ECG Pointers: Ventricular Tachycardia
Sometimes ventricular tachycardia isn’t that easy to diagnose on ECG… Are there any clues that can help?
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ventricular tachycardia
Ventricular Tachycardia Mimics
The wide complex tachycardia isn’t always ventricular tachycardia…What else should you consider, and how do you approach the patient with wide complex tachycardia?
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Core EM: Ventricular Tachycardia
A great post by Core EM – Bringing core EM content to anyone, anywhere, anytime. Learn the ins/outs of ventricular tachycardia by Dr. Anand Swaminathan, MD (@EMSwami)
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Amiodarone vs Procainamide for Stable VT
Case Scenario:
A 38-year-old male with a history of hypertension and an unknown heart defect status post repair in infancy presents to the Emergency Department with acute onset chest pain, dyspnea, and diaphoresis. He had a similar episode at another hospital 1 month prior that resolved after “some medication.” He denies drug use.
An EKG is obtained in triage, and is shown below.
The patient’s blood pressure is 120/70. He is alert and oriented, and speaking in full sentences although dyspneic with respiratory rate in lower 20s and O2 saturation 98% on RA.
Clinical Question: Which pharmacologic agent is most effective for termination of monomorphic ventricular tachycardia?
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