Ventricular Tachycardia (Assessment and Plan)

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Author: William J Gibson MD,PhD

#Ventricular Tachycardia

Differential includes: SVT with aberrancy, SVT with pre-excitation, pacemaker mediated tachycardia.

Things to look for on baseline EKG: bundle branch block, QTc, Q-wave (-> scar), WPW, epsilon wave (-> ARVD), Brugada pattern

Monomorphic VT more commonly associated with scar. Polymorphic VT associated with ischemia.

Management:

- Medication review (QTc prolonging meds increase risk of polymorphic VT, Class IC antiarrhythmics)

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