Wide Complex Tachycardias

Basic Cardiac Rhythm Recognition Wide Complex Tachycardias
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Transcript

Alright, now that we've talked about our narrow complex tachycardia, let's talk about our wide complex tachycardia. Now remember earlier I was saying that we're looking at our QRS complexes, which is the ventricular response to the atria and the atria is supposed to be in control. So a nice narrow QRS complex, he is in control. When we have a wide QRS complex, that means the ventricles are in control, and it's definitely not their job. So now we'll discuss our wide complex tachycardia. So we basically have two wide complex tech accordions that we're going to be able to identify today.

The first is going to be vt or ventricular tachycardia. And the second one will be Tor size, or Tor sods two point, but let's talk about vt or V TAC right now. Now v TAC is extremely easy to identify. Let's ask ourselves those six questions. See if we can make it all the way down to those six questions. So let's start at the beginning.

Is it fast? Or is it slow? is fast? Is your QRS complex? regular or irregular? It's definitely irregular.

Now, is it wide, or is it narrow? It's definitely wide. Do we see a P wave? I don't see a P wave. So if we can't see a P wave, we can't ask ourselves any more of these questions. So what we have here is vt or ventricular tachycardia.

Now I can identify ventricular tachycardia simply by using three words. It's fast, it's regular, and it's wide. Now, ventricular tachycardia is cousin is also known as an irregular or polymorphic, wide complex, taka cardia. So as you can see here, we do have an here Regular wide complex rhythm. Let's ask ourselves those six questions again. Is it fast?

Or is it slow? No, it's definitely beating fast. Is your rhythm regular or irregular? Looks irregular to me. And it's your QRS complex wide, or is it narrow? Well, that's definitely why.

So in this case, we will call this torso HUD's or irregular or polymorphic, wide complex tech cardia. I think you're doing fantastic. Nice job.

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