.
Blood Pressure
- Hemodynamic compromise (hypotension, shock) are often, but not always present.
- Highly inconsistent fluctuations in the blood pressure can occur because of the variability in the degree of left atrial (LA) contribution to LV filling, stroke volume, and cardiac output.
Neck
- Intermittent cannon A waves can be observed on examination of the jugular pulsation in the neck, and they reflect simultaneous atrial and ventricular contraction.
Heart
- Variability in the occurrence and intensity of heart sounds (especially S1) may also be observed and is heard more frequently when the rate of the tachycardia is slower.
- Look for evidence of preexisting conditions like a pacemaker/AICD or scar mark from previous cardiothoracic surgery.