Pulseless ventricular tachycardia diagnostic study of choice

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aisha Adigun, B.Sc., M.D.[2]

Overview

The diagnosis of pulseless ventricular tachycardia is based on ECG and physical examination findings. An ECG should be the initial study, and other investigations may be carried out afterwards to determine the underlying aetiology.

Diagnostic Study of Choice

Study of choice

  • An ECG should be the initial study,[1] and other investigations may be carried out afterward to determine the underlying etiology.[2]
  • In order to evaluate left and right ventricular function in patients with ventricular arrhythmias, echocardiography should be performed.[3]
  • If echocardiography fails to determine ventricular function, MRI, cardiac CT scanning, or radionuclide angiography can be useful assessments of structural heart changes.

References

  1. Foglesong A, Mathew D. PMID 32119354 Check |pmid= value (help). Missing or empty |title= (help)
  2. Neumar RW, Shuster M, Callaway CW, Gent LM, Atkins DL, Bhanji F, Brooks SC, de Caen AR, Donnino MW, Ferrer JM, Kleinman ME, Kronick SL, Lavonas EJ, Link MS, Mancini ME, Morrison LJ, O'Connor RE, Samson RA, Schexnayder SM, Singletary EM, Sinz EH, Travers AH, Wyckoff MH, Hazinski MF (November 2015). "Part 1: Executive Summary: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care". Circulation. 132 (18 Suppl 2): S315–67. doi:10.1161/CIR.0000000000000252. PMID 26472989.
  3. Dalia AA, Essandoh M, Cronin B, Hussain N, Gerstein NS, Schulman P (June 2019). "A Narrative Review for Anesthesiologists of the 2017 American Heart Association/American College of Cardiology/Heart Rhythm Society Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death". J. Cardiothorac. Vasc. Anesth. 33 (6): 1722–1730. doi:10.1053/j.jvca.2019.01.004. PMID 30685157.


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