Wide complex tachycardia differentiation: An examination of traditional and contemporary approaches

Trevon D. McGill, Anthony H. Kashou, Abhishek J. Deshmukh, Sarah LoCoco, Adam M. May, Christopher V. DeSimone

Research output: Contribution to journalReview article

Abstract

Despite many technological advances in the field of cardiology, accurate differentiation of wide complex tachycardias into ventricular tachycardia or supraventricular wide complex tachycardia continues to be challenging. After decades of rigorous clinical research, a wide variety of electrocardiographic criteria and algorithms have been developed to provide an accurate means to distinguish these two entities as accurately as possible. Recently, promising automated differentiation methods that utilize computerized electrocardiographic interpretation software have emerged. In this review, we aim to (1) highlight the clinical importance of accurate wide complex tachycardia differentiation, (2) provide an overview of the conventional manually-applied differentiation algorithms, and (3) describe novel automated approaches to differentiate wide complex tachycardia.

Original languageEnglish
Pages (from-to)203-208
Number of pages6
JournalJournal of Electrocardiology
Volume60
DOIs
StatePublished - May 1 2020
Externally publishedYes

Keywords

  • Supraventricular tachycardia with aberrancy
  • Supraventricular wide complex tachycardia
  • Ventricular tachycardia
  • Wide complex tachycardia

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