SlideShare une entreprise Scribd logo
1  sur  37
Systematic Approach to Wide QRS Tachycardia Salah Atta, MD,  Lecturer of Cardiology Department of Cardiology, Assiut University Hospitals  Weekly Department meeting 2004
Aberration means BBB either functional or fixed. Also non specific intraventricular Conduction delay may be 2ry to electrolyte disturbance or myocardial ischaemia. (Pre-excited tachycardias)
 
Is It important to differentiate VT from SVT with aberration?! ,[object Object],[object Object],[object Object]
Assessment Of wide QRS tachycardia patient: ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Atrial activity during Ventricular tachycardia:  ,[object Object],[object Object]
Atrial activity during Ventricular tachycardia: ,[object Object]
 
Narrow beats during wide QRS Tachycardia ,[object Object],[object Object],[object Object],[object Object]
 
 
ECG Differential Diagnosis ,[object Object],[object Object],[object Object],[object Object]
VT versus SVT in V1, V6  when V1 is positive i.e RBBB pattern
Rabbit ear sign ,[object Object]
 
If V1 is negative i.e LBBB pattern ,[object Object],[object Object],[object Object],[object Object],[object Object]
VT versus SVT in V1, V6  when V1 is positive i.e RBBB pattern V1 V6 VT SVT
 
Other diagnostic clues ,[object Object],[object Object],[object Object]
QRS Axis : ,[object Object]
Concordant Precordial Pattern: ,[object Object],[object Object]
 
So collectively the morphology criteria suggestive of VT includes: Abnormal or extreme Axis.
 
 
[object Object]
 
 
 
 
 
N.B This algorithm was found to be specially not applicable to the Idiopathic VT.
It may seem smart to diagnose SVT with aberration when the others suggest VT but it is wise not to do so unless sure.
Thank you

Contenu connexe

Tendances

Approach to Wide complex tachycardia /cardiology
 Approach to Wide complex tachycardia /cardiology  Approach to Wide complex tachycardia /cardiology
Approach to Wide complex tachycardia /cardiology Cardiology
 
Ecg in AMI
Ecg in AMIEcg in AMI
Ecg in AMIAdarsh
 
Assessment of mitral valve by TEE
Assessment of mitral valve by TEEAssessment of mitral valve by TEE
Assessment of mitral valve by TEEjeetshitole
 
Echo Mitral Stenosis
Echo Mitral StenosisEcho Mitral Stenosis
Echo Mitral StenosisMashiul Alam
 
Wide complex Tachycardia by Dr. Vaibhav Yawalkar
Wide complex Tachycardia by Dr. Vaibhav YawalkarWide complex Tachycardia by Dr. Vaibhav Yawalkar
Wide complex Tachycardia by Dr. Vaibhav Yawalkarvaibhavyawalkar
 
ventricular tachycardia (VT) Localisation
ventricular tachycardia (VT) Localisationventricular tachycardia (VT) Localisation
ventricular tachycardia (VT) LocalisationMalleswara rao Dangeti
 
Hemodyanmic features of Constrictive pericarditis and Restrictive cardiomyopathy
Hemodyanmic features of Constrictive pericarditis and Restrictive cardiomyopathyHemodyanmic features of Constrictive pericarditis and Restrictive cardiomyopathy
Hemodyanmic features of Constrictive pericarditis and Restrictive cardiomyopathyHimanshu Rana
 
Wide complex tachycardia drneeraj
Wide complex tachycardia drneerajWide complex tachycardia drneeraj
Wide complex tachycardia drneerajDrNeeraj Nirala
 
Tissue doppler Echocardiography (TDE)
Tissue doppler Echocardiography (TDE)Tissue doppler Echocardiography (TDE)
Tissue doppler Echocardiography (TDE)sruthiMeenaxshiSR
 
DM cardiology Exam Spotter
DM cardiology Exam SpotterDM cardiology Exam Spotter
DM cardiology Exam SpotterPRAVEEN GUPTA
 
