Template:Tachycardia (wide) DDX: Difference between revisions

 
(16 intermediate revisions by 2 users not shown)
Line 1: Line 1:
===Regular===
===[[Wide-complex tachycardia]]===
*V-tach
''Assume any wide-complex tachycardia is [[ventricular tachycardia]] until proven otherwise (it is safer to incorrectly assume a ventricular dysrhythmia than supraventricular tachycardia with abberancy)''
*[[SVT]] with BBB (fixed or rate related)
*Regular
*[[SVT]] with accessory pathway
**Monomorphic [[ventricular tachycardia]]
*A flutter with BBB
**[[PSVT]] with aberrant conduction:
*[[Sinus tachycardia]] with BBB (fixed or rate related)
***[[PSVT]] with [[bundle branch block]]^
*If less than or ~120 bpm, consider [[Accelerated Idioventricular Rhythm]]
***[[PSVT]] with accessory pathway
 
***[[Atrial flutter]] with [[bundle branch block]]^
===Irregular===
**[[Sinus tachycardia]] with [[bundle branch block]]^
*[[A-fib]]/flutter with variable AV conduction AND BBB (fixed or rate-related)
**[[Accelerated idioventricular rhythm]] (consider if less than or ~120 bpm)
*[[A-fib]]/flutter with variable AV conduction AND accessory pathway (eg WPW)
**Metabolic
*[[A-fib]] + [[Hyperkalemia]]
***[[Hyperkalemia]]
*Polymorphic v-tach/[[torsades]]
***[[Digoxin toxicity]]
***Severe [[metabolic acidosis]]
*Irregular
**[[Atrial fibrillation (main)|Atrial fibrillation]]/[[atrial flutter]] with variable AV conduction AND [[bundle branch block]]^
**[[Atrial fibrillation (main)|Atrial fibrillation]]/[[atrial flutter]] with variable AV conduction AND accessory pathway (e.g. [[WPW]])
**[[Atrial fibrillation (main)|Atrial fibrillation]] + [[hyperkalemia]]
**[[Polymorphic ventricular tachycardia]]
***[[Torsades de pointes]]
***[[Nonsustained ventricular tachycardia]]
^Fixed or rate-related

Latest revision as of 07:09, 5 April 2019

Wide-complex tachycardia

Assume any wide-complex tachycardia is ventricular tachycardia until proven otherwise (it is safer to incorrectly assume a ventricular dysrhythmia than supraventricular tachycardia with abberancy)

^Fixed or rate-related