8/26/15 Morning Report

  • The differential for wide complex tachycardia includes ventricular tachycardia, SVT with aberrancy, and SVT with a bypass track (WPW).
  • Characteristics of V tach include capture/fusion beats, AV dissociation, Northwest axis, precordial concordance.
  • Akhtar Criteria: In patients with a history of MI, new onset wide complex tachycardia is >95% ventricular tachycardia
  • Remember Idiopathic V-Tach (often from the right ventricular outflow tract) and Arrhythmogenic right ventricular dysplasia as causes of V-tach in a young person

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