Ventricular tachycardia history and symptoms: Difference between revisions

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{{CMG}}; '''Associate Editor-in Chief''':  {{Sara.Zand}} [[User:Avirupguha|Avirup Guha, M.B.B.S.]][mailto:avirup.guha@gmail.com]
{{CMG}}; '''Associate Editor-in Chief''':  {{Sara.Zand}} [[User:Avirupguha|Avirup Guha, M.B.B.S.]][mailto:avirup.guha@gmail.com]
==Overview==
==Overview==
[[Family history]] of [[sudden death]] in any young [[patient]] is 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]].
[[Family history]] of [[sudden death]] in any young [[patient]] is 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]]. In [[patient] presented with [[VT]] clinical histoy should be taken about [[coronary heart disease]], [[valvular heart disease]] ([[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, and use of over-the-counter medications caused [[QT prolongation]] and [[torsades de pointed]].


== History ==
== History ==

Revision as of 03:35, 22 May 2021

Ventricular tachycardia Microchapters

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Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Ventricular Tachycardia from other Disorders

Epidemiology and Demographics

Risk Factors

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Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

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Chest X Ray

Echocardiography

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-in Chief: Sara Zand, M.D.[2] Avirup Guha, M.B.B.S.[3]

Overview

Family history of sudden death in any young patient is 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. In [[patient] presented with VT clinical histoy should be taken about coronary heart disease, valvular heart disease (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, and use of over-the-counter medications caused QT prolongation and torsades de pointed.

History

Bellow table shown clinical history related to VT:

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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