Open AccessDiagnosing a wide complex tachycardia using basic electrophysiologic properties of the cardiac conduction system
Author(s) -
Siroky Gregory P.,
Mehta Davendra
Publication year - 2022
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1002/joa3.12657
Subject(s) - medicine , cardiology , palpitations , atrial fibrillation , tachycardia , pulmonary vein , atrial tachycardia , emergency department , electrophysiology study , coronary artery disease , anesthesia , catheter ablation , psychiatry
65‐year‐old man with a history of coronary artery disease s/p percutaneous coronary intervention to the left anterior descending artery and atrial fibrillation s/p recent (<3 months) pulmonary vein isolation presented to the emergency department with symptoms of palpitations for 1 day after admittedly forgetting to take his medications found to be in a wide complex tachycardia. We discuss a stepwise approach using properties of the conduction system to diagnose the patient’s tachycardia.