ECG library
Monomorphic ventricular tachycardia
advancedA 63-year-old with a prior anterior infarct, palpitations, and a BP of 92/60.
25 mm/s · 10 mm/mV · synthetic tracing
100%
Calipers:2000 ms50.0 small boxes30 bpm if R-RDrag the orange markers. One small box = 40 ms.
Key findings
- Wide, regular, fast
- Structural heart disease history
- AV dissociation when visible is diagnostic
Learning points
- A wide-complex tachycardia in a patient with prior infarction is VT until proven otherwise.
- Hemodynamic stability never excludes VT; treat the rhythm, not the blood pressure alone.
Connected