Podcast 635: Wide Complex Tachycardias

<p><strong>Contributor: Peter Bakes, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Two main differentials for wide complex tachycardia (WCT) include ventricular tachycardia (most common) and supraventricular tachycardia with aberrancy</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Brugada syndrome and Wolff-Parkinson White are potential causes</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Arrhythmogenic right ventricular dysplasia is a rare congenital cause of WCT that should be considered in younger patients presenting with WCT</span></li> </ul> <p><strong>References</strong></p> <p><span style="font-weight: 400;">B Garner J, M Miller J.</span> <a href= "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4711501/"><span style="font-weight: 400;"> Wide Complex Tachycardia - Ventricular Tachycardia or Not Ventricular Tachycardia, That Remains the Question</span></a><span style="font-weight: 400;">. Arrhythm Electrophysiol Rev. 2013;2(1):23-29. doi:10.15420/aer.2013.2.1.23</span></p> <p><span style="font-weight: 400;">Katritsis DG, Brugada J.</span> <a href= "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7675136/"><span style="font-weight: 400;"> Differential Diagnosis of Wide QRS Tachycardias</span></a><span style="font-weight: 400;">. Arrhythm Electrophysiol Rev. 2020;9(3):155-160. doi:10.15420/aer.2020.20</span></p> <p><span style="font-weight: 400;">Li KHC, Bazoukis G, Liu T, et al.</span> <a href= "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5828272/"><span style="font-weight: 400;"> Arrhythmogenic right ventricular cardiomyopathy/dysplasia (ARVC/D) in clinical practice</span></a><span style="font-weight: 400;">. J Arrhythm. 2017;34(1):11-22. Published 2017 Dec 21. doi:10.1002/joa3.12021</span></p> <p><em><span style="font-weight: 400;">Summarized by John Spartz, MS3 | Edited by Erik Verzemnieks, MD</span></em></p> <p><br /> <br /></p>