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Summary

Description	A 45 year old lady with palpitations and history of chronic renal failure Ventricular tachycardia A wide QRS tachycardia is VT until proven otherwise (1). Features suggesting VT include:- evidence of AV dissociation independent P waves (shown by arrows here) capture or fusion beats beat to beat variability of the QRS morphology very wide complexes (> 140 ms) the same morphology in tachycardia as in ventricular ectopics history of ischaemic heart disease absence of any rS, RS or Rs complexes in the chest leads (2) concordance (chest leads all positive or negative) 1) Griffith MJ, Garrat CJ, Mounsey P, Camm AJ. Ventricular tachycardia as the default diagnosis in broad complex tachycardia. Lancet. 1994;343:386- 2) Brugada P, Brugada J, Mont L, et al. A new approach to the differential diagnosis of a regular tachycardia with a wide QRS complex. Circulation. 1991;83:1649-1659 with permision from the site of Dr. Dean Jenkins
Category	Case reports by Michael Rosengarten
Source	EKG World Encyclopedia http://cme.med.mcgill.ca/php/index.php , courtesy of Michael Rosengarten BEng, MD.McGill
Date	2012
Author	Michael Rosengarten BEng, MD.McGill
Permission	Creative Commons Attribution Noncommercial Share-Alike License

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current	09:38, 21 February 2012		3,292 × 1,887 (5.96 MB)	DarrelC (talk \| contribs)

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Camera manufacturer	HP
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Date and time of data generation	23:31, 2 May 2009
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Date and time of digitizing	23:31, 2 May 2009
Date metadata was last modified	14:25, 21 February 2012
Unique ID of original document	4856E29C11D40F15A9CCD45DD9942DDA
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