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Ventricular tachycardia is a potentially life threatening cardiac arrhythmia. On the ECG, ventricular tachycardia can be defined as three or more ventricular ectopic beats occurring in a sequence at a rate more than 100 per minute. Another rare form of ventricular tachycardia is bidirectional ventricular tachycardia.
Three or more ventricular beats in a row at a rate above 100 per minute is termed ventricular tachycardia. Ventricular tachycardia lasting more 30 seconds or requiring termination earlier due to hemodynamic compromise is called sustained ventricular tachycardia. Either case, the treatment is ablation of the right bundle.
Evaluation of escape rates and ventricular ectopy with exercise in complete heart block is an important aspect in the evaluation of congenital complete heart block. ECG showing congenital complete heart block with ventricular rate of 47/min and atrial rate of 63/min. Tracing shows bidirectional ventricular ectopics.
If this is in a child, or a young adult, you will think that this is juvenile T inversion and the heart block is congenital complete heart block, in which heart rate is usually better as it is supra Hisian and narrow QRS as junction will be controlling. Instead usually you will have ventricular tachycardia with AV dissociation.
Transcript of the video: Ebstein’s Anomaly is one of the cyanotic congenital heart disease in which survival to adult life is common. This is one important cause of supraventricular tachycardia in Ebstein’s anomaly. Electrophysiological study will show that, and this pathway can be ablated.
So a prominent A wave in a complex congenital heart disease situation would indicate that interventricular septum is intact. One is ventricular tachycardia with regular retrograde activation. Especially, in patients with rheumatic fever, PR interval is prolonged and there is sinus tachycardia. Second is junctional tachycarida.
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