The Wide QRS Tachycardia
Authors: HEIN J. J. WELLENS
Journal: Annals of Internal Medicine (1986)

Editorials1 June 1986The Wide QRS TachycardiaHEIN J. J. WELLENS, M.D.HEIN J. J. WELLENS, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-104-6-879 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe correct differentiation between a supraventricular and ventricular origin of a wide QRS tachycardia is of obvious diagnostic, therapeutic, and prognostic importance. In this issue, Stewart and colleagues ( 1 ) present a rather gloomy picture of the diagnostic ability of physicians initially managing patients with a wide QRS tachycardia. An incorrect diagnosis of supraventricular tachycardia was followed by treatment with verapamil with frequently deleterious results.These mistakes unfortunately are made too often in both the United States and Europe (2, 3). Their occurrence stresses that a physician should only treat a patient with a wide QRS tachycardia when that...References1. STEWARTBARDYGREENE RGH. Wide complex tachycardia: misdiagnosis and outcome after emergent therapy. Ann Intern Med. 1986;104:766-71. LinkGoogle Scholar2. MORADYBAERMANDICARLODEBUITLEIRKROLWEHR FJLMRD. A prevalent misconception regarding wide-complex tachycardias. JAMA. 1985;254:2790-2. CrossrefMedlineGoogle Scholar3. DANCYCAMMWARD MAD. Misdiagnosis of chronic recurrent ventricular tachycardia. Lancet. 1985;2:320-3. CrossrefMedlineGoogle Scholar4. WELLENS H. The electrocardiogram 80 years after Einthoven. J Am Coll Cardiol. 1986;7:484-91. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: HEIN J. J. WELLENS, M.D.Affiliations: Academic Hospital of Maastricht University of Limburg Maastricht, the Netherlands PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byWolff–Parkinson–White SyndromeAutomatic detection of ventricular and supraventricular wide QRS arrhythmias using complex of morphological criteria and algorithmsPerioperative Management of the Wolff-Parkinson-White SyndromeSupraventricular Tachycardia—Part ICan a new algorithm improve diagnostic accuracy in wide QRS complex tachycardia?Wide QRS complex tachycardia: ECG differential diagnosisAcute Treatment of Atrial FibrillationBedside Diagnosis of Wide QRS TachycardiaWide Complex TachycardiaEmergency management of wide complex tachycardiaPrehospital misidentification of tachydysrhythmias: A report of five casesManagement strategies in wide QRS complex tachycardiaClinical profile of patients with Chagas' disease before and during sustained ventricular tachycardiaIntravenous adenosine triphosphate during wide QRS complex tachycardia: Safety, therapeutic efficacy, and diagnostic utilityHerzrhythmusstörungen bei alten Menschen — Möglichkeiten und Grenzen der TherapieDifferential Diagnosis of Wide QRS TachycardiasWide QRS-Complex TachycardiaKeith D. Wrenn, MDElectrocardiographic criteria for ventricular tachycardia in wide complex left bundle branch block morphology tachycardiasSupraventricular tachycardia with aberrant conduction versus ventricular tachycardia: Differentiation and diagnosisWolff-Parkinson-White syndrome with atrial fibrillationIn replyUpdate on the Emergent Treatment of ArrhythmiasA wide, complex look at cardiac dysrhythmiasTachyarrhythmia ManagementCorrection: Wide Complex TachycardiaG. V. REDDY, M.D.Atrial Electrocardiography for Diagnosis of Wide QRS TachycardiaTED FELDMAN, M.D. 1 June 1986Volume 104, Issue 6Page: 879-879KeywordsTachycardia ePublished: 1 December 2008 Issue Published: 1 June 1986 PDF downloadLoading ...