Ventricular Septal defects Echocardiography
Ventricular Septal defects EchocardiographyVentricular Septal defects Echocardiography
Ventricular Septal defects EchocardiographySruthi Meenaxshi
 
Atrial fibrillation ksaus hs 2019
Atrial fibrillation ksaus hs 2019Atrial fibrillation ksaus hs 2019
Atrial fibrillation ksaus hs 2019hospital
 

Tendances (20)

Approach to Wide complex tachycardia /cardiology
 Approach to Wide complex tachycardia /cardiology  Approach to Wide complex tachycardia /cardiology
Approach to Wide complex tachycardia /cardiology
 
Asd device closure
Asd device closureAsd device closure
Asd device closure
 
ECG: RBBB with LAFB
ECG: RBBB with LAFBECG: RBBB with LAFB
ECG: RBBB with LAFB
 
Ecg in AMI
Ecg in AMIEcg in AMI
Ecg in AMI
 
CATHETER ABLATION IN VT
CATHETER ABLATION IN VTCATHETER ABLATION IN VT
CATHETER ABLATION IN VT
 
EISENMENGER SYNDROME- PAUL WOOD
EISENMENGER SYNDROME- PAUL WOODEISENMENGER SYNDROME- PAUL WOOD
EISENMENGER SYNDROME- PAUL WOOD
 
L-TGA or CCTGA
L-TGA or CCTGA L-TGA or CCTGA
L-TGA or CCTGA
 
Assessment of mitral valve by TEE
Assessment of mitral valve by TEEAssessment of mitral valve by TEE
Assessment of mitral valve by TEE
 
Echo Mitral Stenosis
Echo Mitral StenosisEcho Mitral Stenosis
Echo Mitral Stenosis
 
Wide complex Tachycardia by Dr. Vaibhav Yawalkar
Wide complex Tachycardia by Dr. Vaibhav YawalkarWide complex Tachycardia by Dr. Vaibhav Yawalkar
Wide complex Tachycardia by Dr. Vaibhav Yawalkar
 
ventricular tachycardia (VT) Localisation
ventricular tachycardia (VT) Localisationventricular tachycardia (VT) Localisation
ventricular tachycardia (VT) Localisation
 
Hemodyanmic features of Constrictive pericarditis and Restrictive cardiomyopathy
Hemodyanmic features of Constrictive pericarditis and Restrictive cardiomyopathyHemodyanmic features of Constrictive pericarditis and Restrictive cardiomyopathy
Hemodyanmic features of Constrictive pericarditis and Restrictive cardiomyopathy
 
Ventricular arrhythmias
Ventricular arrhythmias Ventricular arrhythmias
Ventricular arrhythmias
 
Wide complex tachycardia drneeraj
Wide complex tachycardia drneerajWide complex tachycardia drneeraj
Wide complex tachycardia drneeraj
 
Tissue doppler Echocardiography (TDE)
Tissue doppler Echocardiography (TDE)Tissue doppler Echocardiography (TDE)
Tissue doppler Echocardiography (TDE)
 
WCT
WCTWCT
WCT
 
DM cardiology Exam Spotter
DM cardiology Exam SpotterDM cardiology Exam Spotter
DM cardiology Exam Spotter
 
Ventricular Septal defects Echocardiography
Ventricular Septal defects EchocardiographyVentricular Septal defects Echocardiography
Ventricular Septal defects Echocardiography
 
AVNRT
AVNRTAVNRT
AVNRT
 
Atrial fibrillation ksaus hs 2019
Atrial fibrillation ksaus hs 2019Atrial fibrillation ksaus hs 2019
Atrial fibrillation ksaus hs 2019
 

En vedette

Ventricular tachycardia
Ventricular tachycardiaVentricular tachycardia
Ventricular tachycardiaPraveen Nagula
 
Wide complex tacycardia
Wide complex tacycardiaWide complex tacycardia
Wide complex tacycardiaKush Bhagat
 
Wide complex tachycardia
Wide complex tachycardiaWide complex tachycardia
Wide complex tachycardiaAmir Mahmoud
 
