Cited by 280Cardiac Arrhythmias and TreatmentsCardiac electrophysiology and arrhythmiasECG Monitoring and Analysis

The DOI matches its Crossref record; 26 of the 28 references it cites were found in a registry or an index.

New algorithm using only lead aVR for differential diagnosis of wide QRS complex tachycardia

Vereckei, András, Duray, Gábor, Szénási, Gábor, Altemose, Gregory T., Miller, John M.·2008·Heart Rhythm

DOI 10.1016/j.hrthm.2007.09.020

Open this paper in CoChat — free account

Abstract

Background We recently reported an ECG algorithm for differential diagnosis of regular wide QRS complex tachycardias that was superior to the Brugada algorithm.Objective The purpose of this study was to further simplify the algorithm by omitting the complicated morphologic criteria and restricting the analysis to lead aVR.Methods In this study, 483 wide QRS complex tachycardias [351 ventricular tachycardias (VTs), 112 supraventricular tachycardias (SVTs), 20 preexcited tachycardias] from 313 patients with proven diagnoses were prospectively analyzed by two of the authors blinded to the diagnosis. Lead aVR was analyzed for (1) presence of an initial R wave, (2) width of an initial r or q wave >40 ms, (3) notching on the initial downstroke of a predominantly negative QRS complex, and (4) ventricular activation-velocity ratio (v(i)/v(t)), the vertical excursion (in millivolts) recorded during the initial (v(i)) and terminal (v(t)) 40 ms of the QRS complex. When any of criteria 1 to 3 was present, VT was diagnosed; when absent, the next criterion was analyzed. In step 4, v(i)/v(t) >1 suggested SVT, and v(i)/v(t) < or =1 suggested VT.Results The accuracy of the new aVR algorithm and our previous algorithm was superior to that of the Brugada algorithm (P = .002 and P = .007, respectively). The aVR algorithm and our previous algorithm had greater sensitivity (P <.001 and P = .001, respectively) and negative predictive value for diagnosing VT and greater specificity (P <.001 and P = .001, respectively) and positive predictive value for diagnosing SVT compared with the Brugada criteria.Conclusion The simplified aVR algorithm classified wide QRS complex tachycardias with the same accuracy as standard criteria and our previous algorithm and was superior to the Brugada algorithm.

Integrity signals

Registry

Crossref · 10.1016/j.hrthm.2007.09.020

Cites

26 of 26 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Cardiac Electrophysiology: From Cell to Bedside
(1991) · Annals of Internal Medicine · doi:10.7326/0003-4819-114-12-1069_5 · Cited by 2,380
A new approach to the differential diagnosis of a regular tachycardia with a wide QRS complex
Brugada, P., Brugada, J., Mont, L., Smeets, J., & Andries, E. W. (1991) · Circulation · doi:10.1161/01.cir.83.5.1649 · Cited by 738
The value of the electrocardiogram in the differential diagnosis of a tachycardia with a widened QRS complex
Wellens, H. J. J., Bär, F. W. H. M., & Lie, K. I. (1978) · The American Journal of Medicine · doi:10.1016/0002-9343(78)90176-6 · Cited by 538
Electrocardiographic criteria for ventricular tachycardia in wide complex left bundle branch block morphology tachycardias
Kindwall, K. E., Brown, J., & Josephson, M. E. (1988) · The American Journal of Cardiology · doi:10.1016/0002-9149(88)91169-1 · Cited by 253
Application of a new algorithm in the differential diagnosis of wide QRS complex tachycardia
Vereckei, A., Duray, G. Z., Szénási, G., Altemose, G. T., & Miller, J. M. (2006) · European Heart Journal · doi:10.1093/eurheartj/ehl473 · Cited by 246
Wide QRS Complex Tachycardia
Masood, A. A., Shenasa, M., Mohammad, J., Caceres, J., & Tchou Patrick, J. (1988) · Annals of Internal Medicine · doi:10.7326/0003-4819-109-11-905 · Cited by 210
Diagnostic electrocardiography and vectorcardiography
(1971) · American Heart Journal · doi:10.1016/0002-8703(71)90182-7 · Cited by 149
Ventricular tachycardia as default diagnosis in broad complex tachycardia
GRIFFITH, M. J., Mounsey, P., CAMM, A. J., & Garratt, C. J. (1994) · The Lancet · doi:10.1016/s0140-6736(94)91223-8 · Cited by 128
Hazards of intravenous verapamil for sustained ventricular tachycardia
Buxton, A. E., Marchlinski, F. E., Doherty, J. U., Flores, B. T., & Josephson, M. E. (1987) · The American Journal of Cardiology · doi:10.1016/0002-9149(87)90857-5 · Cited by 128
MISDIAGNOSIS OF CHRONIC RECURRENT VENTRICULAR TACHYCARDIA
Dancy, M. C., Camm, A. J., & Ward, D. E. (1985) · The Lancet · doi:10.1016/s0140-6736(85)90363-0 · Cited by 117

