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ECG criteria to distinguish between aberrantly conducted supraventricular tachycardia and ventricular tachycardia: practical aspects for the immediate care setting.

Authors
  • Drew, B J
  • Scheinman, M M
Type
Published Article
Journal
Pacing and clinical electrophysiology : PACE
Publication Date
Dec 01, 1995
Volume
18
Issue
12 Pt 1
Pages
2194–2208
Identifiers
PMID: 8771133
Source
Medline
License
Unknown

Abstract

In distinguishing SVT with aberrant conduction from VT: (1) Although the 12-lead ECG is valuable, about 1 in 10 wide QRS tachycardias defy differentiation; (2) tachycardias > 190 beats/min often do not exhibit unequivocal criteria with which to make a certain diagnosis; (3) multiple leads are required for accurate assessment of QRS width, presence of AV dissociation or VA block, QRS axis, and morphological criteria; and (4) the MCL1 lead cannot be substituted for V1 in the use of morphological criteria for VT.

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