ECG - Junctional Arrhythmia & Ventricular Arrhythmia
ECG - Junctional Arrhythmia & Ventricular ArrhythmiaECG - Junctional Arrhythmia & Ventricular Arrhythmia
ECG - Junctional Arrhythmia & Ventricular Arrhythmiaautumnpianist
 
Supra ventricular tachycardia
Supra ventricular tachycardiaSupra ventricular tachycardia
Supra ventricular tachycardiaTamil Mani
 
Tachyarrythmia diagnosis and management
Tachyarrythmia diagnosis and managementTachyarrythmia diagnosis and management
Tachyarrythmia diagnosis and managementHarshad Wankhade
 
Tachyarrhythmia
TachyarrhythmiaTachyarrhythmia
TachyarrhythmiaSMSRAZA
 
Arrhythmias general
Arrhythmias generalArrhythmias general
Arrhythmias generalAdarsh
 
Advanced ECG Interpretation - An Interactive Workshop
Advanced ECG Interpretation - An Interactive WorkshopAdvanced ECG Interpretation - An Interactive Workshop
Advanced ECG Interpretation - An Interactive WorkshopTaiwan Heart Rhythm Society
 
Advanced ECG Interpretation – An Interactive Workshop 高雄場
Advanced ECG Interpretation – An Interactive Workshop 高雄場Advanced ECG Interpretation – An Interactive Workshop 高雄場
Advanced ECG Interpretation – An Interactive Workshop 高雄場Taiwan Heart Rhythm Society
 
Svt evaluation
Svt evaluationSvt evaluation
Svt evaluationVivek Rana
 

En vedette (20)

Wide complex tachycardia
Wide complex tachycardiaWide complex tachycardia
Wide complex tachycardia
 
Ventricular tachycardia
Ventricular tachycardiaVentricular tachycardia
Ventricular tachycardia
 
Ventricular tachycardia
Ventricular tachycardiaVentricular tachycardia
Ventricular tachycardia
 
Wide complex tacycardia
Wide complex tacycardiaWide complex tacycardia
Wide complex tacycardia
 
Ventricular tachycardia
Ventricular tachycardiaVentricular tachycardia
Ventricular tachycardia
 
Wide complex tachycardia
Wide complex tachycardiaWide complex tachycardia
Wide complex tachycardia
 
Arrhythmias July 09
Arrhythmias July 09Arrhythmias July 09
Arrhythmias July 09
 
ECG - Junctional Arrhythmia & Ventricular Arrhythmia
ECG - Junctional Arrhythmia & Ventricular ArrhythmiaECG - Junctional Arrhythmia & Ventricular Arrhythmia
ECG - Junctional Arrhythmia & Ventricular Arrhythmia
 
Ventricular tachycardia_lecture
Ventricular tachycardia_lectureVentricular tachycardia_lecture
Ventricular tachycardia_lecture
 
Supra ventricular tachycardia
Supra ventricular tachycardiaSupra ventricular tachycardia
Supra ventricular tachycardia
 
Ventricular tachycardia
Ventricular tachycardiaVentricular tachycardia
Ventricular tachycardia
 
Wpw syndrome
Wpw syndromeWpw syndrome
Wpw syndrome
 
Tachyarrythmia diagnosis and management
Tachyarrythmia diagnosis and managementTachyarrythmia diagnosis and management
Tachyarrythmia diagnosis and management
 
Tachyarrhythmia
TachyarrhythmiaTachyarrhythmia
Tachyarrhythmia
 
Supraventricular tachyarrythmias
Supraventricular tachyarrythmiasSupraventricular tachyarrythmias
Supraventricular tachyarrythmias
 
Arrhythmias general
Arrhythmias generalArrhythmias general
Arrhythmias general
 
EKG Lead aVr
EKG Lead aVrEKG Lead aVr
EKG Lead aVr
 
Advanced ECG Interpretation - An Interactive Workshop
Advanced ECG Interpretation - An Interactive WorkshopAdvanced ECG Interpretation - An Interactive Workshop
Advanced ECG Interpretation - An Interactive Workshop
 
