1887
Volume 2023, Issue 1
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

Ventricular tachycardia (VT) is a type of broad complex tachycardia originating from a focus in the ventricle. It is one of the four important rhythms which can lead to cardiac arrest. Accurate and timely diagnosis of true VT is the cornerstone for proper management in the emergency department (ED).

We present an interesting case of an electrocardiographic artifact mimicking VT, which led to a diagnostic dilemma in the ED.

Loading

Article metrics loading...

/content/journals/10.5339/jemtac.2023.3
2023-01-19
2024-04-26
Loading full text...

Full text loading...

/deliver/fulltext/jemtac/2023/1/jemtac.2023.3.html?itemId=/content/journals/10.5339/jemtac.2023.3&mimeType=html&fmt=ahah

References

  1. Herbert ME, Votey SR, Morgan MT, Cameron P, Dziukas L. Failure to agree on the electrocardiographic diagnosis of ventricular tachycardia. Ann Emer Med. 1996; 27:(1):35–8.
    [Google Scholar]
  2. Andras V. Current algorithms for the diagnosis of wide QRS complex tachycardias. Curr Cardiol Rev. 2014; 10:(3):262–76.
    [Google Scholar]
  3. Brignole M, Moya A, de Lange FJ, Deharo JC, Elliott PM, Fanciulli A, et al. ESC guidelines for the diagnosis and management of syncope. Eur Heart J. 2018; 39:(21):1883–948.
    [Google Scholar]
  4. Olde Nordkamp LR, van Dijk N, Ganzeboom KS, Reitsma JB, Luitse JS, Dekker LR, et al. Syncope prevalence in the ED compared to general practice and population: a strong selection process. Am J Emerg Med. 2009; 27:(3):271–9.
    [Google Scholar]
  5. Akhtar M, Shenasa M, Jazayeri M, Caceres J, Tchou PJ. Wide QRS complex tachycardia. Reappraisal of a common clinical problem. Ann Intern Med. 1988; 109:(11):905–12.
    [Google Scholar]
  6. Steinman RT, Herrera C, Schuger CD, Lehmann MH. Wide QRS tachycardia in the conscious adult: Ventricular tachycardia is the most frequent cause. JAMA. 1989; 261:(7):1013–6.
    [Google Scholar]
  7. Riaz A, Gardezi SK, O’Reilly M. Pseudo ventricular tachycardia: a case report. Ir J Med Sci. 2010; 179:(2):295–6.
    [Google Scholar]
  8. Osman W, Hanson M, Baranchuk A. Pseudo-ventricular tachycardia, pseudo-atrial fibrillation, and pseudoatrial flutter in a patient with Parkinson Disease: Two’s Company, Three’s a Crowd. JAMA Intern Med. 2019; 179:(6):824–6.
    [Google Scholar]
  9. Samaniego NC, Morris F, Brady WJ. Electrocardiographic artefact mimicking arrhythmic change on the ECG. Emerg Med J. 2003; 20:(4):356–7.
    [Google Scholar]
  10. Huang CY, Shan DE, Lai CH, Fong MC, Huang PS, Huang HH, et al. An accurate electrocardiographic algorithm for differentiation of tremor-induced pseudo-ventricular tachycardia and true ventricular tachycardia. Int J Cardiol. 2006; 111:(1):163–5.
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journals/10.5339/jemtac.2023.3
Loading
/content/journals/10.5339/jemtac.2023.3
Loading

Data & Media loading...

  • Article Type: Case Report
Keyword(s): arrhythmiasEKGpseudo-ventricular tachycardia and ventricular tachycardia
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error