• John Whitaker, Matthew J Wright, and Usha Tedrow.
• School of Biomedical Engineering and Imaging Sciences at King's College, London, UK and Cardiovascular Directorate Guy's and St Thomas's NHS Foundation Trust, London, UK john.whitaker@kcl.ac.uk.
• Clin Med (Lond). 2023 Sep 1; 23 (5): 442448442-448.

AbstractVentricular tachycardia (VT) describes rapid heart rhythms originating from the ventricles. Accurate diagnosis of VT is important to allow prompt referral to specialist services for ongoing management. The diagnosis of VT is usually made based on electrocardiographic data, most commonly 12-lead echocardiography (ECG), as well as supportive cardiac telemetric monitoring. Distinguishing between VT and supraventricular arrhythmias on ECG can be difficult. However, the VT diagnosis frequently needs to be made rapidly in the acute setting. In this review, we discuss the definition of VT, review features of wide-complex tachycardia (WCT) on ECG that might be helpful in diagnosing VT, discuss the different substrates in which VT can occur and offer brief comments on management considerations for patients found to have VT.© Royal College of Physicians 2023. All rights reserved.

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