Value of the 12-Lead ECG in Wide QRS Tachycardia

Miller, John M.; Das, Mithilesh K.; Yadav, Anil V.; Bhakta, Deepak; Nair, Girish V.; Alberte, Cesar

doi:10.1016/j.ccl.2006.03.003

Cited by 34 publications

(22 citation statements)

References 18 publications

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“…Analysis of the ECG reveals atrioventricular dissociation, Q wave in lead V6 despite LBBB-like pattern, and the interval from QRS onset to S-nadir ≥0.70 milliseconds in lead V1 (1). All these are consistent with VT. LBBB and inferior QRS axis implies that arrhythmogenic focus is around the right ventricular outflow tract (RVOT).…”

mentioning

confidence: 82%

From wide QRS tachycardia to a diagnostic surprise

Akyüz¹,

Yazıcı²,

Terzi³

et al. 2014

Anadolu Kardiyol Derg

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A 29-year old male patient presented with a hemodynamically significant ventricular tachycardia. Despite a comprehensive examination, the correct diagnosis was unfortunately established after two years. We discuss why the correct diagnosis was initially overlooked in physical examination, electrocardiogram, echocardiography and cardiac magnetic resonance imaging, and which findings led the cardiologists to misdiagnose the patient. We have organized this report in a format that the information is presented to a consultant physician by a resident physician to simulate the way such information emerges in the real life as we have encountered. The consultant physician responds as new information is presented, expressing his reasoning with the reader.

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mentioning

confidence: 82%

From wide QRS tachycardia to a diagnostic surprise

Akyüz¹,

Yazıcı²,

Terzi³

et al. 2014

Anadolu Kardiyol Derg

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show abstract

“…The major tool for solving this dilemma is the electrocardiogram (ECG), even though the sensitivity and specificity may be variable depending on the presentation (1). Additional leads could be used to improve the diagnostic accuracy of the ECG, as demonstrated in this case report (1,3,4).…”

Section: Introductionmentioning

confidence: 93%

Lewis Lead Enhances Atrial Activity Detection in Wide QRS Tachycardia

Holanda-Miranda

Furtado

Luciano

et al. 2012

The Journal of Emergency Medicine

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“…(4) It has been postulated that since patients with heart failure live longer, they may be more prone to experience atrial fibrillation. (5) The use of classes IA and IC antiarrhythmic agents for the rhythm control of paroxysmal episodes may account for progressive widening of the QRS complex.…”

Section: Abstract: Atrial Flutter Atypical Atrial Flutter Electrocamentioning

confidence: 99%

“…4). (3,4,7) In Vereckei et al's algorithm, (7) diagnosis of VT is made when any one of criteria 1 to 3 is present. In criterion 1, VT is diagnosed in the presence of initial R wave in lead aVR, as was found in our patient.…”

Section: Abstract: Atrial Flutter Atypical Atrial Flutter Electrocamentioning

confidence: 99%