Flagged first, then by citations

Show all 28 references

2 of the 28 references couldn’t be matched to a known paper.

Sorted by citations

Items 101–200 of 279

Cardiac Arrhythmias and Pregnancy
SPEARS, D. A., & Elkayam, U. (2019) · Wiley eBooks · doi:10.1002/9781119409861.ch15 · Cited by 6
Wide complex tachycardia differentiation: An examination of traditional and contemporary approaches
McGill, T. D., Kashou, A. H., Deshmukh, A. J., LoCoco, S., May, A. M., & DeSimone, C. V. (2020) · Journal of Electrocardiology · doi:10.1016/j.jelectrocard.2020.04.006 · Cited by 5
Limitations in the aVR algorithm should not lead to a redefinition of ventricular tachycardia
Jastrzębski, M., & Kukla, P. (2012) · EP Europace · doi:10.1093/europace/eus195 · Cited by 5
Importance of lead aVR on predicting adverse cardiac events in patients with noncompaction cardiomyopathy
Ekizler, F. A., Çay, S., Ülvan, N., Tak, B. T., Çetin, E. H. Ö., Kafes, H., Özeke, Ö., Özcan, F., Topaloğlu, S., Tüfekçioğlu, O., et al. (2019) · Annals of Noninvasive Electrocardiology · doi:10.1111/anec.12719 · Cited by 5
“The lead aVR, a commonly neglected lead in rutin clinical prac‐ tice, has been reported to have a unique diagnostic value in spe‐ cific clinical settings including left main coronary artery lesions or diagnosis of cardiac arrhythmias (Ducas et al., 2013; Vereckei et al., 2008).”
Background
Mayo Clinic VT calculator: A practical tool for accurate wide complex tachycardia differentiation
Kashou, A. H., LoCoco, S., Gardner, M. R., Webb, J., Jentzer, J. C., Noseworthy, P. A., DeSimone, C. V., Deshmukh, A. J., Asirvatham, S. J., & May, A. M. (2023) · Annals of Noninvasive Electrocardiology · doi:10.1111/anec.13085 · Cited by 5
“…et al., 1991; Chen et al., 2019; Griffith et al., 1994; Jastrzebski et al., 2016; Kindwall et al., 1988; Moccetti et al., 2022; Pava et al., 2010; Vereckei et al., 2008; Wellens et al., 1978), only recent works (Kashou, DeSimone, Deshmukh, et al., 2020; Kashou, Lo-Coco, McGill, et al., 2022;…”
BackgroundMethod
Aberrancy masquerading as ventricular tachycardia: Importance of invasive electrophysiology study for diagnosis of wide complex tachycardias
William, J., Kistler, P. M., Kalman, J. M., Scheinman, M. M., Sugumar, H., Prabhu, S., Ling, L., Vedantham, V., Tseng, Z. H., Moss, J. D., et al. (2024) · Journal of Electrocardiology · doi:10.1016/j.jelectrocard.2024.05.099 · Cited by 4
Machine-learning guided differentiation between photoplethysmography waveforms of supraventricular and ventricular origin
Manninger, M., Lercher, I., Hermans, A. N. L., Isaksen, J. L., Prassl, A. J., Zirlik, A., Vernooy, K., Chaldoupi, S., LUERMANS, J. G. L. M., ter Bekke, R. M. A., et al. (2025) · Computer Methods and Programs in Biomedicine · doi:10.1016/j.cmpb.2025.108798 · Cited by 4
Confounding factors leading to misdiagnosing ventricular tachycardia as supraventricular in the emergency room
Farré, J., Campal, J. M. R., & Sternick, E. B. (2022) · Indian Pacing and Electrophysiology Journal · doi:10.1016/j.ipej.2022.11.002 · Cited by 4
“However, considering a history of structural heart disease as indicative of VT in a patient with a broad QRS tachycardia would have resulted in a proper diagnosis in 95% of instances [7].”
BackgroundMethod
An artificial intelligence–enabled Holter algorithm to identify patients with ventricular tachycardia by analysing their electrocardiogram during sinus rhythm
