Vt Vs Svt With Aberrancy Ecg. In particular treating a wide complex tachycardia with a calcium channel blocker is a dangerous decision that could have fatal consequences for your patient. The short answer is yes but it can be very difficult and even experienced clinicians can misdiagnose vt as svt with aberrancy.
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And iii is there. You will see that the morphology is quite different to the ecg above. This was proven when a previous ecg in sinus was found and had the exact same lbbb morphology.
Among the ecg features i look to first for rapid distinction between an svt rhythm with qrs widening due to either preexisting bbb or aberrant conduction vs vt are.
However the qrs is not very wide at all. The most important distinction is whether the rhythm is ventricular vt or supraventricular svt with aberrancy as this will significantly influence how you manage the patient. However the qrs is not very wide at all. The ecg below shows a lbbb morphology with a rapid rate.