Advanced ECG Interpretation – An Interactive Workshop 高雄場
Advanced ECG Interpretation – An Interactive Workshop 高雄場Advanced ECG Interpretation – An Interactive Workshop 高雄場
Advanced ECG Interpretation – An Interactive Workshop 高雄場
 
Svt evaluation
Svt evaluationSvt evaluation
Svt evaluation
 

Similaire à Systematic approach to wide qrs tachycardia

ecg_systemic_approach_12-lead_compressed.pdf
ecg_systemic_approach_12-lead_compressed.pdfecg_systemic_approach_12-lead_compressed.pdf
ecg_systemic_approach_12-lead_compressed.pdfjiregnaetichadako
 
Ekg Cases 7 8 09 Level 1 Part2
Ekg Cases 7 8 09 Level 1 Part2Ekg Cases 7 8 09 Level 1 Part2
Ekg Cases 7 8 09 Level 1 Part2Michael LaCombe
 
Ekg Cases 7 15 09 Level 2 Part 1
Ekg Cases 7 15 09 Level 2 Part 1Ekg Cases 7 15 09 Level 2 Part 1
Ekg Cases 7 15 09 Level 2 Part 1Michael LaCombe
 
WIDE COMPLEX TACHYCARDIA DR PRADEEP.ppsx
WIDE COMPLEX TACHYCARDIA DR  PRADEEP.ppsxWIDE COMPLEX TACHYCARDIA DR  PRADEEP.ppsx
WIDE COMPLEX TACHYCARDIA DR PRADEEP.ppsxDr Noorul
 
APPROACH TO WIDE QRS COMPLEXTACHYCARDIA.pptx
APPROACH TO WIDE QRS COMPLEXTACHYCARDIA.pptxAPPROACH TO WIDE QRS COMPLEXTACHYCARDIA.pptx
APPROACH TO WIDE QRS COMPLEXTACHYCARDIA.pptxPDT DM CARDIOLOGY
 
Supra ventri cular arrhythmia 2021
Supra ventri cular arrhythmia  2021Supra ventri cular arrhythmia  2021
Supra ventri cular arrhythmia 2021rajasthan govt
 
STEMI Mimic WHAT IS IT AND HOW TO IDENTIFY IT ?
STEMI Mimic WHAT IS IT AND HOW TO IDENTIFY IT ?STEMI Mimic WHAT IS IT AND HOW TO IDENTIFY IT ?
STEMI Mimic WHAT IS IT AND HOW TO IDENTIFY IT ?Haitham Habtar
 
Ecgrevised2 090808155046 Phpapp01
Ecgrevised2 090808155046 Phpapp01Ecgrevised2 090808155046 Phpapp01
Ecgrevised2 090808155046 Phpapp01mahipal33
 
TACHYARRHYTHMIA
TACHYARRHYTHMIATACHYARRHYTHMIA
TACHYARRHYTHMIASMSRAZA
 
Approach to qrs wide complex tachycardias copy
Approach to qrs wide complex tachycardias   copyApproach to qrs wide complex tachycardias   copy
Approach to qrs wide complex tachycardias copyAbhishek kasha
 

Similaire à Systematic approach to wide qrs tachycardia (20)

VT-diagnosis.ppt
VT-diagnosis.pptVT-diagnosis.ppt
VT-diagnosis.ppt
 
44 E C G
44 E C G44 E C G
44 E C G
 
44 E C G
44 E C G44 E C G
44 E C G
 
ecg_systemic_approach_12-lead_compressed.pdf
ecg_systemic_approach_12-lead_compressed.pdfecg_systemic_approach_12-lead_compressed.pdf
ecg_systemic_approach_12-lead_compressed.pdf
 
Dr nigat
Dr nigatDr nigat
Dr nigat
 
Ekg Cases 7 8 09 Level 1 Part2
Ekg Cases 7 8 09 Level 1 Part2Ekg Cases 7 8 09 Level 1 Part2
Ekg Cases 7 8 09 Level 1 Part2
 
