Comparison of diagnostic accuracy of four ECG algorithms/criteria for the diagnosis of patient with wide QRS complex tachycardia /
Mohamed Said Ahmed Abouhadima
Comparison of diagnostic accuracy of four ECG algorithms/criteria for the diagnosis of patient with wide QRS complex tachycardia / مقارنة الدقة التشخيصية لاربعة الخوارزميات / معايير باستخدام تخطيط القلب الكهربائى لتشخيص تسارع القلب عريض المركب Mohamed Said Ahmed Abouhadima ; Supervised Hassan Khaled Naji , Ahmed Abdelazziz Mohamed , Ahmed Taher Mahmoud - Cairo : Mohamed Said Ahmed Abouhadima , 2021 - 113 P. : charts , facsimiles ; 25cm
Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Critical Care Medicine
Misdiagnosis of ventricular tachycardia as SVT based on hemodynamic stability is a common mistake that can lead to inappropriate and potentially dangerous therapy. The principal goal of a correct diagnosis at presentation is not to harm. An SVT incorrectly thought to be VT may be treated with electrical cardioversion oramiodarone not optimal therapy. If the presenting rhythm was instead atrial flutter (AFL), cardioversion in an unanticoagulated patient will incur a 1.5 % risk of stroke, harming one in every 66 patients, in addition to risky sedation, medication, and skin burn for electrical cardioversion. Worse still if the patient with VT is treated as SVT. In this condition, drugs with negative inotropic effects such as CCB (verapamil or diltiazem) may be used to control the presumed SVT. In one study, 100 % of patients given CCB (verapamil) for an inaccurate diagnosis of SVT had hemodynamic deterioration. This mistake must be avoided ifpossible
Criteria for the diagnosis Diagnostic accuracy of four ECG algorithms Superior Vena Cava (SVC)
Comparison of diagnostic accuracy of four ECG algorithms/criteria for the diagnosis of patient with wide QRS complex tachycardia / مقارنة الدقة التشخيصية لاربعة الخوارزميات / معايير باستخدام تخطيط القلب الكهربائى لتشخيص تسارع القلب عريض المركب Mohamed Said Ahmed Abouhadima ; Supervised Hassan Khaled Naji , Ahmed Abdelazziz Mohamed , Ahmed Taher Mahmoud - Cairo : Mohamed Said Ahmed Abouhadima , 2021 - 113 P. : charts , facsimiles ; 25cm
Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Critical Care Medicine
Misdiagnosis of ventricular tachycardia as SVT based on hemodynamic stability is a common mistake that can lead to inappropriate and potentially dangerous therapy. The principal goal of a correct diagnosis at presentation is not to harm. An SVT incorrectly thought to be VT may be treated with electrical cardioversion oramiodarone not optimal therapy. If the presenting rhythm was instead atrial flutter (AFL), cardioversion in an unanticoagulated patient will incur a 1.5 % risk of stroke, harming one in every 66 patients, in addition to risky sedation, medication, and skin burn for electrical cardioversion. Worse still if the patient with VT is treated as SVT. In this condition, drugs with negative inotropic effects such as CCB (verapamil or diltiazem) may be used to control the presumed SVT. In one study, 100 % of patients given CCB (verapamil) for an inaccurate diagnosis of SVT had hemodynamic deterioration. This mistake must be avoided ifpossible
Criteria for the diagnosis Diagnostic accuracy of four ECG algorithms Superior Vena Cava (SVC)