Gendelman, S., Zvuloni, E., Oster, J., Suleiman, M. A., Derman, R., & Behar, J. A. (2024) · European Heart Journal - Digital Health · doi:10.1093/ehjdh/ztae025 · Cited by 6
Clinical Significance of the Forsaken aVR in Evaluation of Tachyarrhythmias: A Reminder
Jain, D. (2017) · JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH · doi:10.7860/jcdr/2017/29194.10138 · Cited by 4
Physiologic Variants of Cardiac Conduction (Aberration, Gap, Supernormal Conduction)
Miles, W. M., & George, P. (2021) · Cardiac Electrophysiology Clinics · doi:10.1016/j.ccep.2021.07.002 · Cited by 4
Non-sustained wide complex tachycardia: an underappreciated sign to aid in diagnosis
Padala, S. K., Sidhu, M. S., Brown, J. R., Zipursky, J. S., Steckman, D. A., Parikh, D. R., & Greenberg, M. L. (2015) · EP Europace · doi:10.1093/europace/euv273 · Cited by 4
Case 4-2020: A 52-Year-Old Woman with Seizure Disorder and Wide-Complex Tachycardia
Kramer, D. B., Mihatov, N., Buch, K. A., Zafar, S. F., & Ruskin, J. N. (2020) · New England Journal of Medicine · doi:10.1056/nejmcpc1913471 · Cited by 4
Approach to Wide QRS Complex Tachycardias
Issa, Z. F., Miller, J. M., & Zipes, D. P. (2012) · Elsevier eBooks · doi:10.1016/b978-1-4557-1274-8.00021-x · Cited by 4
New ECG criteria for differential diagnosis of wide QRS complex tachycardias with right bundle branch block pattern
Борисович, Ш. Н., Salami, H. F., Киктев, В. Г., & Sokolov, S. F. (2019) · Terapevticheskii arkhiv · doi:10.26442/00403660.2019.04.000210 · Cited by 4
Why “don’t work” electrocardiographic algorithms for differential diagnostics of wide QRS tachycardia
Медведев, М. М., & Parizhskiy, A. V. (2020) · Journal of Arrhythmology · doi:10.35336/va-2020-2-54-66 · Cited by 4
“[10] приводит к оценке комплексов как желудочковых на втором его шаге (наличие начального R в отведении aVR), а aVR алгоритм тех же авторов [11] позволяет добиться того же результата уже на первом шаге.”
Influential
Validação de um Algoritmo Simples para Detecção de Taquicardia Ventricular no Eletrocardiograma
Santos, F. J. D. S., Pisani, C. F., Darrieux, F., CIRINO, C. M. F., HACHUL, D. T., Santos, A. M., Pérez‐Riera, A. R., Barbosa‐Barros, R., & Scanavacca, M. (2021) · Arquivos Brasileiros de Cardiologia · doi:10.36660/abc.20190501 · Cited by 4
“Etapa 2 48,0 (43,5-52,5) 86,8 (81,8-90,9) 88,7 (84,3-92,3) 43,6 (39,0-48,3) 60,3 (56,7-63,9)”
Idiopathic intrafascicular reentrant left ventricular tachycardia in an elite cyclist athlete.
Pérez‐Riera, A. R., Ragognette, R. G., Filho, C. F., Ferreira, M., Schapachnik, E., Dubner, S., Ferreira, C., Mochon, A., & Zhang, L. (2009) · PubMed · Cited by 4
Wide QRS tachycardias: the rationale behind electrocardiographic diagnostic criteria
Marinucci, L. F. B., & Chalela, W. A. (2020) · Journal of Cardiac Arrhythmias · doi:10.24207/jca.v33i3.3408 · Cited by 3
Еlectrocardiographic criteria and algorithms for differential diagnosis of wide QRS complexes arrhythmias
Budanova, M. A., Chmelevsky, M. P., Treshkur, T. V., & Тихоненко, В. М. (2021) · Journal of Arrhythmology · doi:10.35336/va-2020-4-24-32 · Cited by 3
Electrocardiographic Differential Diagnosis of Narrow QRS and Wide QRS Complex Tachycardias
Song, B. G. (2022) · IntechOpen eBooks · doi:10.5772/intechopen.102568 · Cited by 3
