ECG Guru - Instructor Resources - 12-Lead and Rhythm Strip https://www.ecgguru.com/ecg/12-lead-and-rhythm-strip en Wide Complex Tachycardia, 12 Lead ECG and Rhythm Strip https://www.ecgguru.com/ecg/wide-complex-tachycardia-12-lead-ecg-and-rhythm-strip <div class="field field-name-field-ecg field-type-image field-label-hidden"><div class="field-items"><div class="field-item even"><a href="/ecg/wide-complex-tachycardia-12-lead-ecg-and-rhythm-strip"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/WCT104_0.jpg" width="1420" height="1049" alt="" /></a></div></div></div><div class="field field-name-field-ecg-interpretation field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even"><p>This is a good example of wide complex tachycardia that must be evaluated for V Tach vs supraventricular rhythm with left BBB.</p> <p>There is an irregular rhythm. &nbsp;When the rate is fast, it is important to look at a longer strip, as sometimes fast rates will cause the rhythm to look regular. &nbsp;We know that monomorphic V Tach is not irregular, so that tells us that we are looking at atrial fibrillation. &nbsp;</p> <p>The ECG criteria for left bundle branch block is met here: &nbsp;1) supraventricular rhythm (atrial fib), 2) wide QRS, and 3) negative QRS in V1 and positive QRS in Leads V6 and I.</p> <p>With wide complex tachycardia, there is always a chance of ventricular tachycardia, and the patient should be treated as V tach until proven differently. &nbsp;For more on determining whether a WCT is V tach or SVT with ventricular conduction delay, go to this <a title="WCT VT vs SVT w Aberrancy" href="http://lifeinthefastlane.com/ecg-library/basics/vt_vs_svt/">LINK.&nbsp;</a></p> </div></div></div><div class="field field-name-field-rate-this-content field-type-fivestar field-label-above"><div class="field-label">Rate this content:&nbsp;</div><div class="field-items"><div class="field-item even"><form class="fivestar-widget" action="/taxonomy/term/166/feed" method="post" id="fivestar-custom-widget" accept-charset="UTF-8"><div><div class="clearfix fivestar-average-text fivestar-average-stars fivestar-form-item fivestar-hearts"><div class="form-item form-type-fivestar form-item-vote"> <div class="form-item form-type-select form-item-vote"> <select id="edit-vote--2" name="vote" class="form-select"><option value="-">Select rating</option><option value="20">Give Wide Complex Tachycardia, 12 Lead ECG and Rhythm Strip 1/5</option><option value="40">Give Wide Complex Tachycardia, 12 Lead ECG and Rhythm Strip 2/5</option><option value="60">Give Wide Complex Tachycardia, 12 Lead ECG and Rhythm Strip 3/5</option><option value="80" selected="selected">Give Wide Complex Tachycardia, 12 Lead ECG and Rhythm Strip 4/5</option><option value="100">Give Wide Complex Tachycardia, 12 Lead ECG and Rhythm Strip 5/5</option></select> <div class="description"><div class="fivestar-summary fivestar-summary-average-count"><span class="average-rating">Average: <span >3.3</span></span> <span class="total-votes">(<span >7</span> votes)</span></div></div> </div> </div> </div><input class="fivestar-submit form-submit" type="submit" id="edit-fivestar-submit" name="op" value="Rate" /><input type="hidden" name="form_build_id" value="form-W1zzh_SEy38R4R1AbH_OWit6LgKelDi1s5fb7I5fPnI" /> <input type="hidden" name="form_id" value="fivestar_custom_widget" /> </div></form></div></div></div><div class="field field-name-field-taxonomy field-type-taxonomy-term-reference field-label-above"><div class="field-label">Related Terms:&nbsp;</div><div class="field-items"><div class="field-item even"><a href="/ecg/wide-complex-tachycardia" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Wide complex tachycardia</a></div><div class="field-item odd"><a href="/ecg/12-lead-and-rhythm-strip" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">12-Lead and Rhythm Strip</a></div><div class="field-item even"><a href="/ecg/left-bundle-branch-block-0" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Left bundle branch block</a></div></div></div><ul class="links inline"><li class="addtoany first last"><span><span class="a2a_kit a2a_target addtoany_list" id="da2a_1"> <a class="a2a_dd addtoany_share_save" href="https://www.addtoany.com/share#url=https%3A%2F%2Fwww.ecgguru.com%2Fecg%2Fwide-complex-tachycardia-12-lead-ecg-and-rhythm-strip&amp;title=Wide%20Complex%20Tachycardia%2C%2012%20Lead%20ECG%20and%20Rhythm%20Strip"><img src="/sites/all/modules/addtoany/images/share_save_256_24.png" width="256" height="24" alt="Share"/></a> </span> <script type="text/javascript"> <!--//--><![CDATA[//><!-- if(window.da2a)da2a.script_load(); //--><!]]> </script></span></li> </ul> Wed, 30 Nov 2011 19:22:46 +0000 Dawn 110 at https://www.ecgguru.com https://www.ecgguru.com/ecg/wide-complex-tachycardia-12-lead-ecg-and-rhythm-strip#comments