What is Fascicular ventricular tachycardia?

What is Fascicular ventricular tachycardia?

Idiopathic fascicular ventricular tachycardia is an important cardiac arrhythmia with specific electrocardiographic features and therapeutic options. It is characterized by relatively narrow QRS complex and right bundle branch block pattern. The QRS axis depends on which fascicle is involved in the re-entry.

What does ventricular tachycardia look like on ECG?

Very broad QRS complexes (~ 200 ms) with uniform morphology. Fusion and capture beats are seen in the rhythm strip. Brugada’s sign is present: the time from the onset of the QRS complex to nadir of S wave is > 100 ms (best seen in V6)

How can you distinguish ventricular tachycardia from ventricular fibrillation?

Ventricular tachycardia (v-tach is treated similarly to v-fib. The difference is that ventricular tachycardia continues to make the heartbeat regularly, but it goes so fast that the heart never gets a chance to fill with blood. 5 There’s not an opportunity to build up the pressure, so the blood stops flowing.

How can you tell the difference between supraventricular tachycardia and ventricular tachycardia?

Tachycardia is a very fast heart rate of more than 100 beats per minute. The many forms of tachycardia depend on where the fast heart rate begins. If it begins in the ventricles, it is called ventricular tachycardia. If it begins above the ventricles, it is called supraventricular tachycardia.

What is the best treatment for ventricular tachycardia?

If you have ventricular tachycardia, you may be given medications called anti-arrhythmics by mouth or IV to slow the fast heart rate. Other heart medications, such as calcium channel blockers and beta blockers, may be prescribed with anti-arrhythmic drugs.

Can ventricular tachycardia be caused by stress?

Emotional stressors can lead to ventricular ectopic beats and ventricular tachycardia. Though disturbances of cardiac rhythm due to emotional stress are often transient, sometimes the consequences can be seriously damaging and even fatal [11].

Does ventricular tachycardia show on ECG?

Below is an ECG strip of a patient with VT. See the PP interval when in sinus rhythm then march out the P waves within the wide QRS complex to find the AV dissociation that is present, confirming the diagnosis of VT.

How do you detect ventricular tachycardia?

The most common test used to diagnose ventricular tachycardia is an electrocardiogram (ECG/EKG). An EKG records your heart’s electrical activity. Electrodes (small sticky patches) are placed on your chest and arms to record the heart’s rhythm, and the pattern prints on graph paper.

How do you read ventricular tachycardia?

If the QRS complex in V1–V2 resembles a left bundle branch block (i.e negative QRS)

1. The initial portion of the QRS complex is smooth in ventricular tachycardia.
2. R-wave duration ≥40 ms suggest ventricular tachycardia.
3. Duration from start of QRS complex to nadir of S-wave ≥60 ms suggests ventricular tachycardia.

Which is worse AFib or VFib?

Ventricular fibrillation is more serious than atrial fibrillation. Ventricular fibrillation frequently results in loss of consciousness and death, because ventricular arrhythmias are more likely to interrupt the pumping of blood, or undermine the heart’s ability to supply the body with oxygen-rich blood.

What heart rate is considered SVT?

A heart rate of more than 100 beats per minute is called a tachycardia (tak-ih-KAHR-dee-uh). During an episode of SVT , your heart beats about 150 to 220 times per minute, but it can occasionally beat faster or slower. Most people with supraventricular tachycardia live healthy lives without restrictions or treatment.

How do you know if you have sinus tachycardia on ECG?

Sinus tachycardia is recognized on an ECG with a normal upright P wave in lead II preceding every QRS complex. This indicates that the pacemaker is coming from the sinus node and not elsewhere in the atria, with an atrial rate of greater than 100 beats per minute.

What is the ECG pattern of Fascicular tachycardia (VT)?

A similar ECG pattern of fascicular VT may occur with digoxin toxicity, but here the mechanism is enhanced automaticity in the region of the fascicles. Fascicular tachycardia can be classified based on ECG morphology corresponding to the anatomical location of the re-entry circuit:

What is Fascicular tachycardia of the left ventricle?

Fascicular tachycardia is the most common idiopathic VT of the left ventricle. It is a re-entrant tachycardia, typically seen in young patients without structural heart disease. Verapamil is the first line treatment.

What is the morphology of ventricular tachycardia (VT)?

Anterior fascicular VT (5-10% of cases): RBBB morphology + right axis deviation; arises close to the left anterior fascicle Upper septal fascicular VT (rare): atypical morphology – usually RBBB but may resemble LBBB instead; cases with narrow QRS and normal axis have also been reported.

What is a-iflvt ECG pattern?

Anterior fascicular ventricular tachycardia (A-IFLVT). It is the second variant in terms of frequency. Its ECG pattern typically shows RBBB morphology and right axis. The earliest activation has been described in the anterolateral wall of the left ventricle (18).