VT vs. SVT With Aberrancy Explained - High Yield & Made Easy!

Diagnosis and evaluation of wide complex tachycardias can be daunting at first, but after watching this video I guarantee you will feel more confident in figuring out how to diagnose and manage your patients! I talk all about SVT with aberrancy vs ventricular tachycardia (VT) and all other sorts of tachyarrhythmias. How to use different criteria to diagnose VT vs SVT with aberrancy including Brugada's criteria and multiple other clues that it is VT. What to look out for and general rules to follow when managing patients with wide complex tachyarrhythmias. Let me know what you think!
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[@keihndeth]

I teach people that RBBB and LBBB are like car turn signals... Up = R, Down = L in lead V1. Also of note, you won't see a V6 unless they are getting an EKG as most telemetry units only use 5-lead telemetry boxes.

[@heidistump5354]

Thank you !

[@yazanazzam6113]

thank you , it's helpful and informative

[@jankicheese]

super helpful thank you!

[@selimelsayed6842]

thank you continue

[@geobus3307]

Great!

[@Sickdude420]

Super awesome vid as usual. One point to make is, patients who you will be scratching your head with regarding SVT w Ab vs VT are usually patients who are on telemetry, and who have had a short run of a wide complex tachycardia, and basically you are being asked, was that just SVT + the patients underlying bundle branch block, or was it a NSVT...."DOES THIS PATIENT NEED A DEFIBRILLATOR DOC???"
Telemetry usually records limb leads , not precordial leads:( so you don't have the luxury of having all the precordial leads to apply the brugada criteria and help you make the differentiation.
Regardless, one must at least first master how to differentiate wide complex tachys on 12 lead ECGs before they can try and evaluate wide complex tachycardia with limited leads. So again this is very useful.

[@ConanLiuMD]

Love this nugget of info and thanks for posting it here! Super helpful to know how this would actually come up in real life haha. Hope you keep dropping wisdom here in the comments for everyone and thanks :D

[@aur4466]

Any wide complex tachy treat as VT unless proven otherwise probably by EP study or full ecg at a later stage.

[@crystalnaylor3979]

Mind blown… the mystery has been solved. Thank you so much!

[@a-ron9769]

Can you do a video on Afib with Abberancy ?

[@applebee4129]

Thank you…. Can you also make videos on neuro and cardio examination…..

[@zuhairyassin505]

doc what can happen if i used adenosine for diagnostic purposes in this situation in other words if i administered adenosine to a wide complex tach is it fatal ? my thought is to use adenosine to DDX VT from SVT with aberrancy

[@drfareeha1839]

Thankuuu❤🎉

[@dailydoseofmedicinee]

👏👏

[@danesthesia09]

How can you tell “upgoing” vs “down going”?

[@AkulaShark4748]

Thank you so much for the great initiative explaining a few videos and material together. The video is really helpful

[@kaze123ckr]

How can one know the onset of the QRS complex to apply the brugada sign? Or in the case of determining postivie or negative concordance? ( without the p wave to know the onset of QRS, dont know whether it is positve or negative wave )

[@shahidiqbal3707]

Awesomeness 😍

[@dollythakur570]

What website you are using to practice examples please tell.

[@ConanLiuMD]

In this video it was Life in the Fast Lane

[@Maryjcorder]

Can you clarify when you say “shock” the unstable patient if you are referring to synchronized cardioversion or defibrillation?

[@christlinmishal2741]

thank you so much. you made it so clear

[@amanasthana338]

Amazing Explanation!!!
Keep it Up!!!

[@ericsoles150]

This is by far my favorite presentation of VT. Thank you!

[@drmasoodamin1084]

Love from Afghanistan
Very nice, Keep it up please..

[@robertoconnell8153]

Great video!!! Thank you!!

[@sarahcan8311]

amazing!! Thank you for boiling down the approach and making it feel simple

[@saliha6767]

Thanks!

[@moriahnichols8178]

Fantastic presentation!

[@christopherkureliu8757]

awesome

[@RohanKayani]

Wonderful explanation. The best video on RUclips on this topic. Thank you for the excellent lecture. Best of luck!

[@janetony6326]

really nice video

[@j.b.8379]

Ive been to the hospital 6 times with a heart rate around 130 to 160. Starts suddenly and stops just the same. After an ablation (failed to cure it). Still dont have a diagnosis. Is it VT or SVT?! Can anybody help??

[@yamlauman583]

Very likely SVT

[@brightflex4130]

SVT

[@j.b.8379]

@@brightflex4130 thanks Dr brightflex. But youR diagnoses is still unconfirmed.

[@JohnnyWishbone85]

Thank you for this excellent explanation.
Also, LITFL is an absolutely fantastic resource on cardiology for non-cardiologists.

[@qaishamarsha8186]

amazing, as a medical student it helped me a lot. thank you so much