Wide complex tachycardia physical examination: Difference between revisions

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== Physical Examination ==
== Physical Examination ==
* Vitals should be obtained to assess hemodynamic stability and guide therapy
* Vitals should be obtained to assess hemodynamic stability and guide therapy.
* [[cannon a waves|Cannon "a waves"]] are a manifestation of [[AV dissociation]] and suggest VT
* [[cannon a waves|Cannon "a waves"]] are a manifestation of [[AV dissociation]] and suggest VT.
* [[Carotid sinus massage]] (CSM)/Valsalva: ST can gradually slow. MAT, AT, flutter, and AF may transiently slow.  An AV nodal dependent WCT may terminate.  AV dissociation may become more apparent with CSM in VT. VT can terminate with CSM
* [[Carotid sinus massage]] (CSM)/Valsalva: ST can gradually slow. MAT, AT, flutter, and AF may transiently slow.  An AV nodal dependent WCT may terminate.  AV dissociation may become more apparent with CSM in VT. VT can terminate with CSM.


==References==
==References==

Revision as of 19:44, 8 February 2013

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Physical Examination

  • Vitals should be obtained to assess hemodynamic stability and guide therapy.
  • Cannon "a waves" are a manifestation of AV dissociation and suggest VT.
  • Carotid sinus massage (CSM)/Valsalva: ST can gradually slow. MAT, AT, flutter, and AF may transiently slow. An AV nodal dependent WCT may terminate. AV dissociation may become more apparent with CSM in VT. VT can terminate with CSM.

References

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