Ventricular tachycardia risk factors

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Mugilan Poongkunran M.B.B.S [2]

Overview

Risk factors for the ventricular tachycardia as a cause of wide complex tachycardia include a history of prior myocardial infarction, a history of congestive heart failure, and a history of recent angina pectoris. These three historical features have positive predictive values for VT of > 95% in a small study, but sensitivities of 66%, 24%, and 24%, respectively. Wide complex tachycardia will be due to VT in 98% of cases if there's a history of structural heart disease. Only 7% of patients with SVT with aberrancy will have had a prior myocardial infarction (MI).

Risk Factors

Common risk factors for ventricular tachycardia include:[1][2][3]

Risk Factors for Ventricular Tachycardia
Reversible Risk Factors
Irreversible Risk Factors
Risk Factors for SVT

References

  1. Baerman JM, Morady F, DiCarlo LA, de Buitleir M. "Differentiation of ventricular tachycardia from supraventricular tachycardia with aberration: value of the clinical history". Annals of Emergency Medicine. 16 (1): 40–3. PMID 3800075. Retrieved 2013-08-04.
  2. Al-Khatib SM, Granger CB, Huang Y, Lee KL, Califf RM, Simoons ML, Armstrong PW, Van de Werf F, White HD, Simes RJ, Moliterno DJ, Topol EJ, Harrington RA (July 2002). "Sustained ventricular arrhythmias among patients with acute coronary syndromes with no ST-segment elevation: incidence, predictors, and outcomes". Circulation. 106 (3): 309–12. doi:10.1161/01.cir.0000022692.49934.e3. PMID 12119245.
  3. Ekström K, Lehtonen J, Kandolin R, Räisänen-Sokolowski A, Salmenkivi K, Kupari M (December 2016). "Incidence, Risk Factors, and Outcome of Life-Threatening Ventricular Arrhythmias in Giant Cell Myocarditis". Circ Arrhythm Electrophysiol. 9 (12). doi:10.1161/CIRCEP.116.004559. PMID 27913400.


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