Current Algorithms for the Diagnosis of wide QRS Complex Tachycardias

The differential diagnosis of a regular, monomorphic wide QRS complex tachycardia (WCT) mechanism represents a great diagnostic dilemma commonly encountered by the practicing physician, which has important implications for acute arrhythmia management, further work-up, prognosis and chronic managemen...

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Bibliographic Details
Published in:Current cardiology reviews 2014-08, Vol.10 (3), p.262-276
Main Author: Vereckei, Andras
Format: Article
Language:English
Subjects:
Age Factors
Algorithms
Diagnosis, Differential
Electrocardiography - methods
Humans
Prognosis
Tachycardia - diagnosis
Tachycardia - etiology
Tachycardia - physiopathology
Tachycardia, Supraventricular - complications
Tachycardia, Supraventricular - diagnosis
Tachycardia, Ventricular - complications
Tachycardia, Ventricular - diagnosis
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Summary:The differential diagnosis of a regular, monomorphic wide QRS complex tachycardia (WCT) mechanism represents a great diagnostic dilemma commonly encountered by the practicing physician, which has important implications for acute arrhythmia management, further work-up, prognosis and chronic management as well. This comprehensive review discusses the causes and differential diagnosis of WCT, and since the ECG remains the cornerstone of WCT differential diagnosis, focuses on the application and diagnostic value of different ECG criteria and algorithms in this setting and also provides a practical clinical approach to patients with WCTs.
ISSN:1573-403X
1875-6557
DOI:10.2174/1573403X10666140514103309