Management of hemodynamically stable wide QRS complex tachycardia in patients with implantable cardioverter defibrillators
Regoli, F. D., Cattaneo, M., Kola, F., Thartori, A., Bytyci, H., Saccarello, L., Amoruso, M., Valentino, M. D., & Menafoglio, A. (2023) · Frontiers in Cardiovascular Medicine · doi:10.3389/fcvm.2022.1011619 · Cited by 3
“The most comprehensive and accurate algorithm is, in fact, based on a systematic and structured approach (15) which integrates clinical features (patient history and comparison of a previous ECG for example) (16–18), pathognomonic ECG features for the diagnosis of VT (18), and morphological features of VT in the preco…”
Method
Refining ECG interpretation: From false assumptions to evidence-based precision
de Alencar, J. N., Cirenza, C., & de Paola, Â. A. V. (2024) · Journal of Electrocardiology · doi:10.1016/j.jelectrocard.2024.153803 · Cited by 3
Automated differentiation of wide QRS complex tachycardia using QRS complex polarity
May, A. M., Katbamna, B. B., Shaikh, P. A., LoCoco, S., Deych, E., Zhou, R., Liu, L., Mikhova, K. M., Ghadban, R., Cuculich, P. S., et al. (2024) · Communications Medicine · doi:10.1038/s43856-024-00725-2 · Cited by 3
Atypical response of class IC atrial flutter to adenosine
Rotondi, F., Lanzillo, T., Manganelli, F., Lanni, F., Alfano, F., Stanco, G., & Rosato, G. F. (2015) · Monaldi Archives for Chest Disease · doi:10.4081/monaldi.2011.188 · Cited by 3
“A qR pattern in aVR with a q wave duration ≥40 ms is another typical diagnostic feature of aberrant ventricular conduction [7].”
Background
R-wave peak time at lead II in Chinese healthy adults
Deng, J., Chen, T., Zeng, C., Lu, N., Zhou, L., Tan, X., & Yu, M. (2016) · BMC Cardiovascular Disorders · doi:10.1186/s12872-016-0258-7 · Cited by 3
Ventrikuläre Herzrhythmusstörungen
Duncker, D., Bauersachs, J. K., & Veltmann, C. (2017) · Der Internist · doi:10.1007/s00108-017-0341-x · Cited by 3
Rhythm and Conduction Disturbances in Stress Testing
Thomas, G. S., & Balouch, M. (2018) · doi:10.1093/med/9780190225483.003.0010 · Cited by 3
NEW ELECTROCARDIOGRAPHIC CRITERIA FOR DIFFERENTIAL DIAGNOSIS OF TACHYCARDIAS WITH ADVANCED QRS COMPLEXES ACCORDING TO THE TYPE OF BLOCKADE OF LEFT BUNDLE OF HIS
Salami, H. F., Борисович, Ш. Н., Новиков, П. С., Mironov, N. Y., & Певзнер, А. В. (2019) · Сибирский журнал клинической и экспериментальной медицины · doi:10.29001/2073-8552-2018-34-1-98-106 · Cited by 3
Differential Diagnosis of Narrow and Wide Complex Tachycardias
Miller, J. M., & Das, M. K. (2017) · Elsevier eBooks · doi:10.1016/b978-0-323-44733-1.00060-2 · Cited by 2
Wide-QRS Complex Tachycardia
Hanna, E. B., Johnson, C. J., & Glancy, D. L. (2017) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2017.09.035 · Cited by 2
Utility of Inferior Lead Q-waveforms in diagnosing Ventricular Tachycardia
Subramany, S., Kattoor, A. J., Kovelamudi, S., Devabhaktuni, S. R., Mehta, J. L., Vallurupalli, S., Paydak, H., & Pothineni, N. V. K. (2020) · Clinical Medicine Insights Cardiology · doi:10.1177/1179546820953416 · Cited by 2
“17 As per this algorithm, VT is diagnosed in the presence of at least 1 of the following: (1) monophasic R wave in lead aVR; (2) predominantly negative QRS in leads I, II, and III and (3) opposing QRS complex in the limb leads (OQL): concordant monophasic QRS in all 3 inferior leads and concordant monophasic QRS in 2…”
