Irregular WCT is likely a sign of ischemia or a result of prolonged QT interval. Do not hesitate to call a “Code Blue” for appropriate back up and initiating ACLS protocol. Consult Cardiology early for aid in management.

2023年6月26日 · To put it all together, a WCT is considered a cardiac dysrhythmia that is > 100 beats per minute, wide QRS (> 0.12 seconds), and can have either a regular or irregular rhythm. This article will be covering WCT’s etiologies, epidemiology, evaluation, management, treatment, prognosis, complications, and prevention.

2015年12月21日 · Adenosine can be used initially for stable regular wide complex tachycardia. This is because a WCT caused by SVT with aberrancy (and right ventricular outflow tract ventricular tachycardia) are responsive to adenosine. Synchronized Cardioversion is the preferred treatment for unstable WCT. Conclusion

2021年5月2日 · Acute management: The first priority when evaluating a patient with a WCT is the assessment of patient stability. Patient in cardiac arrest: Patients who become unresponsive or pulseless are considered to have a cardiac arrest and are treated according to standard ACLS algorithms (figure 5).

2019年7月1日 · Sustained wide-complex tachycardia (WCT), that is, WCT recorded in a 12-lead electrocardiogram (ECG), is a common presentation in the emergency department and in other acute-care settings. The differential diagnosis includes ventricular tachycardia (VT) and supraventricular tachycardia (SVT), including atrial fibrillation, with aberrant ...

When the heartbeat rate exceeds the normal and consistently exceeds 100 beats per minute, the condition is considered tachycardia. The ACLS Tachycardia Algorithm is a part of the Advance Cardiac Life Support (ACLS) algorithm used in emergency medicine to …

Wide complex tachycardia is a cardiac rhythm with more than 100 ventricular beats per minute and a QRS complex of 120 ms or greater.

2021年6月30日 · When facing a WCT, it is important to remember that VT is the cause in 80% of the cases. If the patient has ischemic heart disease, then VT is the cause in 90% of the cases. General Approach: Misdiagnosing SVT as VT would lead to treating with cardioversion and amiodarone. This is aggressive treatment for SVT, but it’s not harmful.

Wide QRS complex tachycardia (WCT), defi ned as a heart rate greater than 100 beats per minute accompanied by a widened QRS complex ( 120 ms), is an uncommon but potentially lethal arrhythmia treated in the emergency department (ED) [1ñ3].

The main areas of emphasis in the Advanced Cardiac Life Support (ACLS) guidelines are: early recognition of cardiac arrest and call for help; good-quality chest compressions; early defibrillation...