What is the difference between wide complex tachycardia and ventricular tachycardia?

Four out of five patients with wide complex tachycardia will have ventricular tachycardia. Ventricular tachycardia is, as the name implies, a rhythm that originates in the ventricles. Supraventricular rhythms, on the other hand, originate in the atria and requires atrial input in order to sustain the rhythm.

Is wide complex tachycardia SVT?

Wide QRS complex tachycardia can be originated by 3 main mechanisms1: Ventricular tachycardia (VT). Supraventricular tachycardia (SVT) with an aberrant conduction attributable to a preexisting bundle-branch block or functional bundle-branch block induced by the fast heart rate.

What is wide complex tachycardia ICD 10?

2021 ICD-10-CM Diagnosis Code I47. 2: Ventricular tachycardia.

What is the treatment for wide complex tachycardia?

For immediate treatment, IV procainamide should be given. This is a classic Wolff-Parkinson-White syndrome ECG. The treatment of choice is IV procainamide, probably the only time you’ll reach for this agent. Amiodarone would not be the agent to use long term given its side effects.

What causes wide QRS?

Wide QRS complexes, or those lasting longer than the normal rate, indicate ventricle impairment such as bundle branch blocks. Often with bundle branch blocks, a second upward deflection occurs within the complex. Other causes for a wide QRS complex include ectopic foci or abnormal pacemaker sites…

What’s the difference between SVT and PSVT?

Supraventricular tachycardia (SVT) is a fast heart rate that is starting in the atrium or upper chambers of the heart. Ventricular Tachycardia (VT) is a fast heart rate starting from the lower chambers of the heart. In general SVT is less serious than VT although both may require treatment.

What is SVT with aberrancy?

The term “SVT with aberrancy” tends to throw many providers off so let’s start by defining SVT using the 2015 ACC/AHA/HRS Guidelines as reference. “An umbrella term used to describe tachycardias (atrial and/or ventricular rates in excess of 100 bpm at rest), the mechanism of which involves tissue from the His bundle or above.

What is the treatment for narrow complex tachycardia?

Attempt vagal maneuvers If unsuccessful, administer adenosine 6 mg IV bolus followed by a rapid normal saline flush If unsuccessful, administer adenosine 12 mg IV bolus followed by a rapid normal saline flush Beta-blockers and calcium channel blockers may be considered for narrow QRS tachycardia (QRS <0.12 sec)