Application of a new algorithm in the differential diagnosis of wide QRS complex tachycardia

European Heart Journal

Volumn 28, Issue 5, 2007, Pages 589-600

  Vereckei, András ^a   Duray, Gábor ^b   Szénási, Gábor ^c   Altemose, Gregory T ^d   Miller, John M ^e  

^a SEMMELWEIS UNIVERSITY   (Hungary)

^b National Healthcare Center   (Hungary)

^c EGIS PHARMACEUTICALS LTD   (Hungary)

^d MAYO CLINIC   (United States)

^e INDIANA UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Brugada criteria; Supraventricular tachycardia; Ventricular tachycardia; Wide QRS complex tachycardia

Indexed keywords

ADOLESCENT; ADULT; AGED; ALGORITHM; ARTICLE; ATRIOVENTRICULAR CONDUCTION; CLINICAL TRIAL; CONFIDENCE INTERVAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORRELATION ANALYSIS; DIAGNOSTIC ACCURACY; DIAGNOSTIC TEST; DIFFERENTIAL DIAGNOSIS; ELECTRIC POTENTIAL; ELECTROCARDIOGRAM; FEMALE; HEART BLOCK; HEART BUNDLE BRANCH BLOCK; HEART ELECTROPHYSIOLOGY; HEART PREEXCITATION; HEART VENTRICLE TACHYCARDIA; HUMAN; INTERMETHOD COMPARISON; MAJOR CLINICAL STUDY; MALE; MORPHOLOGY; PREDICTION; PRIORITY JOURNAL; QRS COMPLEX; R WAVE; SENSITIVITY AND SPECIFICITY; SINGLE BLIND PROCEDURE; SUPRAVENTRICULAR TACHYCARDIA; TACHYCARDIA; WIDE QRS COMPLEX TACHYCARDIA;

ADULT; ALGORITHMS; DIAGNOSIS, DIFFERENTIAL; ECHOCARDIOGRAPHY; FEMALE; HUMANS; MALE; MIDDLE AGED; SENSITIVITY AND SPECIFICITY; TACHYCARDIA;

EID: 34250730854     PISSN: 0195668X     EISSN: 15229645     Source Type: Journal    
DOI: 10.1093/eurheartj/ehl473     Document Type: Article

References (27)

