ECG-VENTRICULAR ARRHYTHMIA (VT)

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SUMMARY

1. Ventricular Tachycardia is defined as 3 consecutive ventricular beats with a rate > 100 beats/min.
2. May be self-limiting or sustained, may be tolerated (conscious VT) or cause life-threatening haemodynamic compromise.
3. ECG shows borad-complex tachycardia (QRS > 120 ms) with no normal looking complexes.

4. VT without a pulse is treated with defibrillation.
5. Conscious VT is treated with anti-arrhythmic drugs (Amiodarone, Lignocaine, Magnesium).
6. Cardioversion may be required. Remember: conscious VT can quickly deteriorate to pulseless VT.


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