Ventricular tachycardia: Difference between revisions
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{{Infobox medical condition | |||
| name = Ventricular tachycardia | |||
| image = [[File:Lead_II_rhythm_ventricular_tachycardia_Vtach_VT_(cropped).JPG|250px]] | |||
| caption = [[Electrocardiogram|ECG]] showing ventricular tachycardia | |||
| field = [[Cardiology]] | |||
| synonyms = V-tach, VT | |||
| symptoms = [[Palpitations]], [[dizziness]], [[shortness of breath]], [[chest pain]], [[syncope]] | |||
| complications = [[Cardiac arrest]], [[ventricular fibrillation]], [[heart failure]] | |||
| onset = Sudden | |||
| duration = Seconds to minutes | |||
| causes = [[Coronary artery disease]], [[myocardial infarction]], [[cardiomyopathy]], [[electrolyte imbalance]], [[drug toxicity]] | |||
| risks = [[Heart disease]], [[previous heart attack]], [[genetic disorders]] | |||
| diagnosis = [[Electrocardiogram]], [[Holter monitor]], [[electrophysiological study]] | |||
| differential = [[Supraventricular tachycardia]], [[atrial fibrillation]], [[atrial flutter]] | |||
| treatment = [[Antiarrhythmic agent|Antiarrhythmic drugs]], [[cardioversion]], [[implantable cardioverter-defibrillator]], [[catheter ablation]] | |||
| prognosis = Variable, depends on underlying cause and treatment | |||
| frequency = Common in people with heart disease | |||
}} | |||
'''Ventricular tachycardia''' (VT) is a cardiac arrhythmia characterized by a rapid heart rate, usually exceeding 100 or 120 beats per minute, originating from the ventricles. It's defined by three or more consecutive ventricular complexes on an electrocardiogram (ECG). The QRS complexes in ventricular tachycardia are typically wide and have an abnormal morphology. | '''Ventricular tachycardia''' (VT) is a cardiac arrhythmia characterized by a rapid heart rate, usually exceeding 100 or 120 beats per minute, originating from the ventricles. It's defined by three or more consecutive ventricular complexes on an electrocardiogram (ECG). The QRS complexes in ventricular tachycardia are typically wide and have an abnormal morphology. | ||
== '''Causes''' == | == '''Causes''' == | ||
Ventricular tachycardia is often associated with structural heart disease, particularly [[ischemic heart disease]], [[cardiomyopathy]], and [[myocarditis]]. Other causes may include congenital heart diseases, [[electrolyte imbalance]], drug toxicity, or [[channelopathies]] like [[Long QT syndrome]]. | Ventricular tachycardia is often associated with structural heart disease, particularly [[ischemic heart disease]], [[cardiomyopathy]], and [[myocarditis]]. Other causes may include congenital heart diseases, [[electrolyte imbalance]], drug toxicity, or [[channelopathies]] like [[Long QT syndrome]]. | ||
== '''Symptoms''' == | == '''Symptoms''' == | ||
Symptoms can range from none to life-threatening. They may include palpitations, dizziness, shortness of breath, and loss of consciousness. In some cases, ventricular tachycardia can lead to [[ventricular fibrillation]], a life-threatening arrhythmia that can cause cardiac arrest. | Symptoms can range from none to life-threatening. They may include palpitations, dizziness, shortness of breath, and loss of consciousness. In some cases, ventricular tachycardia can lead to [[ventricular fibrillation]], a life-threatening arrhythmia that can cause cardiac arrest. | ||
== '''Diagnosis''' == | == '''Diagnosis''' == | ||
Diagnosis is typically made based on an ECG. It shows a heart rate over 100 beats per minute with wide and abnormal QRS complexes, indicating the rhythm's ventricular origin. Other diagnostic tests may include echocardiography, coronary angiography, or electrophysiologic studies. | Diagnosis is typically made based on an ECG. It shows a heart rate over 100 beats per minute with wide and abnormal QRS complexes, indicating the rhythm's ventricular origin. Other diagnostic tests may include echocardiography, coronary angiography, or electrophysiologic studies. | ||
== '''Treatment''' == | == '''Treatment''' == | ||