Method
Wide QRS complex tachycardia in a patient with wide QRS complex sinus rhythm due to left bundle branch block pattern.
Vereckei, A., Vadász, K., & Zsáry, A. (2020) · PubMed Central · doi:10.11909/j.issn.1671-5411.2020.08.009 · Cited by 2
Wide Complex Tachycardia
Das, M. K., Rajdev, A., & Kalra, V. (2014) · Cardiac Electrophysiology Clinics · doi:10.1016/j.ccep.2014.05.002 · Cited by 2
Differential Diagnosis of Supraventricular Tachycardia
Jang, S.-W. (2017) · International Journal of Arrhythmia · doi:10.18501/arrhythmia.2017.006 · Cited by 2
QRS Variations During Arrhythmias
Bagliani, G., Brugada, J., Ponti, R. D., Viola, G., Berne, P., & Leonelli, F. M. (2019) · Cardiac Electrophysiology Clinics · doi:10.1016/j.ccep.2019.02.006 · Cited by 2
The potential and limitations of standard electrocardiography for the differential diagnosis of wide QRS complex tachycardias
Salami, H. F., Борисович, Ш. Н., & Sokolov, S. F. (2019) · Almanac of Clinical Medicine · doi:10.18786/2072-0505-2019-47-040 · Cited by 2
Family-Based Whole Genome Sequencing Identified Novel Variants in ABCA5 Gene in a Patient with Idiopathic Ventricular Tachycardia
Du, Z., Kuang, S., Li, Y. H., Han, P., Liu, J., Wang, Z., Huang, Y., Guan, Y., Xu, X., Liu, X., et al. (2020) · Pediatric Cardiology · doi:10.1007/s00246-020-02446-4 · Cited by 3
Electro‐anatomically confirmed sites of origin of ventricular tachycardia and premature ventricular contractions and occurrence of R wave in lead aVR : A proof of concept study
Abedin, Z., Smith, S., Kattamuri, L. P. V., Melendez, A., & Abedin, M. (2024) · Journal of Arrhythmia · doi:10.1002/joa3.13147 · Cited by 2
“In an attempt to simplify the differentiation between VT and SVT with aberrancy on an electrocardiogram, Vereckei et al. 6 reported a new algorithm using only aVR.”
MethodResultInfluential
Electrical storm in patients with implantable cardioverter-defibrillator
Mitręga, K. A., Średniawa, B., Kowalski, O., Lenarczyk, R., Musialik-Lydka, A., & Kalarus, Z. F. (2013) · Kardiologia Polska · doi:10.5603/kp.2013.0017 · Cited by 2
“W przypadku VT koniec pobudzenia bywa zwykle szybszy niż początek i opisany powyżej iloraz wynosi ≤ 1 [5, 6].”
Background
Comparison of standard and Lewis ECG in detection of atrioventricular dissociation in patients with wide QRS tachycardia
Aksu, U., Kalkan, K., Gülcü, O., Topçu, S., Sevimli, S., Aksakal, E., İpek, E., Açıkel, M., & Tanboğa, İ. H. (2016) · International Journal of Cardiology · doi:10.1016/j.ijcard.2016.09.087 · Cited by 2
Limitations of 12-lead electrocardiogram wide complex tachycardia algorithms in a patient with left atrial flutter and large myocardial infarction
Macias, C., Khakpour, H., Buch, E. F., Shivkumar, K., & Bradfield, J. S. (2018) · HeartRhythm Case Reports · doi:10.1016/j.hrcr.2018.04.001 · Cited by 2
“However, presence of an initial R wave in aVR had a 98% specificity for VT based on the algorithm by Vereckei and colleagues.(3) A low-amplitude fractionated R wave was seen in lead aVR during both tachycardia and sinus rhythm (the latter was identified only after termination of tachycardia).”
Diagnóstico diferencial de las taquicardias de complejo ancho: un desafío permanente
René Asenjo, G., Morris, R., Sanhueza, E. J., Ortiz, M. A., & Cereceda, M. (2020) · Revista chilena de cardiología · doi:10.4067/s0718-85602020000100055 · Cited by 2