1. Miller JM, Das MK, Arora R, Alberte-Lista C, Wu J. Differential diagnosis of wide QRS complex tachycardia. In: Zipes DP, Jalife J, eds. Cardiac Electrophysiology. From Cell to Bedside. 4th ed. Elsevier Saunders, Philadelphia; 2004. p747-757.
2. Barold S. Bedside diagnosis of wide QRS tachycardia. PACE 1995;18:2109-2115.
3. Akhtar M, Shenasa M, Jazayeri M, Caceres J, Tchou PJ. Wide QRS complex tachycardia. Reappraisal of a common clinical problem. Ann Int Med 1988;109:905-912.
4. Wellens HJJ, Bar FW, Lie KL. The value of the electrocardiogram in the differential diagnosis of a tachycardia with a widened QRS complex. Am J Med 1978;64:27-33.
5. Wellens HJJ, Brugada P. Diagnosis of ventricular tachycardia from the 12-lead electrocardiogram. Cardiol Clin 1987;5:511-525.
6. Wellens HJJ. The wide QRS tachycardia. Ann Intern Med 1986;104:879.
7. Brugada P, Brugada J, Mont L, Smeets J, Andries EW. A new approach to the differential diagnosis of a regular tachycardia with a wide QRS complex. Circulation 1991;83:1649-1659.
8. Griffith MJ, Garratt CJ, Mounsey P, Camm AJ. Ventricular tachycardia as default diagnosis in broad complex tachycardia. Lancet 1994;343:386-388.
9. Antunes E, Brugada J, Steurer G, Andries E, Brugada P. The differential diagnosis of a regular tachycardia with a wide QRS complex on the 12-lead ECG: ventricular tachycardia with aberrant intraventricular conduction, and supraventricular tachycardia with anterograde conduction over an accessory pathway. PACE 1994;17:1515-1524.
10. Drew BJ, Scheinman MM. ECG criteria to distinguish between aberrantly conducted supraventricular tachycardia and ventricular tachycardia: practical aspects for the immediate care setting. PACE 1995;18:2194-2208.
11. Griffith MJ, De Belder MA, Linker NJ, Ward DE, Camm AJ. Difficulties in the use of electrocardiographic criteria for the differential diagnosis of left bundle branch block pattern tachycardia in patients with a structurally normal heart. Eur Heart J 1992;13:478-483.
12. Griffith MJ, De Belder MA, Linker NJ, Ward DE, Camm AJ. Multivariate analysis to simplify the differential diagnosis of broad complex tachycardia. Br Heart J 1991;66:166-174.
13. Kremers MS, Black WH, Wells PJ, Solo M. Effect of preexisting bundle branch block on the electrocardiographic diagnosis of ventricular tachycardia. Am J Cardiol 1988;62:1208-1212.
14. 6. Am J Cardiol 1989;64:1053-1056.
15. Marriott HJL. Differential diagnosis of supraventricular and ventricular tachycardia. Cardiology 1990;77:209-220.
16. Kindwall KE, Brown J, Josephson ME. Electrocardiographic criteria for ventricular tachycardia in wide complex left bundle branch block morphology tachycardias. Am J Cardiol 1988;61:1279-1283.
17. Gupta AK, Thakur RK. Wide QRS complex tachycardias. Med Clin North Am 2001;85:245-266.
18. Alberca T, Almendral J, Sanz P, Almazan A, Cantalapiedra JL, Delcán JL. Evaluation of the specificity of morphological electrocardiographic criteria for the differential diagnosis of wide QRS complex tachycardia in patients with intraventricular conduction defects. Circulation 1997;96:3527-3533.
19. Willems JL, Robles de Medina EO, Bernard R, Coumel P, Fisch C, Krikler D, Mazur NA, Meijler FL, Mogensen L, Moret P, Pisa Z, Rautaharju PM, Surawicz B, Watanabe Y, Wellens HJJ. Criteria for intraventricular conduction disturbances and pre-excitation. J Am Coll Cardiol 1985;5:1261-1275.
20. Goldberger AL. Myocardial infarction. Electrocardiographic Differential Diagnosis. St Louis, Toronto: C.V. Mosby Company; 1984. p39.
21. Friedman HP. Diagnostic electrocardiography and vectorcardiography. 2nd edn. McGraw-Hill Book Company, New York; 1977. p52 and 67.
22. Andrade FR, Eslami M, Elias J, Kinoshita O, Nakazato Y, Marcus FI, Frank R, Tonet J, Fontaine G. Diagnostic clues from the surface ECG to identify idiopathic (fascicular) ventricular tachycardia: correlation with electrophysiologic findings. J Cardiovasc Electrophysiol 1996;7:2-8.
23. Elswick BD, Niemann JT. Fascicular ventricular tachycardia: an uncommon but distinctive form of ventricular tachycardia. Ann Emerg Med 1998;31:406-409.
24. Lerman B, Stein KM, Markowitz SM, Mittal S, Slotwiner DJ. Ventricular tachycardia in patients with structurally normal hearts. In: Zipes DP, Jalife J eds. Cardiac Electrophysiology From Cell to Bedside. 3rd ed. W.B. Saunders Company, Philadelphia; 2000. p640-656.
25. Littmann L, McCall MM. Ventricular tachycardia may masquerade as supraventricular tachycardia in patients with preexisting bundle-branch block. Ann Emerg Med 1995;26:98-101.
26. Dancy M, Camm AJ, Ward D. Misdiagnosis of chronic recurrent ventricular tachycardia. Lancet 1985;2:320-323.
27. Buxton AE, Marchlinski FE, Doherty JU, Flores B, Josephson ME. Hazards of intravenous verapamil for sustained ventricular tachycardia. Am J Cardiol 1987;59:1107-1110.