Failure to Agree on the Electrocardiographic Diagnosis of Ventricular Tachycardia
Annals of Emergency MedicinePublished 1 January 1996
Mel Herbert, Scott R Votey, Marshall T. Morgan, Peter Cameron, Linus Dziukas
Citations48
SJR quartileQ1
SJR score0.84
SNIP1.55
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TL;DR
Application of the algorithm to actual clinical practice in the ED would probably result in the misdiagnosis of a substantial minority of patients having BCT, with potentially serious adverse consequences.
Abstract
Application of the algorithm to actual clinical practice in the ED would probably result in the misdiagnosis of a substantial minority of patients having BCT, with potentially serious adverse consequences.
Keywords
Medicine
CirculationA new approach to the differential diagnosis of a regular tachycardia with a wide QRS complex.
741 Citations1991Pedro Brugada, Josép Brugada +3 more
New, simpler criteria are identified and incorporated in a stepwise approach that provides better sensitivity and specificity for making a correct diagnosis of ventricular tachycardia and may prevent diagnostic mistakes.
Annals of Internal MedicineWide Complex Tachycardia: Misdiagnosis and Outcome After Emergent Therapy
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Ventricular tachycardia is the commonest underlying mechanism for wide QRS tachycardia and standard electrocardiographic criteria for ventricular tachycardia had unacceptable sensitivity, poor specificity, or both.
PubMedWide QRS tachycardia in the conscious adult. Ventricular tachycardia is the most frequent cause.
90 Citations1989Russell T. Steinman, César J. Herrera +2 more
JAMAA Prevalent Misconception Regarding Wide-Complex Tachycardias
82 Citations1985Fred Morady
More emphasis should be placed on making physicians aware that the differentiation of VT from paroxysmal supraventricular tachycardia should be based on electrocardiographic findings and not on the patient's blood pressure or clinical status.
JAMAWide QRS Tachycardia in the Conscious Adult
69 Citations1989Russell T. Steinman
VT is considered the most likely cause of regular wide QRS tachycardia in the conscious adult patient, especially with a history of remote myocardial infarction, and recognition of this simple principle and careful examination of the 12-lead electrocardiogram may help to prevent the misapplication of pharmacotherapy in the vast majority of patients.
Clinical CardiologyThe differential diagnosis on the electrocardiogram between ventricular tachycardia and preexcited tachycardia
52 Citations1994Günter Steurer, Sinan Gürsoy +5 more
A new stepwise approach with three criteria for the electrocardiographic differential diagnosis between ventricular tachycardia in coronary artery disease and preexcited regular tachycardsia is designed.
Cardiology ClinicsDiagnosis of Ventricular Tachycardia from the 12-Lead Electrocardiogram
47 Citations1987Hein J.J. Wellens, Pedro Brugada
The value of a four-step systematic approach for the analysis of a wide QRS tachycardia is discussed and it is shown that this approach allows for the differentiation between tachycardsia of supraventricular origin and those of ventricular origin.
The American Journal of Emergency MedicineManagement strategies in wide QRS complex tachycardia
14 Citations1991Keith Wrenn
A patient presents to the emergency department with a wide complex tachycardia, a diagnostic and therapeutic dilemma often results, and many physicians have difficulty differentiating VT from SVT with aberration.