Ekg Cases 7 15 09 Level 2 Part 1
Ekg Cases 7 15 09 Level 2 Part 1Ekg Cases 7 15 09 Level 2 Part 1
Ekg Cases 7 15 09 Level 2 Part 1
 
WIDE COMPLEX TACHYCARDIA DR PRADEEP.ppsx
WIDE COMPLEX TACHYCARDIA DR  PRADEEP.ppsxWIDE COMPLEX TACHYCARDIA DR  PRADEEP.ppsx
WIDE COMPLEX TACHYCARDIA DR PRADEEP.ppsx
 
Avrt vz vt
Avrt vz vtAvrt vz vt
Avrt vz vt
 
APPROACH TO WIDE QRS COMPLEXTACHYCARDIA.pptx
APPROACH TO WIDE QRS COMPLEXTACHYCARDIA.pptxAPPROACH TO WIDE QRS COMPLEXTACHYCARDIA.pptx
APPROACH TO WIDE QRS COMPLEXTACHYCARDIA.pptx
 
Pediatric ecg
Pediatric ecgPediatric ecg
Pediatric ecg
 
Supra ventri cular arrhythmia 2021
Supra ventri cular arrhythmia  2021Supra ventri cular arrhythmia  2021
Supra ventri cular arrhythmia 2021
 
ECG: Fascicular VT
ECG: Fascicular VTECG: Fascicular VT
ECG: Fascicular VT
 
STEMI Mimic WHAT IS IT AND HOW TO IDENTIFY IT ?
STEMI Mimic WHAT IS IT AND HOW TO IDENTIFY IT ?STEMI Mimic WHAT IS IT AND HOW TO IDENTIFY IT ?
STEMI Mimic WHAT IS IT AND HOW TO IDENTIFY IT ?
 
Ecgrevised2 090808155046 Phpapp01
Ecgrevised2 090808155046 Phpapp01Ecgrevised2 090808155046 Phpapp01
Ecgrevised2 090808155046 Phpapp01
 
TACHYARRHYTHMIA
TACHYARRHYTHMIATACHYARRHYTHMIA
TACHYARRHYTHMIA
 
Neonatal ecg part2
Neonatal ecg part2Neonatal ecg part2
Neonatal ecg part2
 
Pe
PePe
Pe
 
All About ECG
All About ECGAll About ECG
All About ECG
 
Approach to qrs wide complex tachycardias copy
Approach to qrs wide complex tachycardias   copyApproach to qrs wide complex tachycardias   copy
Approach to qrs wide complex tachycardias copy
 

Plus de salah_atta

Cardio assiut 2020 wrap up of af session and how to apply guidelines
Cardio assiut 2020 wrap up of af session and how to apply guidelinesCardio assiut 2020 wrap up of af session and how to apply guidelines
Cardio assiut 2020 wrap up of af session and how to apply guidelinessalah_atta
 
Basics of Electrophysiologic study, part 1 (2020)
Basics of Electrophysiologic study, part 1 (2020)Basics of Electrophysiologic study, part 1 (2020)
Basics of Electrophysiologic study, part 1 (2020)salah_atta
 
Rate vs rhythm control, what is new in esc 2020
Rate vs rhythm control, what is new in esc 2020Rate vs rhythm control, what is new in esc 2020
Rate vs rhythm control, what is new in esc 2020salah_atta
 
Tachyarrhythmias 2020 (for the undergraduates)
Tachyarrhythmias 2020 (for the undergraduates)Tachyarrhythmias 2020 (for the undergraduates)
Tachyarrhythmias 2020 (for the undergraduates)salah_atta
 
Asymptomatic WPW management
Asymptomatic WPW managementAsymptomatic WPW management
Asymptomatic WPW managementsalah_atta
 
Electrophysiology basics,part1(lecture)
Electrophysiology basics,part1(lecture)Electrophysiology basics,part1(lecture)
Electrophysiology basics,part1(lecture)salah_atta
 