Removing the complexity from wide complex tachycardia
Abualsuod, A. M., & Miller, J. M. (2021) · Trends in Cardiovascular Medicine · doi:10.1016/j.tcm.2021.04.001 · Cited by 2
Ventricular Tachycardia
Hayase, J. H., Glover, B. M., Brugada, P., & Bradfield, J. S. (2021) · Springer eBooks · doi:10.1007/978-3-030-74319-2_9 · Cited by 2
Evaluation of AVNRT & AVRT by Different Criteria: Old & New
Hamid, A. K., Sonali, T. A., Rehan, R., Biswas, P., Datta, S. C., & Tushar, A. Z. (2024) · World Journal of Cardiovascular Surgery · doi:10.4236/wjcs.2024.147011 · Cited by 1
Wide QRS Tachycardias Management in Emergency Departments: What Really Matters
de Alencar, J. N., de Carvalho, G. D., Campelo, R. T., Felicioni, S. P., Scheffer, M. K., & Marchi, M. F. N. D. (2024) · Arquivos Brasileiros de Cardiologia · doi:10.36660/abc.20230829i · Cited by 1
Challenging Differential Diagnosis of Paroxysmal Atrial Fibrillation Versus Monomorphic Ventricular Tachycardia in an Elderly Woman: Application of Vereckei and Brugada Criteria
O'Rorke, J., Butler, G., & Zimmerman, H. (2025) · Cureus · doi:10.7759/cureus.97568 · Cited by 1
A misleading wide complex tachycardia with unusual features after carotid sinus pressure: what is the diagnosis?
Cano, Ó., Navarro, J., Osca, J., Domingo, D., Sancho-Tello, M. J., Salvador, A., & Olagüe, J. (2010) · EP Europace · doi:10.1093/europace/euq072 · Cited by 1
Are Available Electrocardiographic Methods Accurate Enough to Diagnose Ventricular Tachycardia in the Emergency Department?
Martín‐Sánchez, F. J., & Bueno, H. (2013) · Academic Emergency Medicine · doi:10.1111/acem.12318 · Cited by 1
Image Diagnosis: aVR, the Forgotten Lead
Mebust, D. P. (2015) · The Permanente Journal · doi:10.7812/tpp/14-099 · Cited by 1
OBSOLETE: Ventricular Tachycardia in Ischemic and Dilated Cardiomyopathy: Mechanisms and Diagnosis
Kuriachan, V. P. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-801238-3.64165-x · Cited by 1
Long-QT syndrome: to be or not to be iatrogenesis – a case report
Marcu, D. T. M., Hohaci, A., Chiorescu, I. M., Pleșoianu, C. E., Stătescu, C., Balasanian, M., Macovei, L., & Georgescu, C. A. (2017) · Archive of Clinical Cases · doi:10.22551/2017.15.0402.10098 · Cited by 1
“meeting the criteria for left bundle branch block configuration ventricular tachycardia, QRS width over 160 ms, notching of the S wave and also initial q wave > 40 ms, in aVR [3, 4]”
Method
Use of aVR and Jastrzębski algorithms in the classification of wide complex tachycardia in dogs – a preliminary study
Michałek, M., Frydrychowski, P., Adamowicz, J., Sławuta, A., Pasławska, U., & Noszczyk-Nowak, A. (2018) · Journal of Veterinary Research · doi:10.2478/jvetres-2018-0052 · Cited by 1
“Confirming one of the components of the algorithm suffices for a diagnosis of VT (6, 12) (Fig.”
Background
aVR: la derivada olvidada
Lopera-Mejía, L., Ocampo-Moreno, D., Cardona, S. L., Ospina-Soto, S., & Duque-Ramírez, M. (2022) · Revista Colombiana de Cardiología · doi:10.24875/rccar.21000100 · Cited by 1
Wide QRS Complex Tachycardia Change to Narrow QRS Complex Tachycardia After β-Blocker Administration
Liu, J.-P., Zhang, W., & Wang, H. (2023) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2022.6096 · Cited by 1
Manejo de Taquicardias de Complexo QRS Alargado na Sala de Emergência: O Que Realmente Importa
