Diagnosis and management of ventricular tachycardia

John Whitaker*, Matthew J. Wright, Usha Tedrow

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

Ventricular tachycardia (VT) describes rapid heart rhythms originating from the ventricles. Accurate diagnosis of VT is important to allow prompt referral to specialist services for ongoing management. The diagnosis of VT is usually made based on electrocardiographic data, most commonly 12-lead echocardiography (ECG), as well as supportive cardiac telemetric monitoring. Distinguishing between VT and supraventricular arrhythmias on ECG can be difficult. However, the VT diagnosis frequently needs to be made rapidly in the acute setting. In this review, we discuss the definition of VT, review features of wide-complex tachycardia (WCT) on ECG that might be helpful in diagnosing VT, discuss the different substrates in which VT can occur and offer brief comments on management considerations for patients found to have VT.

Original languageEnglish
Pages (from-to)442-448
Number of pages7
JournalClinical Medicine, Journal of the Royal College of Physicians of London
Volume23
Issue number5
DOIs
Publication statusPublished - Sept 2023

Keywords

  • ablation
  • arrhythmia
  • ECG
  • Ventricular tachycardia
  • wide-complex tachycardia

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