Differentiating wide complex tachycardias: A historical perspective

Anthony H. Kashou; Christopher M. Evenson; Peter A. Noseworthy; Thoddi R. Muralidharan; Christopher V. DeSimone; Abhishek J. Deshmukh; Samuel J. Asirvatham; Adam M. May

doi:10.1016/j.ihj.2020.09.006

Differentiating wide complex tachycardias: A historical perspective

Anthony H. Kashou, Christopher M. Evenson, Peter A. Noseworthy, Thoddi R. Muralidharan, Christopher V. DeSimone, Abhishek J. Deshmukh, Samuel J. Asirvatham, Adam M. May

Research output: Contribution to journal › Review article › peer-review

14 Scopus citations

Abstract

One of the most critical and challenging skills is the distinction of wide complex tachycardias into ventricular tachycardia or supraventricular wide complex tachycardia. Prompt and accurate differentiation of wide complex tachycardias naturally influences short- and long-term management decisions and may directly affect patient outcomes. Currently, there are many useful electrocardiographic criteria and algorithms designed to distinguish ventricular tachycardia and supraventricular wide complex tachycardia accurately; however, no single approach guarantees diagnostic certainty. In this review, we offer an in-depth analysis of available methods to differentiate wide complex tachycardias by retrospectively examining its rich literature base – one that spans several decades.

Original language	English
Pages (from-to)	7-13
Number of pages	7
Journal	Indian Heart Journal
Volume	73
Issue number	1
DOIs	https://doi.org/10.1016/j.ihj.2020.09.006
State	Published - Jan 1 2021

Keywords

Electrocardiogram
Supraventricular tachycardia
Supraventricular wide complex tachycardia
Ventricular tachycardia
Wide complex tachycardia

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10.1016/j.ihj.2020.09.006

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title = "Differentiating wide complex tachycardias: A historical perspective",

abstract = "One of the most critical and challenging skills is the distinction of wide complex tachycardias into ventricular tachycardia or supraventricular wide complex tachycardia. Prompt and accurate differentiation of wide complex tachycardias naturally influences short- and long-term management decisions and may directly affect patient outcomes. Currently, there are many useful electrocardiographic criteria and algorithms designed to distinguish ventricular tachycardia and supraventricular wide complex tachycardia accurately; however, no single approach guarantees diagnostic certainty. In this review, we offer an in-depth analysis of available methods to differentiate wide complex tachycardias by retrospectively examining its rich literature base – one that spans several decades.",

keywords = "Electrocardiogram, Supraventricular tachycardia, Supraventricular wide complex tachycardia, Ventricular tachycardia, Wide complex tachycardia",

author = "Kashou, {Anthony H.} and Evenson, {Christopher M.} and Noseworthy, {Peter A.} and Muralidharan, {Thoddi R.} and DeSimone, {Christopher V.} and Deshmukh, {Abhishek J.} and Asirvatham, {Samuel J.} and May, {Adam M.}",

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doi = "10.1016/j.ihj.2020.09.006",

language = "English",

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T2 - A historical perspective

AU - Kashou, Anthony H.

AU - Evenson, Christopher M.

AU - Noseworthy, Peter A.

AU - Muralidharan, Thoddi R.

AU - DeSimone, Christopher V.

AU - Deshmukh, Abhishek J.

AU - Asirvatham, Samuel J.

AU - May, Adam M.

PY - 2021/1/1

Y1 - 2021/1/1

N2 - One of the most critical and challenging skills is the distinction of wide complex tachycardias into ventricular tachycardia or supraventricular wide complex tachycardia. Prompt and accurate differentiation of wide complex tachycardias naturally influences short- and long-term management decisions and may directly affect patient outcomes. Currently, there are many useful electrocardiographic criteria and algorithms designed to distinguish ventricular tachycardia and supraventricular wide complex tachycardia accurately; however, no single approach guarantees diagnostic certainty. In this review, we offer an in-depth analysis of available methods to differentiate wide complex tachycardias by retrospectively examining its rich literature base – one that spans several decades.

AB - One of the most critical and challenging skills is the distinction of wide complex tachycardias into ventricular tachycardia or supraventricular wide complex tachycardia. Prompt and accurate differentiation of wide complex tachycardias naturally influences short- and long-term management decisions and may directly affect patient outcomes. Currently, there are many useful electrocardiographic criteria and algorithms designed to distinguish ventricular tachycardia and supraventricular wide complex tachycardia accurately; however, no single approach guarantees diagnostic certainty. In this review, we offer an in-depth analysis of available methods to differentiate wide complex tachycardias by retrospectively examining its rich literature base – one that spans several decades.

KW - Electrocardiogram

KW - Supraventricular tachycardia

KW - Supraventricular wide complex tachycardia

KW - Ventricular tachycardia

KW - Wide complex tachycardia

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U2 - 10.1016/j.ihj.2020.09.006

DO - 10.1016/j.ihj.2020.09.006

M3 - Review article

C2 - 33714412

AN - SCOPUS:85092222278

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VL - 73

SP - 7

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JO - Indian Heart Journal

JF - Indian Heart Journal

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Differentiating wide complex tachycardias: A historical perspective

Abstract

Keywords

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