ECG: Ventricular Tachycardia (VT)

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Uploaded by on Apr 18, 2011

Paramedic Tutor http://paramedictutor.wordpress.com
blog by Rob Theriault

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Education

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  • Hi oNEgunDRop,

    To be frank I am not sure I have ever seen an ECG with a true ventricular flutter. It would be virtually indistinguishable from ventricular fibrillation and may look like a Torsade de Pointes which I talk about in a separate tutorial. It would be treated with defibrillation just like VF, pulseless VT and Torsade de Pointes. Hope that helps. Rob Theriault

  • Hi, is ventricular tachycardia a form of chronic heart failure?

  • The short answer is no. VT is not a form of chronic heart failure. Think of it this way....from time to time we all of experience a a muscle twitch, sometimes in an arm or leg, etc. This happens because the muscle may be irritable from fatigue or injury. VT is similar. An impulse starts firing randomly or in sequence, as in VT. In other words VT and other irregularities in heart rhythm are a often symptom some some sort of heart problem like muscle fatigue, failure or inadequate flow flow.

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  • The rate in VT is usually greater than 120 bpm with broad QRS complexes.

    VT may be monomorphic (typically regular rhythm originating from a single focus with identical or similar QRS complexes) or polymorphic (may be irregular rhythm, with beat to beat variation in QRS complexes).

    Monomorphic VT is the most common form of sustained VT.

    Non-sustained VT is defined as a run of tachycardia of less than 30 seconds' duration; a longer duration is described as sustained VT.

  • @rrtheriault torsades de points is a form of V-tach.

  • @rrtheriault thanx :)

  • you mentioned beats more than 250 would mean itz a ventricular flutter, can you do a tutorial on v flutter? is v flutter a lead on from v tach or itzzit a different form of v fib?

  • @rrtheriault But if you have cardiac arrhythmia in the form of ventricular tachycardia, is this considered stable chronic heart failure?

    Sorry about all the questions... I should've asked my doctors more but I couldnt wait to run out of that hospital XD

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