Approach to the wide QRS-complex tachycardia

Introduction. Patients presenting with tachycardia most often complain of palpitation and dizziness, but can also report episodes of chest pain due to increased myocardial oxygen demand. The aim of this case article was to emphasize the importance of differential diagnosis between different types of...
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Autor*in:	Tomašević Miloje [verfasserIn] Aleksandrić Srđan [verfasserIn] Rakočević Jelena [verfasserIn] Miloradović Vladimir [verfasserIn] Srećković Miodrag [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch ; srp

Erschienen:	2018

Schlagwörter:	wide complex tachycardia ventricular tachycardia supraventricular tachycardia conducted with aberrancy Wolff–Parkinson–White syndrome antidromic atrioventricular reentry tachycardia atrial fibrilation

Übergeordnetes Werk:	In: Srpski Arhiv za Celokupno Lekarstvo - Serbian Medical Society, 2010, 146(2018), 11-12, Seite 663-667
Übergeordnetes Werk:	volume:146 ; year:2018 ; number:11-12 ; pages:663-667

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.2298/SARH180108025T

Katalog-ID:	DOAJ013509306

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520			\|a Introduction. Patients presenting with tachycardia most often complain of palpitation and dizziness, but can also report episodes of chest pain due to increased myocardial oxygen demand. The aim of this case article was to emphasize the importance of differential diagnosis between different types of supraventricular (SVT) or ventricular tachycardia (VT) according to ECG findings, and highlight the treatment algorithm for wide QRS-complex tachycardia. Case Outline. We present a 34-years old female patient which was admitted to our hospital due to palpitations and chest pain that occurred at rest about two hours before hospital admission. Cardiac auscultation showed the presence of irregular heartbeats with tachycardia, whereas arterial blood pressure was 100/60 mmHg. Initial ECG recording demonstrated wide complex tachycardia (WCT) with irregular heart rate of approximately 180 beats per minute with right bundle branch block-like morphology of QRS complexes. After administration of intravenous amiodarone, patient was converted to sinus rhythm, with short PR interval (< 120 ms) and narrow QRS complexes (< 120 ms) with visible delta waves, indicating the presence of Wolff–Parkinson–White syndrome type A as the underlying cause of atrial fibrillation with right bundle branch block-like morphology of QRS complexes. Conclusion. The ability to differentiate between VT and SVT with a wide QRS complex due to aberrant intraventricular conduction or preexcitation is critical because the treatment of each is different, and inadequate therapy may potentially have lethal consequences.
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author	Tomašević Miloje
spellingShingle	Tomašević Miloje misc wide complex tachycardia misc ventricular tachycardia misc supraventricular tachycardia conducted with aberrancy misc Wolff–Parkinson–White syndrome misc antidromic atrioventricular reentry tachycardia misc atrial fibrilation misc Medicine misc R Approach to the wide QRS-complex tachycardia
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topic_title	Approach to the wide QRS-complex tachycardia wide complex tachycardia ventricular tachycardia supraventricular tachycardia conducted with aberrancy Wolff–Parkinson–White syndrome antidromic atrioventricular reentry tachycardia atrial fibrilation
topic	misc wide complex tachycardia misc ventricular tachycardia misc supraventricular tachycardia conducted with aberrancy misc Wolff–Parkinson–White syndrome misc antidromic atrioventricular reentry tachycardia misc atrial fibrilation misc Medicine misc R
topic_unstemmed	misc wide complex tachycardia misc ventricular tachycardia misc supraventricular tachycardia conducted with aberrancy misc Wolff–Parkinson–White syndrome misc antidromic atrioventricular reentry tachycardia misc atrial fibrilation misc Medicine misc R
topic_browse	misc wide complex tachycardia misc ventricular tachycardia misc supraventricular tachycardia conducted with aberrancy misc Wolff–Parkinson–White syndrome misc antidromic atrioventricular reentry tachycardia misc atrial fibrilation misc Medicine misc R
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title	Approach to the wide QRS-complex tachycardia
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title_full	Approach to the wide QRS-complex tachycardia
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author_browse	Tomašević Miloje Aleksandrić Srđan Rakočević Jelena Miloradović Vladimir Srećković Miodrag
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title_sort	approach to the wide qrs-complex tachycardia
title_auth	Approach to the wide QRS-complex tachycardia
