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EKG: ventricular tachycardia

MedGen UID:
576279
•Concept ID:
C0344428
•
Finding
Synonyms: ECG: ventricular tachycardia; Electrocardiographic ventricular tachycardia; Ventricular Tachycardia; Ventricular Tachycardia by ECG Finding; Ventricular Tachycardia by EKG Finding
SNOMED CT: ECG: ventricular tachycardia (164895002); EKG: ventricular tachycardia (164895002); Electrocardiographic ventricular tachycardia (164895002)

Definition

An electrocardiographic finding of three or more consecutive complexes of ventricular organ with a rate greater than a certain threshold (100 or 120 beats per minute are commonly used). The QRS complexes are wide and have an abnormal morphology. (CDISC) [from NCI]

Professional guidelines

PubMed

Diagnosis and Management of Paroxysmal Supraventricular Tachycardia.
Peng G, Zei PC
JAMA 2024 Feb 20;331(7):601-610. doi: 10.1001/jama.2024.0076. PMID: 38497695
Diagnosis and management of ventricular tachycardia.
Whitaker J, Wright MJ, Tedrow U
Clin Med (Lond) 2023 Sep;23(5):442-448. Epub 2023 Sep 29 doi: 10.7861/clinmed.2023-23.5.Cardio3. PMID: 37775174Free PMC Article
Multidisciplinary Critical Care Management of Electrical Storm: JACC State-of-the-Art Review.
Jentzer JC, Noseworthy PA, Kashou AH, May AM, Chrispin J, Kabra R, Arps K, Blumer V, Tisdale JE, Solomon MA; American College of Cardiology Critical Care Cardiology and Electrophysiology Sections
J Am Coll Cardiol 2023 Jun 6;81(22):2189-2206. doi: 10.1016/j.jacc.2023.03.424. PMID: 37257955Free PMC Article

Recent clinical studies

Etiology

Ventricular Tachycardia Ablation: Past, Present, and Future Perspectives.
Guandalini GS, Liang JJ, Marchlinski FE
JACC Clin Electrophysiol 2019 Dec;5(12):1363-1383. doi: 10.1016/j.jacep.2019.09.015. PMID: 31857035
Ventricular Arrhythmias.
AlMahameed ST, Ziv O
Med Clin North Am 2019 Sep;103(5):881-895. doi: 10.1016/j.mcna.2019.05.008. PMID: 31378332
Catecholaminergic polymorphic ventricular tachycardia, an update.
Pérez-Riera AR, Barbosa-Barros R, de Rezende Barbosa MPC, Daminello-Raimundo R, de Lucca AA Jr, de Abreu LC
Ann Noninvasive Electrocardiol 2018 Jul;23(4):e12512. Epub 2017 Oct 19 doi: 10.1111/anec.12512. PMID: 29048771Free PMC Article
Catecholaminergic Polymorphic Ventricular Tachycardia.
Wall JJ, Iyer RV
Pediatr Emerg Care 2017 Jun;33(6):427-431. doi: 10.1097/PEC.0000000000001156. PMID: 28570361
Ventricular Tachycardias.
Hsia HH
Card Electrophysiol Clin 2016 Mar;8(1):75-8. Epub 2016 Jan 16 doi: 10.1016/j.ccep.2015.10.008. PMID: 26920174

Diagnosis

Diagnosis and management of ventricular tachycardia.
Whitaker J, Wright MJ, Tedrow U
Clin Med (Lond) 2023 Sep;23(5):442-448. Epub 2023 Sep 29 doi: 10.7861/clinmed.2023-23.5.Cardio3. PMID: 37775174Free PMC Article
Wide Complex Tachycardias.
Alblaihed L, Al-Salamah T
Emerg Med Clin North Am 2022 Nov;40(4):733-753. Epub 2022 Oct 7 doi: 10.1016/j.emc.2022.06.010. PMID: 36396219
Polymorphic Ventricular Tachycardia: Terminology, Mechanism, Diagnosis, and Emergency Therapy.
Viskin S, Chorin E, Viskin D, Hochstadt A, Schwartz AL, Rosso R
Circulation 2021 Sep 7;144(10):823-839. doi: 10.1161/CIRCULATIONAHA.121.055783. PMID: 34491774
How to use the 12-lead ECG to predict the site of origin of idiopathic ventricular arrhythmias.
Enriquez A, Baranchuk A, Briceno D, Saenz L, Garcia F
Heart Rhythm 2019 Oct;16(10):1538-1544. Epub 2019 Apr 4 doi: 10.1016/j.hrthm.2019.04.002. PMID: 30954600
Entrainment Mapping.
Kumar S, Tedrow UB, Stevenson WG
Card Electrophysiol Clin 2017 Mar;9(1):55-69. doi: 10.1016/j.ccep.2016.10.004. PMID: 28167086

Therapy

Bidirectional Ventricular Tachycardia: Challenges and Solutions.
Almarzuqi A, Kimber S, Quadros K, Senaratne J
Vasc Health Risk Manag 2022;18:397-406. Epub 2022 Jun 7 doi: 10.2147/VHRM.S274857. PMID: 35698640Free PMC Article
Ventricular Tachycardia Ablation: Past, Present, and Future Perspectives.
Guandalini GS, Liang JJ, Marchlinski FE
JACC Clin Electrophysiol 2019 Dec;5(12):1363-1383. doi: 10.1016/j.jacep.2019.09.015. PMID: 31857035
Ventricular Arrhythmias.
AlMahameed ST, Ziv O
Med Clin North Am 2019 Sep;103(5):881-895. doi: 10.1016/j.mcna.2019.05.008. PMID: 31378332
Runaway pacemaker.
Gul A, Sheikh MA, Rao A
BMJ Case Rep 2019 Mar 31;12(3) doi: 10.1136/bcr-2018-225411. PMID: 30936325Free PMC Article
Idiopathic ventricular tachycardia.
Altemose GT, Buxton AE
Annu Rev Med 1999;50:159-77. doi: 10.1146/annurev.med.50.1.159. PMID: 10073270

