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De Ponti R, Marazzato J, Bagliani G, Tondini A, Donzelli S, Padeletti L. Peculiar Electrocardiographic Aspects of Wide QRS Complex Tachycardia: When Differential Diagnosis Is Difficult. Card Electrophysiol Clin 2018; 10:317-332. [PMID: 29784486 DOI: 10.1016/j.ccep.2018.02.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Wide complex tachycardia may represent a challenge for correct interpretation of standard electrocardiogram, which is crucial for proper patient management. For this reason, algorithms based on electrocardiographic criteria have been developed to guide interpretation in a step-by-step approach. Despite their greater accuracy, some cases of wide QRS complex tachycardia are a challenge. Some peculiar forms of ventricular tachycardia, and complex supraventricular substrate or particular clinical condition, may originate a challenging electrocardiographic pattern. In this article, a series of peculiar cases of wide QRS complex tachycardia is presented as paradigm of how important a comprehensive clinical approach is in these patients.
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Affiliation(s)
- Roberto De Ponti
- Department of Cardiology, School of Medicine, University of Insubria, Viale Borri, 57, Varese 21100, Italy.
| | - Jacopo Marazzato
- Department of Cardiology, School of Medicine, University of Insubria, Viale Borri, 57, Varese 21100, Italy
| | - Giuseppe Bagliani
- Arrhythmology Unit, Cardiology Department, Foligno General Hospital, Via Massimo Arcamone, Foligno, Perugia 06034, Italy; Cardiovascular Disease Department, University of Perugia, Piazza Menghini 1, Perugia 06129, Italy
| | - Alessandra Tondini
- Arrhythmology Unit, Cardiology Department, Terni Hospital, Piazzale Tristano da Joannuccio, 1, Terni 05100, Italy
| | - Stefano Donzelli
- Arrhythmology Unit, Cardiology Department, Terni Hospital, Piazzale Tristano da Joannuccio, 1, Terni 05100, Italy
| | - Luigi Padeletti
- Heart and Vessels Department, University of Florence, Largo Brambilla, 3, Florence 50134, Italy; Cardiology Department, IRCCS Multimedica, Via Milanese, 300, Sesto San Giovanni, Milan 20099, Italy
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COLLINS KATHRYNK, SCHAFFER MICHAELS, LIBERMAN LEONARDO, SAAREL ELIZABETH, KNECHT MARIA, TANEL RONNE, BRADLEY DAVID, DUBIN ANNEM, PAUL THOMAS, SALERNO JACK, BAR-COHEN YANIV, SREERAM NARAYANSWAMI, SANATANI SHUBHAYAN, LAW IANH, BLAUFOX ANDREW, BATRA ANJAN, MOLTEDO JOSEM, VAN HARE GEORGEF, REED JOHN, RO PAMELAS, KUGLER JOHN, ANDERSON CHRIS, TRIEDMAN JOHNK. Fascicular and Nonfascicular Left Ventricular Tachycardias in the Young: An International Multicenter Study. J Cardiovasc Electrophysiol 2013; 24:640-8. [DOI: 10.1111/jce.12105] [Citation(s) in RCA: 57] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/10/2012] [Revised: 01/08/2013] [Accepted: 01/10/2013] [Indexed: 11/30/2022]
Affiliation(s)
- KATHRYN K. COLLINS
- Division of Cardiology, Department of Pediatrics; The Children's Hospital, University of Colorado; Denver Colorado USA
| | - MICHAEL S. SCHAFFER
- Division of Cardiology, Department of Pediatrics; The Children's Hospital, University of Colorado; Denver Colorado USA
| | - LEONARDO LIBERMAN
- Division of Cardiology, Department of Pediatrics; Children's Hospital of NY-Presbyterian; New York New York USA
| | - ELIZABETH SAAREL
- Division of Cardiology, Department of Pediatrics; Primary Children's Hospital; Salt Lake City Utah USA
| | - MARIA KNECHT
- Division of Cardiology, Department of Pediatrics; The Children's Memorial Health Insitute; Warsaw Poland
| | - RONN E. TANEL
- Division of Cardiology, Department of Pediatrics; University of California; San Francisco California USA
| | - DAVID BRADLEY
- Division of Cardiology, Department of Pediatrics; C. S. Mott Children's Hospital; Ann Arbor Michigan USA
| | - ANNE M. DUBIN
- Division of Cardiology, Department of Pediatrics; Stanford University; Palo Alto California USA
| | - THOMAS PAUL
- Division of Cardiology, Department of Pediatrics; Georg-August-University; Göttingen Germany
| | - JACK SALERNO
- Division of Cardiology, Department of Pediatrics; Children's Heart Center; Seattle Washington USA
| | - YANIV BAR-COHEN
- Division of Cardiology, Department of Pediatrics; Children's Hospital; Los Angeles California USA
| | - NARAYANSWAMI SREERAM
- Division of Cardiology, Department of Pediatrics; University Hospital of Cologne; Koln Germany
| | - SHUBHAYAN SANATANI
- Division of Cardiology, Department of Pediatrics; British Columbia Children's Hospital; Vancouver British Columbia Canada
| | - IAN H. LAW
- Division of Cardiology, Department of Pediatrics; University of Iowa Children's Hospital; Iowa City Iowa USA
| | - ANDREW BLAUFOX
- Division of Cardiology, Department of Pediatrics; Steven and Alexandra Cohen Children's Medical Center of New York; New Hyde Park New York USA
| | - ANJAN BATRA
- Division of Cardiology, Department of Pediatrics, Childrens Hospital of Orange County; University of California-Irvine; Orange California USA
| | - JOSE M. MOLTEDO
- Division of Cardiology, Department of Pediatrics; Clinica y Maternidad Suizo Argentina; Buenos Aires Argentina
| | - GEORGE F. VAN HARE
- Division of Cardiology, Department of Pediatrics; Washington University School of Medicine/St. Louis Children's Hospital; St. Louis Missouri USA
| | - JOHN REED
- Division of Cardiology, Department of Pediatrics; Medical University of South Carolina; Charleston South Carolina USA
| | - PAMELA S. RO
- Division of Cardiology, Department of Pediatrics; Nationwide Children's Hospital; Columbus Ohio USA
| | - JOHN KUGLER
- Division of Cardiology, Department of Pediatrics; Nebraska Medical Center; Omaha Nebraska USA
| | - CHRIS ANDERSON
- Division of Cardiology, Department of Pediatrics; Northwest Center for Congenital Heart Disease; Spokane Washington USA
| | - JOHN K. TRIEDMAN
- Division of Cardiology, Department of Pediatrics; Children's Hospital; Boston Massachusetts USA
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Ischemic etiology for adenosine-sensitive fascicular tachycardia. J Electrocardiol 2011; 44:217-21. [DOI: 10.1016/j.jelectrocard.2010.07.021] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2010] [Indexed: 11/20/2022]
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