abstract	Introduction. Patients presenting with tachycardia most often complain of palpitation and dizziness, but can also report episodes of chest pain due to increased myocardial oxygen demand. The aim of this case article was to emphasize the importance of differential diagnosis between different types of supraventricular (SVT) or ventricular tachycardia (VT) according to ECG findings, and highlight the treatment algorithm for wide QRS-complex tachycardia. Case Outline. We present a 34-years old female patient which was admitted to our hospital due to palpitations and chest pain that occurred at rest about two hours before hospital admission. Cardiac auscultation showed the presence of irregular heartbeats with tachycardia, whereas arterial blood pressure was 100/60 mmHg. Initial ECG recording demonstrated wide complex tachycardia (WCT) with irregular heart rate of approximately 180 beats per minute with right bundle branch block-like morphology of QRS complexes. After administration of intravenous amiodarone, patient was converted to sinus rhythm, with short PR interval (< 120 ms) and narrow QRS complexes (< 120 ms) with visible delta waves, indicating the presence of Wolff–Parkinson–White syndrome type A as the underlying cause of atrial fibrillation with right bundle branch block-like morphology of QRS complexes. Conclusion. The ability to differentiate between VT and SVT with a wide QRS complex due to aberrant intraventricular conduction or preexcitation is critical because the treatment of each is different, and inadequate therapy may potentially have lethal consequences.
abstractGer	Introduction. Patients presenting with tachycardia most often complain of palpitation and dizziness, but can also report episodes of chest pain due to increased myocardial oxygen demand. The aim of this case article was to emphasize the importance of differential diagnosis between different types of supraventricular (SVT) or ventricular tachycardia (VT) according to ECG findings, and highlight the treatment algorithm for wide QRS-complex tachycardia. Case Outline. We present a 34-years old female patient which was admitted to our hospital due to palpitations and chest pain that occurred at rest about two hours before hospital admission. Cardiac auscultation showed the presence of irregular heartbeats with tachycardia, whereas arterial blood pressure was 100/60 mmHg. Initial ECG recording demonstrated wide complex tachycardia (WCT) with irregular heart rate of approximately 180 beats per minute with right bundle branch block-like morphology of QRS complexes. After administration of intravenous amiodarone, patient was converted to sinus rhythm, with short PR interval (< 120 ms) and narrow QRS complexes (< 120 ms) with visible delta waves, indicating the presence of Wolff–Parkinson–White syndrome type A as the underlying cause of atrial fibrillation with right bundle branch block-like morphology of QRS complexes. Conclusion. The ability to differentiate between VT and SVT with a wide QRS complex due to aberrant intraventricular conduction or preexcitation is critical because the treatment of each is different, and inadequate therapy may potentially have lethal consequences.
abstract_unstemmed	Introduction. Patients presenting with tachycardia most often complain of palpitation and dizziness, but can also report episodes of chest pain due to increased myocardial oxygen demand. The aim of this case article was to emphasize the importance of differential diagnosis between different types of supraventricular (SVT) or ventricular tachycardia (VT) according to ECG findings, and highlight the treatment algorithm for wide QRS-complex tachycardia. Case Outline. We present a 34-years old female patient which was admitted to our hospital due to palpitations and chest pain that occurred at rest about two hours before hospital admission. Cardiac auscultation showed the presence of irregular heartbeats with tachycardia, whereas arterial blood pressure was 100/60 mmHg. Initial ECG recording demonstrated wide complex tachycardia (WCT) with irregular heart rate of approximately 180 beats per minute with right bundle branch block-like morphology of QRS complexes. After administration of intravenous amiodarone, patient was converted to sinus rhythm, with short PR interval (< 120 ms) and narrow QRS complexes (< 120 ms) with visible delta waves, indicating the presence of Wolff–Parkinson–White syndrome type A as the underlying cause of atrial fibrillation with right bundle branch block-like morphology of QRS complexes. Conclusion. The ability to differentiate between VT and SVT with a wide QRS complex due to aberrant intraventricular conduction or preexcitation is critical because the treatment of each is different, and inadequate therapy may potentially have lethal consequences.
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title_short	Approach to the wide QRS-complex tachycardia
url	https://doi.org/10.2298/SARH180108025T https://doaj.org/article/dfca5a9a74f84587b78dd19fbe13b43b http://www.doiserbia.nb.rs/img/doi/0370-8179/2018/0370-81791800025T.pdf https://doaj.org/toc/0370-8179 https://doaj.org/toc/2406-0895
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author2	Aleksandrić Srđan Rakočević Jelena Miloradović Vladimir Srećković Miodrag
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up_date	2024-07-03T18:01:25.465Z
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