V Fib Vs Polymorphic V Tach
This abnormal rhythm happens most often in people with heart disease or a prior heart attack.
V fib vs polymorphic v tach. They are atrial tachycardia monofocal or multifocal atrial fibrillation atrial flutter atrioventricular nodal re entry tachycardia atrioventricular re entry. Also just fyi course v fib is better and easier to convert. Wide complex tachycardia is defined as a qrs greater than 12 secs and can be vtach monomorphic and polymorphic supraventricular tachycardia with aberrancy a pre excitation tachycardia or a. V tach can either be monomorphic or polymorphic.
Polymorphic ventricular tachycardia pvt is a form of ventricular tachycardia in which there are multiple ventricular foci with the resultant qrs complexes varying in amplitude axis and duration. Have been summarized below. Ventricular fibrillation vfib electrocardiogram ecg blood tests. Coronary catheterization angiogram cardiac computerized tomography ct magnetic resonance imaging mri summary of v tach and v fib.
Wide complex tachycardias are defined as a qrs of 0 12 second. In v fib your lower heart chambers contract in a very rapid and uncoordinated manner. In monomorphic v tach the ekg tracing is consistent and follows the same pattern. A dangerous condition related to ventricular tachycardia is ventricular fibrillation v fib.
Torsades de pointes tdp is a specific form of polymorphic ventricular tachycardia occurring in the context of qt prolongation. Polymorphic ventricular tachycardia. These rhythms include monomorphic ventricular tachycardia and polymorphic ventricular tachycardia both of which are wide complex tachycardias. Polymorphic vt is typically seen in association with acute myocardial infarction or ischemia mi ventricular hypertrophy and a number of genetic mutations that affect cardiac ion channels see table 249 1.
In v tach as it s commonly called the heart rate can be 170 beats per minute or even faster. The commonest cause of pvt is myocardial ischaemia. When the qrs complex varies from beat to beat the rhythm is described as polymorphic vt and suggests a variable electrical activation sequence. The points of difference between ventricular tachycardia and ventricular fibrillation.
There are several other tachycardia rhythms that can be seen with both stable and unstable tachycardia. Sometimes this rhythm may occur a. Sustained polymorphic vt usually degenerates into ventricular fibrillation vf. Ventricular tachycardia vs ventricular fibrillation arrhythmia means irregular cardiac rhythm and slow arrhythmias are called bradyarrhythmias and fast ones are called tachyarrhythmias there are various types of arrhythmias.