Wide complex tachycardia Archives

Cardiovascular Rhythm Nation - ECG

Stable, Wide-Complex Tachyarrhythmia: Should you even consider SVT with Aberrancy?

Co-authors: Paul Lavadera and Esteban Davila Peer Editor: Alec Feuerbach Faculty Editor: Mark Silverberg The Case A 65-year-old male with a history of hypertension, hyperlipidemia, diabetes, hypertrophic cardiomyopathy, recent stroke, and atrial fibrillation (AF) (+anticoagulation) presented to the ED for syncope. EMS noted a wide-complex tachycardia. EMS administered 150 mg Read more…

By estdavila17, 1 yearMarch 16, 2023 ago

Cardiovascular EM-Critical Care Toxicology

An Unclear Mechanism of Wide-Complex Tachycardia

Written by Matthew Behrens MD Reviewed by Sage Wiener MD Case: A 31-year-old man was brought in by EMS after passing out while getting off the bus. Prehospital vitals were: HR 145/min BP 97/53 mm Hg RR 16/min SpO2 96% on 15L NRB Blood Glucose 141 mg/dL EMS placed Read more…

By mbehr, 3 yearsNovember 17, 2020 ago

Cardiovascular EM-Critical Care Pharmacology

The PROCAMIO Study – Procainamide or Amiodarone for Stable Wide QRS Tachycardia

Background 2017 AHA/ACC guidelines for the treatment of hemodynamically stable patients with ventricular tachycardia (VT) include the following recommendations:1 Intravenous procainamide can be useful to terminate VT. (Class IIa) Intravenous amiodarone or sotalol may be considered to terminate VT. (Class IIb) In 2013, deSouza et al conducted a systematic literature Read more…

By Stacey Frisch, 5 yearsJanuary 2, 2019 ago

Cardiovascular EM-Critical Care

First-Line Treatment for Ventricular Tachycardia? What the Guidelines and Evidence Say

by Sana Kathawala, MD MBA It’s a quiet day in the ED. You’re twiddling your thumbs wondering whether you should get a second cup of coffee to keep awake when the notification phone rings. “68-year-old male with history of diabetes, hypertension, and ESRD with witnessed syncope after hemodialysis earlier today. Read more…

By Rithvik Balakrishnan, 6 yearsJune 6, 2018 ago

Rhythm Nation - ECG

Rhythm Nation: December 2015 ANSWER!

. . . . For more information on understanding the risk factors and pathophysiology of Torsades de Points, I found this textbook very helpful: Clinical Arrhythmology and Electrophysiology: A Companion to Braunwald’s Heart Disease(see citation below). Reviewed by Dr. deSouza .

By carmellig, 8 yearsJanuary 28, 2016 ago