Treatment for ventricular tachycardia aims to restore a normal heart rate, treat underlying causes, and prevent future episodes. This might include antiarrhythmic medications, electrical cardioversion, catheter ablation, or implantation of a cardioverter-defibrillator. | Treatment for ventricular tachycardia aims to restore a normal heart rate, treat underlying causes, and prevent future episodes. This might include antiarrhythmic medications, electrical cardioversion, catheter ablation, or implantation of a cardioverter-defibrillator. | ||
== '''See Also''' == | == '''See Also''' == | ||
* [[Cardiac arrhythmia]] | * [[Cardiac arrhythmia]] | ||
* [[Ischemic heart disease]] | * [[Ischemic heart disease]] | ||
| Line 26: | Line 33: | ||
* [[Electrocardiogram]] | * [[Electrocardiogram]] | ||
== '''References''' == | == '''References''' == | ||
<references/> | <references/> | ||
# Zipes DP, Camm AJ, Borggrefe M, et al. ACC/AHA/ESC 2006 Guidelines for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death. Circulation. 2006;114:e385–e484. | # Zipes DP, Camm AJ, Borggrefe M, et al. ACC/AHA/ESC 2006 Guidelines for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death. Circulation. 2006;114:e385–e484. | ||
Latest revision as of 19:14, 8 April 2025

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| Ventricular tachycardia | |
|---|---|
| Synonyms | V-tach, VT |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Palpitations, dizziness, shortness of breath, chest pain, syncope |
| Complications | Cardiac arrest, ventricular fibrillation, heart failure |
| Onset | Sudden |
| Duration | Seconds to minutes |
| Types | N/A |
| Causes | Coronary artery disease, myocardial infarction, cardiomyopathy, electrolyte imbalance, drug toxicity |
| Risks | Heart disease, previous heart attack, genetic disorders |
| Diagnosis | Electrocardiogram, Holter monitor, electrophysiological study |
| Differential diagnosis | Supraventricular tachycardia, atrial fibrillation, atrial flutter |
| Prevention | N/A |
| Treatment | Antiarrhythmic drugs, cardioversion, implantable cardioverter-defibrillator, catheter ablation |
| Medication | N/A |
| Prognosis | Variable, depends on underlying cause and treatment |
| Frequency | Common in people with heart disease |
| Deaths | N/A |
Ventricular tachycardia (VT) is a cardiac arrhythmia characterized by a rapid heart rate, usually exceeding 100 or 120 beats per minute, originating from the ventricles. It's defined by three or more consecutive ventricular complexes on an electrocardiogram (ECG). The QRS complexes in ventricular tachycardia are typically wide and have an abnormal morphology.
Causes[edit]
Ventricular tachycardia is often associated with structural heart disease, particularly ischemic heart disease, cardiomyopathy, and myocarditis. Other causes may include congenital heart diseases, electrolyte imbalance, drug toxicity, or channelopathies like Long QT syndrome.
Symptoms[edit]
Symptoms can range from none to life-threatening. They may include palpitations, dizziness, shortness of breath, and loss of consciousness. In some cases, ventricular tachycardia can lead to ventricular fibrillation, a life-threatening arrhythmia that can cause cardiac arrest.
Diagnosis[edit]
Diagnosis is typically made based on an ECG. It shows a heart rate over 100 beats per minute with wide and abnormal QRS complexes, indicating the rhythm's ventricular origin. Other diagnostic tests may include echocardiography, coronary angiography, or electrophysiologic studies.
Treatment[edit]
Treatment for ventricular tachycardia aims to restore a normal heart rate, treat underlying causes, and prevent future episodes. This might include antiarrhythmic medications, electrical cardioversion, catheter ablation, or implantation of a cardioverter-defibrillator.
See Also[edit]
References[edit]
<references/>
- Zipes DP, Camm AJ, Borggrefe M, et al. ACC/AHA/ESC 2006 Guidelines for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death. Circulation. 2006;114:e385–e484.
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