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Approach to the Wide Complex Tachycardia: Difference between revisions
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Approach to the Wide Complex Tachycardia (view source)
Revision as of 18:47, 24 February 2013
, 24 February 2013→Griffith algorithm
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== Griffith algorithm == | == Griffith (Bundle Branch Block) algorithm == | ||
The Griffith algorithm <cite>Griffith</cite>reverses the diagnostic strategy: unless simple rules for a positive diagnosis of supraventricular tachycardia are satisfied, ventricular tachycardia is diagnosed by default. The algorithm only looks at bundle brach block morphology. Supraventricular tachycardia is diagnoses when ECG findings match typical bundle branch block: | The Griffith algorithm <cite>Griffith</cite>reverses the diagnostic strategy: unless simple rules for a positive diagnosis of supraventricular tachycardia are satisfied, ventricular tachycardia is diagnosed by default. The algorithm only looks at bundle brach block morphology. Supraventricular tachycardia is diagnoses when ECG findings match typical bundle branch block: | ||
* LBBB: rS or QS wave in leads V1 and V2, delay to S wave nadir < 70 ms, and R wave and no Q wave in lead V6 | * LBBB: rS or QS wave in leads V1 and V2, delay to S wave nadir < 70 ms, and R wave and no Q wave in lead V6 | ||