Ventricular tachycardia history and symptoms: Difference between revisions

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== History ==
== History ==
Family history of sudden death in any young patient recommends immediate evaluation for inherited [[arrhythmia]] syndromes such as:
{| style="border: 2px solid #4479BA; align="left"
! style="width: 200px; background: #4479BA;" | {{fontcolor|#FFF|Components}}
! style="width: 300px; background: #4479BA;" | {{fontcolor|#FFF|Assessment and findings}}
|-
| style="padding: 0 5px; background: #F5F5F5; text-align: left;" | Symptoms
| style="padding: 0 5px; background: #F5F5F5; text-align: left;" |
* Symptoms related to [[arrhythmia]]<ref name="ZimetbaumJosephson1998">{{cite journal|last1=Zimetbaum|first1=Peter|last2=Josephson|first2=Mark E.|title=Evaluation of Patients with Palpitations|journal=New England Journal of Medicine|volume=338|issue=19|year=1998|pages=1369–1373|issn=0028-4793|doi=10.1056/NEJM199805073381907}}</ref><ref name="NodaShimizu2005">{{cite journal|last1=Noda|first1=Takashi|last2=Shimizu|first2=Wataru|last3=Taguchi|first3=Atsushi|last4=Aiba|first4=Takeshi|last5=Satomi|first5=Kazuhiro|last6=Suyama|first6=Kazuhiro|last7=Kurita|first7=Takashi|last8=Aihara|first8=Naohiko|last9=Kamakura|first9=Shiro|title=Malignant Entity of Idiopathic Ventricular Fibrillation and Polymorphic Ventricular Tachycardia Initiated by Premature Extrasystoles Originating From the Right Ventricular Outflow Tract|journal=Journal of the American College of Cardiology|volume=46|issue=7|year=2005|pages=1288–1294|issn=07351097|doi=10.1016/j.jacc.2005.05.077}}</ref>


* [[Long QT syndrome|QT syndrome]]
: [[Palpitations]], [[lightheadedness]], [[syncope]], [[dyspnea]], [[chest pain]], [[cardiac arrest]]
* [[Brugada syndrome]]
* Symptoms related to underlying [[heart disease]]: [[Dyspnea]] at rest or on exertion, [[orthopnea]], [[paroxysmal nocturnal dyspnea]], [[chest pain]], [[edema]]
* [[Hypertrophic cardiomyopathy]]
* Precipitating factors: [[Exercise]], [[emotional stress]]
|-
| style="padding: 0 5px; background: #F5F5F5; text-align: left;" | Past medical history
| style="padding: 0 5px; background: #F5F5F5; text-align: left;" |
* [[Heart disease]]: [[Coronary]], [[valvular]] ([[mitral valve prolapse]]), [[congenital heart disease]]
* [[Thyroid disease]]
* [[Acute kidney injury]]
* [[Chronic kidney disease]]
* [[Electrolyte abnormalities]]
* [[Stroke]],[[embolic events]]
* [[Lung disease]]
* [[Epilepsy]] ([[arrhythmic syncope]] can be misdiagnosed as [[epilepsy]])
* [[ Alcohol]], [[illicit drug]] use
* Use of over-the-counter medications caused [[QT prolongation]] and [[torsades de pointes]]
* [[ Unexplained motor vehicle accident]]
|-
| style="padding: 0 5px; background: #F5F5F5; text-align: left;" | Medications
| style="padding: 0 5px; background: #F5F5F5; text-align: left;" |
* [[Antiarrhythmic]] medications
* Medication with  QT prolongation and torsades de pointes effect
* [[Cocaine]],[[amphetamines]]
* [[Anabolic steroids]]
* Medication-medication interaction that could cause [[QT prolongation]] and [[torsades de pointes]]
|-
| style="padding: 0 5px; background: #F5F5F5; text-align: left;" | Family history
| style="padding: 0 5px; background: #F5F5F5; text-align: left;" |
* [[SCD]], [[SCA]], [[unexplained drowning]] in a first-degree relative
* [[SIDS]], repetitive spontaneous [[pregnancy losses]] concerning [[cardiac channelopathies]]
* [[IHD]]
* [[Cardiomyopathy]]: [[Hypertrophic]],[[ dilated]], [[ARVC]]
* [[Congenital heart disease]]
* [[ Cardiac channelopathies]]: [[Long QT]], [[Brugada]], [[Short QT]], [[CPVT]]
* [[Arrhythmias]]: [[conduction disorders]], [[ pacemakers]]/[[ICDs]]
* [[Neuromuscular disease]] associated with [[cardiomyopathies]]
* [[Muscular dystrophy]]
* [[Epilepsy]]
|-
 
|}


==Symptoms==
==Symptoms==

Revision as of 05:36, 20 May 2021

Ventricular tachycardia Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-in Chief: Avirup Guha, M.B.B.S.[2]

Overview

Family history of sudden death in any young patient recommends immediate evaluation for inherited arrhythmia syndromes. The symptoms of ventricular tachycardia will depend on the ventricular rate, the duration of tachycardia, and the presence of underlying disease. In general, the symptoms include shortness of breath, weakness, palpitations, fatigue, and syncope.

History

Components Assessment and findings
Symptoms
Palpitations, lightheadedness, syncope, dyspnea, chest pain, cardiac arrest
Past medical history
Medications
Family history

Symptoms

References

  1. Zimetbaum, Peter; Josephson, Mark E. (1998). "Evaluation of Patients with Palpitations". New England Journal of Medicine. 338 (19): 1369–1373. doi:10.1056/NEJM199805073381907. ISSN 0028-4793.
  2. Noda, Takashi; Shimizu, Wataru; Taguchi, Atsushi; Aiba, Takeshi; Satomi, Kazuhiro; Suyama, Kazuhiro; Kurita, Takashi; Aihara, Naohiko; Kamakura, Shiro (2005). "Malignant Entity of Idiopathic Ventricular Fibrillation and Polymorphic Ventricular Tachycardia Initiated by Premature Extrasystoles Originating From the Right Ventricular Outflow Tract". Journal of the American College of Cardiology. 46 (7): 1288–1294. doi:10.1016/j.jacc.2005.05.077. ISSN 0735-1097.
  3. Koplan BA, Stevenson WG (March 2009). "Ventricular tachycardia and sudden cardiac death". Mayo Clin. Proc. 84 (3): 289–97. doi:10.1016/S0025-6196(11)61149-X. PMC 2664600. PMID 19252119.
  4. Morady F, Shen EN, Bhandari A, Schwartz AB, Scheinman MM (March 1985). "Clinical symptoms in patients with sustained ventricular tachycardia". West. J. Med. 142 (3): 341–4. PMC 1306023. PMID 3993009.

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