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- W172837013 abstract "“I should know this!” These words, or ones conveying a similar meaning, are often uttered by a physician who is given a sick patient's electrocardiogram (ECG) that shows a wide QRS complex tachycardia (WCT). Despite a wealth of established criteria, the diagnosis of a WCT remains difficult for the practicing physician. Making the correct diagnosis is important not only for choosing appropriate initial therapy to terminate the arrhythmia episode but also for subsequent management. For example, many physicians assume that a WCT in a patient who is alert and hemodynamically stable must be supraventricular tachycardia (SVT) because “the condition of patients with ventricular tachycardia (VT) is always unstable.” If the rhythm is actually VT in a patient with reduced systolic function and an injection of verapamil is given for treatment of presumed SVT, severe and prolonged hypotension may result, and a stable situation can quickly become very unstable. An incorrect initial diagnosis can also set the wrong course for chronic therapy with potentially disastrous results. Thus, arriving at the correct diagnosis of the cause of WCT is more than an intellectual exercise." @default.
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- W172837013 date "2004-01-01" @default.
- W172837013 modified "2023-09-30" @default.
- W172837013 title "Differential Diagnosis of Wide QRS Complex Tachycardia" @default.
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