Diagnosis and management of ventricular tachycardia

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 echo...

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Bibliographic Details
Published in:Clinical medicine (London, England) England), 2023-09, Vol.23 (5), p.442-448
Main Authors: Whitaker, John, Wright, Matthew J, Tedrow, Usha
Format: Article
Language:English
Subjects:
ablation
Adenosine
arrhythmia
Cardiac arrhythmia
Cardiovascular disease
CME Cardiology
ECG
Electrocardiography
Heart
Morphology
Propagation
Ventricular tachycardia
wide-complex tachycardia
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Summary: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.
ISSN:1470-2118
1473-4893
DOI:10.7861/clinmed.2023-23.5.Cardio3