Cardiac pacemakerspart iii
Cardiac pacemakerspart iiiCardiac pacemakerspart iii
Cardiac pacemakerspart iiisalah_atta
 
Cardiac pacemakers part ii
Cardiac pacemakers part iiCardiac pacemakers part ii
Cardiac pacemakers part iisalah_atta
 
Cardiac pace makerspart 1
Cardiac pace makerspart 1Cardiac pace makerspart 1
Cardiac pace makerspart 1salah_atta
 
ELectrophysiology basics part4
ELectrophysiology basics part4ELectrophysiology basics part4
ELectrophysiology basics part4salah_atta
 
Electrophysiologic basis part3
Electrophysiologic basis part3Electrophysiologic basis part3
Electrophysiologic basis part3salah_atta
 
Eps basics,part2(lecture)
Eps basics,part2(lecture)Eps basics,part2(lecture)
Eps basics,part2(lecture)salah_atta
 
Electrophysiologic basics,part1(lecture)
Electrophysiologic basics,part1(lecture)Electrophysiologic basics,part1(lecture)
Electrophysiologic basics,part1(lecture)salah_atta
 
Persistent Atrial Fibrillation Management: Case preventation
Persistent Atrial Fibrillation Management: Case preventationPersistent Atrial Fibrillation Management: Case preventation
Persistent Atrial Fibrillation Management: Case preventationsalah_atta
 
Early results of RF ablation in assiut university
Early results of RF ablation in assiut universityEarly results of RF ablation in assiut university
Early results of RF ablation in assiut universitysalah_atta
 
Long term post Ventricular tachycardia ablation guided by non contact mapping...
Long term post Ventricular tachycardia ablation guided by non contact mapping...Long term post Ventricular tachycardia ablation guided by non contact mapping...
Long term post Ventricular tachycardia ablation guided by non contact mapping...salah_atta
 
Recurrent ventricular arrhythmia after cardiac surgery
Recurrent ventricular arrhythmia after cardiac surgeryRecurrent ventricular arrhythmia after cardiac surgery
Recurrent ventricular arrhythmia after cardiac surgerysalah_atta
 
Caseof wide QRS tachycarfdia ablation
Caseof wide QRS tachycarfdia ablationCaseof wide QRS tachycarfdia ablation
Caseof wide QRS tachycarfdia ablationsalah_atta
 
Brugada Syndrome, Sbcc 2012
Brugada Syndrome, Sbcc 2012Brugada Syndrome, Sbcc 2012
Brugada Syndrome, Sbcc 2012salah_atta
 

Plus de salah_atta (19)

Cardio assiut 2020 wrap up of af session and how to apply guidelines
Cardio assiut 2020 wrap up of af session and how to apply guidelinesCardio assiut 2020 wrap up of af session and how to apply guidelines
Cardio assiut 2020 wrap up of af session and how to apply guidelines
 
Basics of Electrophysiologic study, part 1 (2020)
Basics of Electrophysiologic study, part 1 (2020)Basics of Electrophysiologic study, part 1 (2020)
Basics of Electrophysiologic study, part 1 (2020)
 
Rate vs rhythm control, what is new in esc 2020
Rate vs rhythm control, what is new in esc 2020Rate vs rhythm control, what is new in esc 2020
Rate vs rhythm control, what is new in esc 2020
 
Tachyarrhythmias 2020 (for the undergraduates)
Tachyarrhythmias 2020 (for the undergraduates)Tachyarrhythmias 2020 (for the undergraduates)
Tachyarrhythmias 2020 (for the undergraduates)
 
Asymptomatic WPW management
Asymptomatic WPW managementAsymptomatic WPW management
Asymptomatic WPW management
 
Electrophysiology basics,part1(lecture)
Electrophysiology basics,part1(lecture)Electrophysiology basics,part1(lecture)
Electrophysiology basics,part1(lecture)
 
