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VT versus SVT

  • Electrocardiographic features that increase the likelihood of VT include:

  • Absence of typical RBBB or LBBB morphology

  • Extreme axis deviation (“northwest axis”): QRS positive in aVR and negative in I and aVF

  • Very broad complexes > 160ms

  • AV dissociation:

    • P and QRS complexes at ↣ different rates
    • P waves are often superimposed on QRS complexes and may be difficult to discern
  • Capture beats: Occur when the sinoatrial node transiently “captures” the ventricles in the midst of AV dissociation, producing a QRS complex of normal duration

  • Fusion beats: Occur when a sinus and ventricular beat coincide to produce a hybrid complex (see Dressler beat)

  • VT versus SVT - LITFL Medical Blog - ECG Library Basics

  • Brugada Criteria