de Alencar, J. N., de Carvalho, G. D., Campelo, R. T., Felicioni, S. P., Scheffer, M. K., & Marchi, M. F. N. D. (2024) · Arquivos Brasileiros de Cardiologia · doi:10.36660/abc.20230829 · Cited by 1
Effective discrimination of wide QRS complex tachycardia with a new algorithm - the Prelocalization Series Algorithm
Ni, H., Huang, Y., Pan, X., Zhang, X., Wan, Z., Zhai, C., & Pan, H. (2025) · BMC Cardiovascular Disorders · doi:10.1186/s12872-025-04583-1 · Cited by 1
“(1)Algorithm to differentiate VT from SVT (aVR lead Algorithm [5]), analyze step by step according to ① ~ ④ , if it meets the criteria, it is preliminarily judged as VT, otherwise it is diagnosed as SVT. ① Presence of an initial R wave.”
Ventricular Tachycardia in a Patient with Repaired Tetralogy of Fallot
Campbell, A. B. (2013) · Journal of General Practice · doi:10.4172/2329-9126.1000120 · Cited by 1
Wide complex tachycardia in a patient with a dual chamber pacemaker
Keuleers, S., Ferdinande, B., Huybrechts, W., & Willems, R. (2008) · EP Europace · doi:10.1093/europace/eun312 · Cited by 1
A Case of Left Bundle Branch Block-shaped w ide QRS Complex Tachycardia w ith diagnostic Ambiguity on a Surface Electrocardiogram
Ahn, M. (2013) · Cited by 1
Wide QRS Complex Tachycardia in the Emergency Setting
Oreto, G., Luzza, F., Satullo, G., Donato, A., Carbone, V., & Calabrò, M. P. (2015) · Springer eBooks · doi:10.1007/978-3-319-24328-3_6 · Cited by 1
OBSOLETE: Electrophysiology Approaches for Ventricular Tachycardia
John, R. M. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-801238-3.10966-3 · Cited by 1
Taquicardias de complejo QRS ancho
Granero, C. L., & Gómez, J. L. Z. (2017) · Medicine - Programa de Formación Médica Continuada Acreditado · doi:10.1016/j.med.2017.07.013 · Cited by 1
Automatic detection of ventricular and supraventricular wide QRS arrhythmias using complex of morphological criteria and algorithms
Budanova, M. A., Chmelevsky, M. P., Treshkur, T. V., Aseev, A. V., & Тихоненко, В. М. (2019) · Kardiologiia · doi:10.18087/cardio.2659 · Cited by 1
“Критерий RWPT имел наибольшее расхождение СП и ЧВ (СП 82,7 %, ЧВ 60 % против СП 99 %, ЧВ 93 %) [7, 8, 12].”
Differential Diagnosis of Narrow and Wide Complex Tachycardias
Miller, J. M., & Das, M. K. (2013) · Elsevier eBooks · doi:10.1016/b978-1-4557-2856-5.00059-5 · Cited by 1
Ventricular Arrhythmias in Ischemic Heart Disease
Issa, Z. F., Miller, J. M., & Zipes, D. P. (2019) · Elsevier eBooks · doi:10.1016/b978-0-323-52356-1.00022-0 · Cited by 1
Differential Diagnostics of Wide QRS Complex Arrhythmias with Left Bundle Branch Block Morphology Using Slow Conduction Index
Chmelevsky, M. P., Budanova, M. A., & Treshkur, T. V. (2022) · Cardiac Arrhythmias · doi:10.17816/cardar112593 · Cited by 1
Ablation of Ventricular Tachycardia in Coronary Artery Disease
Haqqani, H. M., & Callans, D. J. (2024) · Elsevier eBooks · doi:10.1016/b978-0-323-93110-6.00033-5 · Cited by 1
Analytical Study of an Arrhythmia
de Luna, A. B. (2011) · doi:10.1002/9781444391749.ch7 · Cited by 1
Active Ventricular Arrhythmias
de Luna, A. B. (2012) · Wiley eBooks · doi:10.1002/9781118392041.ch16 · Cited by 1
The Differential Diagnosis of Wide Complex Tachycardia—ED Diagnostic and Management Considerations
Charlton, N. P., & Brady, W. J. (2011) · doi:10.1002/9781119959809.ch8 · Cited by 1
