Ventricular tachycardia history and symptoms

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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

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 palpitations, lightheadedness, syncope, dyspnea, chest pain, cardiac arrest. Symptoms related to underlying heart disease include dyspnea at rest or on exertion, orthopnea, paroxysmal nocturnal dyspnea, chest pain, [[edema]. Precipitating factors maybe exercise, or emotional stress. In patient presented with VT clinical history 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 causing QT prolongation and torsades de pointed. It is important to notify about the family history of SCD in first relatives, repetitive spontaneous pregnancy losses (concerning cardiac channelopathy), IHD, hypertrophic cardiomyopathy , dilated cardiomyopathy, ARVC, congenital heart disease, cardiac channelopathies( Long QT, Brugada, Short QT, CPVT), conduction disorders, pacemakers/ICDs, and Neuromuscular disease associated with cardiomyopathies (Muscular dystrophy, epilepsy).

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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