Pulseless ventricular tachycardia overview: Difference between revisions
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{{Pulseless ventricular tachycardia}} | {{Pulseless ventricular tachycardia}} | ||
{{CMG}}; {{AE}}{{Aisha}} | {{CMG}}; {{AE}}{{Aisha}} | ||
==Overview== | ==Overview== | ||
Pulseless ventricular tachycardia is an often fatal cardiac [[dysrhythmia]] where the regular rhythmic [[contraction]] of the [[heart]] is replaced by non-rhythmic, faster, yet inadequate contractions. These ineffective contractions do not appropriately perfuse the organ, leading to [[ischemia]] as well as [[heart failure]]. This condition requires immediate medical attention as it is an emergency and can lead to [[ventricular fibrillation]] and [[sudden death]].<ref name="pmid32119354">{{cite journal |vauthors=Foglesong A, Mathew D |title= |journal= |volume= |issue= |pages= |date= |pmid=32119354 |doi= |url=}}</ref> | Pulseless ventricular tachycardia is an often fatal cardiac [[dysrhythmia]] where the regular rhythmic [[contraction]] of the [[heart]] is replaced by non-rhythmic, faster, yet inadequate contractions. These ineffective contractions do not appropriately perfuse the organ, leading to [[ischemia]] as well as [[heart failure]]. This condition requires immediate medical attention as it is an emergency and can lead to [[ventricular fibrillation]] and [[sudden death]].<ref name="pmid32119354">{{cite journal |vauthors=Foglesong A, Mathew D |title= |journal= |volume= |issue= |pages= |date= |pmid=32119354 |doi= |url=}}</ref> |
Revision as of 18:26, 29 May 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aisha Adigun, B.Sc., M.D.[2]
Overview
Pulseless ventricular tachycardia is an often fatal cardiac dysrhythmia where the regular rhythmic contraction of the heart is replaced by non-rhythmic, faster, yet inadequate contractions. These ineffective contractions do not appropriately perfuse the organ, leading to ischemia as well as heart failure. This condition requires immediate medical attention as it is an emergency and can lead to ventricular fibrillation and sudden death.[1] As a result of markedly rapid ventricular contractions, diastole is shortened and there is a significant decrease in the ventricular filling. This results in a significant reduction in cardiac output, and an absent pulse. Pulseless ventricular tachycardia refers to a rhythm with a heart rate above 120 beats per minute, wide QRS complexes above 120 milliseconds, the dissociation between the atria and ventricles, presence of fusion beats, and an electrical axis between -90 to -180.[1] Because majority of wide complex tachycardia cases will be ventricular tachycardia, any wide complex tachycardia should always be assumed to be due to ventricular tachycardia until proven otherwise.