Pulseless ventricular tachycardia

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Overview

In pulseless ventricular tachycardia organized electrical activity is present but this electrical activity fails to produce a detectable cardiac output.

Diagnosis

In a patient who is in the middle of a cardiac arrest 12 lead electrocardiography is impractical; use a cardiac monitor to determine the rhythm, and any broad complex tachycardia should be assumed to be ventricular in origin.

Treatment

Pulseless ventricular tachycardia is managed in the same way as ventricular fibrillation, early defibrillation being the mainstay of treatment.