Ventricular tachycardia may masquerade as supraventricular tachycardia in patients with preexisting bundle-branch block.

Abstract:

:We present the cases of three patients with preexisting bundle-branch block in whom wide-complex tachycardias were considered to be of supraventricular origin because QRS morphologies were essentially unchanged from those during normal sinus rhythm. The patients experienced adverse effects from medications for supraventricular tachycardia. Ventricular tachycardia eventually was diagnosed in all three by means of invasive electrophysiologic studies. Ventricular tachycardia may masquerade as supraventricular tachycardia in patients with fixed intraventricular conduction disturbance. Emergency therapy based solely on the QRS identity criteria may result in poor clinical outcome.

journal_name

Ann Emerg Med

authors

Littmann L,McCall MM

doi

10.1016/s0196-0644(95)70245-8

subject

Has Abstract

pub_date

1995-07-01 00:00:00

pages

98-101

issue

1

eissn

0196-0644

issn

1097-6760

pii

S0196-0644(95)70245-8

journal_volume

26

pub_type

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