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Wide QRS Tachycardias: Aberrant Conduction or Ventricular Origin?

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New Concepts in ECG Interpretation

Abstract

A correct diagnosis of a wide QRS tachycardia on standard 12-lead ECG can be challenging. The correct analysis of the ECG tracing is an extremely useful tool to distinguish a supraventricular from a ventricular tachycardia. The right diagnosis has important clinical implications. We analyzed the traditional criteria, the Brugada’s and the Verekei’s algorithms together with the early-phase analysis of ventricular depolarization (the intrinsicoid deflection or R wave peak time) as important diagnostic steps. Four clinical cases of wide QRS, tachycardias are here described together with the process description that leads to the final diagnosis.

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Beltrame, M., Cesini, S., Maolo, A., Pierandrei, C. (2019). Wide QRS Tachycardias: Aberrant Conduction or Ventricular Origin?. In: Capucci, A. (eds) New Concepts in ECG Interpretation. Springer, Cham. https://doi.org/10.1007/978-3-319-91677-4_6

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  • DOI: https://doi.org/10.1007/978-3-319-91677-4_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-91676-7

  • Online ISBN: 978-3-319-91677-4

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