Cardiac pacemakerspart iii
Cardiac pacemakerspart iiiCardiac pacemakerspart iii
Cardiac pacemakerspart iii
 
Cardiac pacemakers part ii
Cardiac pacemakers part iiCardiac pacemakers part ii
Cardiac pacemakers part ii
 
Cardiac pace makerspart 1
Cardiac pace makerspart 1Cardiac pace makerspart 1
Cardiac pace makerspart 1
 
ELectrophysiology basics part4
ELectrophysiology basics part4ELectrophysiology basics part4
ELectrophysiology basics part4
 
Electrophysiologic basis part3
Electrophysiologic basis part3Electrophysiologic basis part3
Electrophysiologic basis part3
 
Eps basics,part2(lecture)
Eps basics,part2(lecture)Eps basics,part2(lecture)
Eps basics,part2(lecture)
 
Electrophysiologic basics,part1(lecture)
Electrophysiologic basics,part1(lecture)Electrophysiologic basics,part1(lecture)
Electrophysiologic basics,part1(lecture)
 
Persistent Atrial Fibrillation Management: Case preventation
Persistent Atrial Fibrillation Management: Case preventationPersistent Atrial Fibrillation Management: Case preventation
Persistent Atrial Fibrillation Management: Case preventation
 
Early results of RF ablation in assiut university
Early results of RF ablation in assiut universityEarly results of RF ablation in assiut university
Early results of RF ablation in assiut university
 
Long term post Ventricular tachycardia ablation guided by non contact mapping...
Long term post Ventricular tachycardia ablation guided by non contact mapping...Long term post Ventricular tachycardia ablation guided by non contact mapping...
Long term post Ventricular tachycardia ablation guided by non contact mapping...
 
Recurrent ventricular arrhythmia after cardiac surgery
Recurrent ventricular arrhythmia after cardiac surgeryRecurrent ventricular arrhythmia after cardiac surgery
Recurrent ventricular arrhythmia after cardiac surgery
 
Caseof wide QRS tachycarfdia ablation
Caseof wide QRS tachycarfdia ablationCaseof wide QRS tachycarfdia ablation
Caseof wide QRS tachycarfdia ablation
 
Brugada Syndrome, Sbcc 2012
Brugada Syndrome, Sbcc 2012Brugada Syndrome, Sbcc 2012
Brugada Syndrome, Sbcc 2012
 

Dernier

♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Dipal Arora
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Genuine Call Girls
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...parulsinha
 
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...narwatsonia7
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomdiscovermytutordmt
 
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...narwatsonia7
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiAlinaDevecerski
 

Dernier (20)

♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
 
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
 
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
 

Systematic approach to wide qrs tachycardia

  • 1. Systematic Approach to Wide QRS Tachycardia Salah Atta, MD, Lecturer of Cardiology Department of Cardiology, Assiut University Hospitals Weekly Department meeting 2004
  • 2. Aberration means BBB either functional or fixed. Also non specific intraventricular Conduction delay may be 2ry to electrolyte disturbance or myocardial ischaemia. (Pre-excited tachycardias)
  • 3.  
  • 4.
  • 5.
  • 6.
  • 7.  
  • 8.  
  • 9.
  • 10.
  • 11.  
  • 12.
  • 13.  
  • 14.  
  • 15.
  • 16. VT versus SVT in V1, V6 when V1 is positive i.e RBBB pattern
  • 17.
  • 18.  
  • 19.
  • 20. VT versus SVT in V1, V6 when V1 is positive i.e RBBB pattern V1 V6 VT SVT
  • 21.  
  • 22.
  • 23.
  • 24.
  • 25.  
  • 26. So collectively the morphology criteria suggestive of VT includes: Abnormal or extreme Axis.
  • 27.  
  • 28.  
  • 29.
  • 30.  
  • 31.  
  • 32.  
  • 33.  
  • 34.  
  • 35. N.B This algorithm was found to be specially not applicable to the Idiopathic VT.
  • 36. It may seem smart to diagnose SVT with aberration when the others suggest VT but it is wise not to do so unless sure.