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  2. Criteria to differentiate between Ventricular Tachycardia (VT) and Supraventricular Tachycardia (SVT) include12345:
    • QR or QS complex suggests VT.
    • R or RR complex without initial q-wave suggests SVT.
    • RS complex duration >100ms in any lead suggests VT.
    • AV dissociation (fusion or capture beats) suggests VT.
    • Rhythm morphologically consistent with SVT (looks like RBBB or LBBB) suggests SVT.
    • Regularity of rhythm: irregularly irregular rhythm can suggest SVT with aberrant conduction due to atrial fibrillation.
    • Monomorphic VT is generally a regular rhythm.
    • Consider P-waves (AV dissociation) and QRS morphology to differentiate.
    Learn more:
    QR or QS complex suggest ventricular tachycardia. R or RR complex without initial q-wave suggests SVT. All in all, Brugada’s criteria have very high sensitivity (90%) and specificity (60–90%) for diagnosing ventricular tachycardia.
    ecgwaves.com/brugadas-algorithm-for-distinguishi…
    (i) Is RS complex present in any lead? -> if NO the rhythm is VT (ii) Is the RS duration >100ms in any lead? -> if YES then the rhythm is VT (iii) Is there AV dissociation? (fusion or capture beats) -> if YES then the rhythm is VT (iv) Is the rhythm morphologically consistent with SVT (looks like RBBB or LBBB)? -> if NO the rhythm is VT
    litfl.com/ventricular-tachycardia/
    Medical professionals classify VT and SVT as an abnormal heart rhythm, or arrhythmia. Both VT and SVT are forms of tachycardia. This is the medical term for a heart rate of more than 100 beats per minute. The key difference between VT and SVT is the source of the arrhythmia. VT develops in the heart’s ventricles. SVT develops in the heart’s atria.
    www.medicalnewstoday.com/articles/v-tach-vs-svt
    Multiple ECG abnormalities have been proposed to differentiate these rhythms. The regularity of the rhythm can be helpful. An irregularly irregular rhythm can suggest SVT with aberrant conduction due to atrial fibrillation. In contrast, monomorphic VT is generally a regular rhythm.
    manualofmedicine.com/topics/cardiology/never-mis…
    There are two main tools to distinguish VT from SVT with aberrancy: P-waves (AV dissociation) and QRS morphology – “how likely is it that this is an SVT with a bundle branch block?”
    www.cardioguide.ca/wide-complex-tachycardia/
     
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