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This document discusses distinguishing ventricular tachycardia from supraventricular tachycardia with aberrancy using 12-lead ECG findings. It lists the most reliable signs of ventricular tachycardia as negative precordial concordance seen in 96% of cases, left bundle branch block morphology with the left precordial lead taller than the right seen in 95% of cases, and lead V6 being completely negative seen in 95% of cases. It also provides percentages for the reliability of other ECG findings in suggesting ventricular tachycardia.
Originalbeschreibung:
Dana Yost, Senior Paramedic
The "SUMMIT" Salt Lake City
This document discusses distinguishing ventricular tachycardia from supraventricular tachycardia with aberrancy using 12-lead ECG findings. It lists the most reliable signs of ventricular tachycardia as negative precordial concordance seen in 96% of cases, left bundle branch block morphology with the left precordial lead taller than the right seen in 95% of cases, and lead V6 being completely negative seen in 95% of cases. It also provides percentages for the reliability of other ECG findings in suggesting ventricular tachycardia.
This document discusses distinguishing ventricular tachycardia from supraventricular tachycardia with aberrancy using 12-lead ECG findings. It lists the most reliable signs of ventricular tachycardia as negative precordial concordance seen in 96% of cases, left bundle branch block morphology with the left precordial lead taller than the right seen in 95% of cases, and lead V6 being completely negative seen in 95% of cases. It also provides percentages for the reliability of other ECG findings in suggesting ventricular tachycardia.
Ventricular Tachycardia vs SVT Dana Yost, Senior Paramedic Paramedic Training King County, WA
VT VT VT VT Consider SVT w/ Aberrancy
Negative Precordial Concordance (96%)
RBBB - Left Rabbit-Ear Taller Than Right (95%) V6 Completely Negative (95%) LBBB Short Fat R Wave in V1 (90%) ERAD (90%) V6 Negative with a little R Wave (87%)