Prognosis

Electrocardiographic landmarks of idiopathic ventricular arrhythmia origins.
Tzeis S, Asvestas D, Yen Ho S, Vardas P
Heart 2019 Jul;105(14):1109-1116. Epub 2019 May 15 doi: 10.1136/heartjnl-2019-314748. PMID: 31092549
How to use the 12-lead ECG to predict the site of origin of idiopathic ventricular arrhythmias.
Enriquez A, Baranchuk A, Briceno D, Saenz L, Garcia F
Heart Rhythm 2019 Oct;16(10):1538-1544. Epub 2019 Apr 4 doi: 10.1016/j.hrthm.2019.04.002. PMID: 30954600
Epidemiology of ventricular tachyarrhythmia : Any changes in the past decades?
Jong-Ming Pang B, Green MS
Herzschrittmacherther Elektrophysiol 2017 Jun;28(2):143-148. Epub 2017 May 8 doi: 10.1007/s00399-017-0503-5. PMID: 28484840
Management of outflow tract ventricular arrhythmias.
Maury P, Rollin A, Mondoly P, Duparc A
Curr Opin Cardiol 2015 Jan;30(1):50-7. doi: 10.1097/HCO.0000000000000122. PMID: 25389648
Contact force-sensing catheters.
Hoffmayer KS, Gerstenfeld EP
Curr Opin Cardiol 2015 Jan;30(1):74-80. doi: 10.1097/HCO.0000000000000131. PMID: 25389646

Clinical prediction guides

Ventricular Tachycardia Ablation: Past, Present, and Future Perspectives.
Guandalini GS, Liang JJ, Marchlinski FE
JACC Clin Electrophysiol 2019 Dec;5(12):1363-1383. doi: 10.1016/j.jacep.2019.09.015. PMID: 31857035
How to use the 12-lead ECG to predict the site of origin of idiopathic ventricular arrhythmias.
Enriquez A, Baranchuk A, Briceno D, Saenz L, Garcia F
Heart Rhythm 2019 Oct;16(10):1538-1544. Epub 2019 Apr 4 doi: 10.1016/j.hrthm.2019.04.002. PMID: 30954600
Catheter Ablation of Idiopathic Ventricular Arrhythmias.
Pathak RK, Ariyarathna N, Garcia FC, Sanders P, Marchlinski FE
Heart Lung Circ 2019 Jan;28(1):102-109. Epub 2018 Oct 17 doi: 10.1016/j.hlc.2018.10.012. PMID: 30554597
Catecholaminergic polymorphic ventricular tachycardia, an update.
Pérez-Riera AR, Barbosa-Barros R, de Rezende Barbosa MPC, Daminello-Raimundo R, de Lucca AA Jr, de Abreu LC
Ann Noninvasive Electrocardiol 2018 Jul;23(4):e12512. Epub 2017 Oct 19 doi: 10.1111/anec.12512. PMID: 29048771Free PMC Article
Ablation of ventricular arrhythmias.
Sadek MM, Marchlinski FE
Trends Cardiovasc Med 2014 Oct;24(7):296-304. Epub 2014 Jul 11 doi: 10.1016/j.tcm.2014.07.002. PMID: 25218675

Recent systematic reviews

Sudden cardiac death, arrhythmias and abnormal electrocardiography in systemic sclerosis: A systematic review and meta-analysis.
Fairley JL, Ross L, Quinlivan A, Hansen D, Paratz E, Stevens W, Kistler PM, McLellan A, La Gerche A, Nikpour M
Semin Arthritis Rheum 2023 Oct;62:152229. Epub 2023 Jun 19 doi: 10.1016/j.semarthrit.2023.152229. PMID: 37354723
Systematic review of long QT syndrome identified during fetal life.
Chivers S, Ovadia C, Regan W, Zidere V, Vigneswaran T, Sharland G, Rosenthal E, Seed PT, Simpson JM, Williamson C
Heart Rhythm 2023 Apr;20(4):596-606. Epub 2022 Dec 22 doi: 10.1016/j.hrthm.2022.12.026. PMID: 36566891
Intravenous haloperidol: A systematic review of side effects and recommendations for clinical use.
Beach SR, Gross AF, Hartney KE, Taylor JB, Rundell JR
Gen Hosp Psychiatry 2020 Nov-Dec;67:42-50. Epub 2020 Aug 22 doi: 10.1016/j.genhosppsych.2020.08.008. PMID: 32979582
Clinical applications of QT/RR hysteresis assessment: A systematic review.
Gravel H, Jacquemet V, Dahdah N, Curnier D
Ann Noninvasive Electrocardiol 2018 Jan;23(1) Epub 2017 Oct 30 doi: 10.1111/anec.12514. PMID: 29083088Free PMC Article
Total cosine R-to-T for predicting ventricular arrhythmic and mortality outcomes: A systematic review and meta-analysis.
Tse G, Gong M, Wong CW, Chan C, Georgopoulos S, Chan YS, Yan BP, Li G, Whittaker P, Ciobanu A, Ali-Hasan-Al-Saegh S, Wong SH, Wu WKK, Bazoukis G, Lampropoulos K, Wong WT, Tse LA, Baranchuk AM, Letsas KP, Liu T; International Health Informatics Study (IHIS) Network
Ann Noninvasive Electrocardiol 2018 Mar;23(2):e12495. Epub 2017 Sep 12 doi: 10.1111/anec.12495. PMID: 28901628Free PMC Article

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