Initial evaluation and management of wide-complex tachycardia: A simplified and practical approach

Laszlo Littmann, Elizabeth G Olson, Michael A Gibbs
American Journal of Emergency Medicine 2019, 37 (7): 1340-1345
The evaluation and treatment of wide QRS-complex tachycardia remains a challenge, and mismanagement is quite common. Diagnostic aids such as wide-complex tachycardia algorithms perform poorly in the real-life setting. The purpose of this review is to offer a simple clinical-electrocardiographic approach for the initial evaluation and management of the adult patient with stable wide-complex tachycardia that does not require recollection of complex guidelines or algorithms.

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