Ventricular Arrhythmias: Difference between revisions

From ECGpedia
Jump to navigation Jump to search
(oucoracbasm)
mNo edit summary
 
(14 intermediate revisions by 3 users not shown)
Line 1: Line 1:
basdel
{{authors|
{{authors|
|mainauthor= [[user:Drj|J.S.S.G. de Jong]]
|mainauthor= [[user:Drj|J.S.S.G. de Jong]]
Line 5: Line 4:
|supervisor=  
|supervisor=  
}}
}}
'''Tachycardias:'''
Ventricular arrhythmias are almost allways wide-QRS-complex arrhythmias. When confronted with a wide-QRS-complex tachycardia it can be difficult to differentiate between a [[supraventricular tachycardia]] with [[aberrancy]] or [[Ventricular Tachycardia|ventricular tachycardia]]. A separate chapter deals with this dilemma: [[Approach to the Wide Complex Tachycardia]].
*[[Ventricular Tachycardia]]
{{clr}}
*[[Ventricular Flutter]]
*[[Ventricular Fibrillation]]
*[[Torsade de Pointes]]
*[[Bundle-branch re-entrant tachycardia]]
*[[Idioventricular Rhythm]]
*[[Accelerated Idioventricular Rhythm]]
 
'''[[Ectopic Beats]]''':
*[[Ventricular Premature Beats]]
 
 
 
'''Also read:'''
*Flowchart: [[media:wideQRS_tachycardia_flow.png|Approach to the Wide Complex Tachycardia]]
*[[Introduction to Arrhythmias]]
*[[Mechanisms of Arrhythmias]]
*[[Supraventricular Rhythms]]
*[[Junctional Tachycardias]]
*[[Sinus node rhythms and arrhythmias]]
*[[Ventriculophasic Reflex]]
 
 
{| class="wikitable" font-size="90%"
{| class="wikitable" font-size="90%"
|- style="text-align:center;background-color:#6EB4EB;"
|- style="text-align:center;background-color:#6EB4EB;"
|+'''An overview of ventricular tachycardias''', follow the [[media:wideQRS_tachycardia_flow.png|wide complex tachycardia flowchart]]
|+'''An overview of ventricular tachycardias''', follow the [[Approach to the Wide Complex Tachycardia]]
|-
|-
!
!
!example
!regularity
!regularity
!atrial frequency
!atrial frequency
Line 44: Line 22:
|-
|-
! [[Ventricular Tachycardia]]
! [[Ventricular Tachycardia]]
| [[Image:vt_small.svg|200px]]
| regular (mostly)
| regular (mostly)
| 60-100 bpm
| 60-100 bpm
| 110-250 bpm
| 110-250 bpm
| ventricle (VT)
| ventricle (VT)
| AV-dissociation
| [[AV-dissociation]]
| no rate reduction (sometimes accelerates)
| no rate reduction (sometimes accelerates)
|-
|-
! [[Ventricular Fibrillation]]
! [[Ventricular Fibrillation]]
| [[Image:vf_small.svg|200px]]
| irregular
| irregular
| 60-100 bpm
| 60-100 bpm
| 400-600 bpm
| 400-600 bpm
| ventricle (VT)
| ventricle (VT)
| AV-dissociation
| [[AV-dissociation]]
| none
| none
|-
|-
! [[Ventricular Flutter]]
! [[Ventricular Flutter]]
| [[Image:vflutt_small.svg|200px]]
| regular
| regular
| 60-100 bpm
| 60-100 bpm
| 150-300 bpm
| 150-300 bpm
| ventricle (VT)
| ventricle (VT)
| AV-dissociation
| [[AV-dissociation]]
| none
| none
|-
|-
! [[Accelerated Idioventricular Rhythm]]
! [[Accelerated Idioventricular Rhythm]]
| [[Image:aivr_small.svg|200px]]
| regular (mostly)
| regular (mostly)
| 60-100 bpm
| 60-100 bpm
| 50-110 bpm
| 50-110 bpm
| ventricle (VT)
| ventricle (VT)
| AV-dissociation
| [[AV-dissociation]]
| no rate reduction (sometimes accelerates)
| no rate reduction (sometimes accelerates)
|-
|-
! [[Torsade de Pointes]]
! [[Torsade de Pointes]]
| [[Image:tdp_small.svg|200px]]
| regular
| regular
|  
|  
| 150-300 bpm
| 150-300 bpm
| ventricle (VT)
| ventricle (VT)
| AV-dissociation
| [[AV-dissociation]]
| no rate reduction (sometimes accelerates)
| no rate reduction (sometimes accelerates)
|-
|-
! [[Bundle-branch re-entrant tachycardia]]*
| [[Image:bb_reentry_small.svg|200px]]
| regular
| 60-100 bpm
| 150-300 bpm
| ventricles (VT)
| [[AV-dissociation]]
| no rate reduction
|-
|colspan="8"|* Bundle-branch re-entrant tachycardia is extremely rare
|}
|}
===[[Ectopic Beats]]===
*[[Ventricular Premature Beats]]
===Also read:===
*Flowchart: [[Approach to the Wide Complex Tachycardia]]
*[[Introduction to Arrhythmias]]
*[[Mechanisms of Arrhythmias]]
*[[Supraventricular Rhythms]]
*[[Junctional Tachycardias]]
*[[Sinus node rhythms and arrhythmias]]
*[[Ventriculophasic Reflex]]

Latest revision as of 19:00, 24 February 2013

Author(s) J.S.S.G. de Jong
Moderator J.S.S.G. de jong
Supervisor
some notes about authorship

Ventricular arrhythmias are almost allways wide-QRS-complex arrhythmias. When confronted with a wide-QRS-complex tachycardia it can be difficult to differentiate between a supraventricular tachycardia with aberrancy or ventricular tachycardia. A separate chapter deals with this dilemma: Approach to the Wide Complex Tachycardia.

An overview of ventricular tachycardias, follow the Approach to the Wide Complex Tachycardia
example regularity atrial frequency ventricular frequency origin (SVT/VT) p-wave effect of adenosine
Wide complex (QRS>0.12)
Ventricular Tachycardia Vt small.svg regular (mostly) 60-100 bpm 110-250 bpm ventricle (VT) AV-dissociation no rate reduction (sometimes accelerates)
Ventricular Fibrillation Vf small.svg irregular 60-100 bpm 400-600 bpm ventricle (VT) AV-dissociation none
Ventricular Flutter Vflutt small.svg regular 60-100 bpm 150-300 bpm ventricle (VT) AV-dissociation none
Accelerated Idioventricular Rhythm Aivr small.svg regular (mostly) 60-100 bpm 50-110 bpm ventricle (VT) AV-dissociation no rate reduction (sometimes accelerates)
Torsade de Pointes Tdp small.svg regular 150-300 bpm ventricle (VT) AV-dissociation no rate reduction (sometimes accelerates)
Bundle-branch re-entrant tachycardia* Bb reentry small.svg regular 60-100 bpm 150-300 bpm ventricles (VT) AV-dissociation no rate reduction
* Bundle-branch re-entrant tachycardia is extremely rare

Ectopic Beats

Also read:

Retrieved from "https://en.ecgpedia.org/index.php?title=Ventricular_Arrhythmias&oldid=16637"