• Am J Emerg Med · Oct 2017

    Review

    The differential diagnosis of wide QRS complex tachycardia.

    • William J Brady, Amal Mattu, Jeffrey Tabas, and John D Ferguson.
    • Departments of Emergency Medicine and Medicine, University of Virginia School of Medicine, Charlottesville, VA, United States. Electronic address: wb4z@virginia.edu.
    • Am J Emerg Med. 2017 Oct 1; 35 (10): 1525-1529.

    AbstractWide complex tachycardia is defined as a cardiac rhythm with a rate greater than 100 beats/min (bpm) and a QRS complex duration greater than 0.10 to 0.12seconds (s) in the adult patient; wide complex tachycardia (WCT) in children is defined according to age-related metrics. The differential diagnosis of the WCT includes ventricular tachycardia and supraventricular tachycardia with aberrant intraventricular conduction, including both relatively benign and life-threatening dysrhythmias. This review focuses on the differential diagnosis of WCT with a discussion of strategies useful in making the appropriate diagnosis, when possible.Copyright © 2017 Elsevier Inc. All rights reserved.

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