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Ventricular Tachycardia Management

All About Cardiovascular System and Disorders

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.

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Types of Ventricular Tachycardia

All About Cardiovascular System and Disorders

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.

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Pediatric Exercise Testing

All About Cardiovascular System and Disorders

Ventricular arrhythmias during exercise can be documented in congenital long QT syndromes as well as in catecholaminergic polymorphic ventricular tachycardia. Bidirectional ventricular tachycardia is the classical arrhythmia noted in catecholaminergic polymorphic ventricular tachycardia.

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Ashman Phenomenon in A F and Fish Criteria

All About Cardiovascular System and Disorders

Sometimes, the aberrancy produced by Ashman phenomenon, may be sustained a few more cycles, resembling exactly like a ventricular tachycardia, run of ventricular tachycardia. Why these are needed, because, it will resemble ventricular tachycardia or ventricular ectopics and we need some differentiating features.

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ECG Quiz, Focusing Mainly on Rhythm

All About Cardiovascular System and Disorders

Instead usually you will have ventricular tachycardia with AV dissociation. But when the ventricular rate is more than atrial rate, usually it is a ventricular tachycardia with AV dissociation, with ventricular rate more than atrial rate. That is junctional ectopic tachycardia where you can have AV dissociation.

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Head Up Tilt Test (HUTT)

All About Cardiovascular System and Disorders

Sometimes, head up tilt test, also known in short as HUTT, is also done for the evaluation of postural orthostatic tachycardia syndrome, POTS, a condition in which there is tachycardia on standing up, without a fall in blood pressure. Transcript of the video: Head up tilt test, is usually done for the evaluation of recurrent syncope.

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CRT-P and CRT-D

All About Cardiovascular System and Disorders

Moreover, the internal shocks given by CRT-D can be painful, though essential to save life in case of fast ventricular tachycardia or fibrillation. Naturally, the longevity of CRT-D battery is lesser than that of CRT-P. CRT-D is needed in some heart failure patients who have a high risk of life threatening ventricular arrhythmias.