Wide complex tachycardia physical examination

Resident Survival Guide

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Wide complex tachycardia Microchapters
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Patient Information
Overview
Causes
Differentiating VT from SVT with aberrant conduction
Epidemiology and Demographics
Risk Factors
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
EKG Examples
Electrophysiologic testing
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Case #1
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Physical Examination

• Vitals should be obtained to assess hemodynamic stability and guide therapy.
• Cannon "a waves" are a manifestation of AV dissociation and suggest VT.
• Carotid sinus massage (CSM)/Valsalva: ST can gradually slow. MAT, AT, flutter, and AF may transiently slow. An AV nodal dependent WCT may terminate. AV dissociation may become more apparent with CSM in VT. VT can terminate with CSM.