Comparison of five electrocardiographic methods for differentiation of wide QRS-complex tachycardias

Europace

Volumn 14, Issue 8, 2012, Pages 1165-1171

  Jastrzebski, Marek ^a   Kukla, Piotr ^b   Czarnecka, Danuta ^c   Kawecka Jaszcz, Kalina ^c  

^a UNIVERSITY HOSPITAL IN KRAKOW   (Poland)

^b H Klimontowicz Specialistic Hospital   (Poland)

^c JAGIELLONIAN UNIVERSITY MEDICAL COLLEGE   (Poland)

Author keywords

aVR algorithm; Brugada algorithm; Supraventricular tachycardia; Ventricular tachycardia; Wide QRS complex tachycardia

Indexed keywords

ADULT; AGED; ALGORITHM; ARTICLE; AVR ALGORITHM; BAYES THEOREM; BRUGADA ALGORITHM; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; ELECTROCARDIOGRAPHY; FEMALE; GRIFFITH ALGORITHM; HEART VENTRICLE TACHYCARDIA; HUMAN; INTERMETHOD COMPARISON; LEAD II R WAVE PEAK TIME; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; QRS COMPLEX; SENSITIVITY AND SPECIFICITY; SUPRAVENTRICULAR TACHYCARDIA; WIDE QRS COMPLEX TACHYCARDIA;

ALGORITHMS; BAYES THEOREM; DIAGNOSIS, DIFFERENTIAL; ELECTROCARDIOGRAPHY; FEMALE; HUMANS; MALE; RETROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY; TACHYCARDIA;

EID: 84864454298     PISSN: 10995129     EISSN: 15322092     Source Type: Journal    
DOI: 10.1093/europace/eus015     Document Type: Article

References (17)

1. Alzand BS, Crijns HJ. Diagnostic criteria of broad QRS complex tachycardia: decades of evolution. Europace 2011;13:465-72.
2. Wellens HJ, Bar FW, Lie KI. The value of the electrocardiogram in the differential diagnosis of a tachycardia with a widened QRS complex. Am J Med 1978;64: 27-33. (Pubitemid 8275240)
3. Kindwall KE, Brown J, Josephson ME. Electrocardiographic criteria for ventricular tachycardia in wide complex left bundle branch block morphology tachycardias. Am J Cardiol 1988;61:1279-83.
4. Sandler IA, Marriott HJ. The differential morphology of anomalous ventricular complexes of RBBB-type in lead V1: ventricular ectopy versus aberration. Circulation 1965;31:551-6.
5. 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;83:1649-59.
6. Griffith MJ, Garratt CJ, Mounsey P, Camm AJ. Ventricular tachycardia as default diagnosis in broad complex tachycardia. Lancet 1994;343:386-8. (Pubitemid 24049556)
7. Lau EW, Pathamanathan RK, Ng GA, Cooper J, Skehan JD, Griffith MJ. The Bayes-ian approach improves the electrocardiographic diagnosis of broad complex tachycardia. Pacing Clin Electrophysiol 2000;23:1519-26.
8. Vereckei A, Duray G, Szenasi G, Altemose GT, Miller JM. New algorithm using only lead aVR for differential diagnosis of wide QRS complex tachycardia. Heart Rhythm 2008;5:89-98.
9. Pava LF, Perafan P, Badiel M et al. R-wave peak time at DII: a new criterion for differentiating between wide complex QRS tachycardias. Heart Rhythm 2010;7: 922-6.
10. Lau EW, Ng GA. Comparison of the performance of three diagnostic algorithms for regular broad complex tachycardia in practical application. Pacing Clin Electro-physiol 2002;25:822-7. (Pubitemid 34521641)
11. Vereckei A, Duray G, Szenasi G, Altemose GT, Miller JM. Application of a new algorithm in the differential diagnosis of wide QRS complex tachycardia. Eur Heart J 2007;28:589-600. (Pubitemid 47355500)
12. Alberca T, Almendral J, Sanz P, Almazan A, Cantalapiedra JL, Delcan 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;96:3527-33. (Pubitemid 27513429)
13. Ceresnak SR, Liberman L, Avasarala K, Tanel R, Motonaga KS, Dubin AM. Are wide complex tachycardia algorithms applicable in children and patients with congenital heart disease? J Electrocardiol 2010;43:694-700.
14. Jastrzebski M, Kukla P, Czarnecka D, Kawecka-Jaszcz K. Specificity of the wide QRS complex tachycardia algorithms in recipients of cardiac resynchronization therapy. J Electrocardiol DOI: 10.1016/j.jelectrocard.2011.08. 012, ePub ahead of print 6 October 2011.
15. Wijnmaalen AP, Stevenson WG, Schalij MJ, Field ME, Stephenson K, Tedrow UB et al. ECG identification of scar-related ventricular tachycardia with a left bundle-branch block configuration. Circ Arrhythm Electrophysiol 2011;4:486-93.
16. Andrade FR, Eslami M, Elias J, Kinoshita O, Nakazato Y, Marcus FI et al. Diagnostic clues from the surface ECG to identify idiopathic (fascicular) ventricular tachycardia: correlation with electrophysiologic findings. J Cardiovasc Electrophysiol 1996;7: 2-8. (Pubitemid 26033603)
17. Gallagher EJ. Clinical utility of likelihood ratios. Ann Emerg Med 1998;31:391-7. (Pubitemid 28135365)