Wie nützlich sind die Algorithmen zur Differentialdiagnostik der monomorphen Tachykardien mit breitem QRS Komplex in kardiologischen Notfällen?
Himmrich, E., Kettering, K., & Münzel, T. F. (2009) · Herz · doi:10.1007/s00059-009-3256-z · Cited by 1
Diagnostic Approach to Wide‐QRS Complex Tachycardia
Mavropoulou, A. (2018) · doi:10.1002/9781119254355.ch14 · Cited by 1
Wie nützlich sind die Algorithmen zur Differentialdiagnostik der monomorphen Tachykardien mit breitem QRS-Komplex in kardiologischen Notfällen?
Himmrich, E., Kettering, K., & Münzel, T. F. (2009) · Herz · doi:10.1007/s00059-009-3218-5 · Cited by 1
A scoring algorithm in wide complex tachycardia: Ventricular tachycardia or not ventricular tachycardia?
Zakka, P., & Refaat, M. M. (2019) · Pacing and Clinical Electrophysiology · doi:10.1111/pace.13671 · Cited by 1
Wide Complex Tachycardias
Issa, Z. F., Miller, J. M., & Zipes, D. P. (2019) · Elsevier eBooks · doi:10.1016/b978-0-323-52356-1.00021-9 · Cited by 1
Editorial commentary: Simplifying diagnostics in wide complex tachycardia: Not so simple
Yang, E., & Marine, J. E. (2021) · Trends in Cardiovascular Medicine · doi:10.1016/j.tcm.2021.04.006 · Cited by 1
Electrophysiology Approaches for Ventricular Tachycardia
John, R. M., & Stevenson, W. G. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-809657-4.10966-4 · Cited by 1
Ventricular Tachycardia in Ischemic and Dilated Cardiomyopathy: Mechanisms and Diagnosis
Kuriachan, V. P., Sumner, G., Wahab, A. A., Sapp, J. L., & Mitchell, L. B. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-809657-4.64165-0 · Cited by 1
Dataset and analysis of automated and manual methods to differentiate wide QRS complex tachycardias
LoCoco, S., Kashou, A. H., Deshmukh, A. J., Asirvatham, S. J., DeSimone, C. V., Mikhova, K. M., Sodhi, S. S., Cuculich, P. S., Ghadban, R., Cooper, D. H., et al. (2024) · Data in Brief · doi:10.1016/j.dib.2024.111198 · Cited by 1
Evaluation of Heart Rhythms
Gallagher, J., & TOMPKINS, C. M. (2011) · Springer eBooks · doi:10.1007/978-0-85729-944-4_2
Sol Dal Blok Sol Aks Morfolojili Taşikardi Olgusu
Açıkgöz, N., Kılıç, A., Jata, B., Barçın, C., & Köse, S. (2010) · Fırat Tıp Dergisi
Análise de um novo critério de interpretação no diagnóstico diferencial das taquicardias de complexo QRS largo
Neto, F. R. D. S. (2015) · doi:10.11606/t.5.2015.tde-23092015-154252
A rhythmic chest pain
Cristoni, L., Tampieri, A., & Lenzi, T. (2013) · Emergency Care Journal · doi:10.4081/ecj.2013.e25
Wide QRS Complex Tachycardia in a Young Healthy Man
Ohe, T. (2011) · Journal of Arrhythmia · doi:10.1016/s1880-4276(11)80012-8
Protocolo diagnóstico de taquicardias con QRS ancho
Palomas, J. L. B., Granados, A. L., & Sánchez, M. A. (2009) · Medicine - Programa de Formación Médica Continuada Acreditado · doi:10.1016/s0304-5412(09)72011-6
Saturday night broad QRS complex tachycardia in a young male
van de Swaluw, J. E. C., & van Mechelen, R. (2013) · Netherlands Heart Journal · doi:10.1007/s12471-013-0488-6
“are by far the easiest to apply [3].”
Background
Lead aVR in wide QRS complex tachycardia—another window marker
Senthilkumaran, S., Meenakshisundaram, R., Benita, F., & Thirumalaikolundusubramanian, P. (2015) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2015.02.029
UTILIDAD Y RENDIMIENTO DE LOS ALGORITMOS DE BRUGADA Y VERECKEI-2 EN EL DIAGNÓSTICO DE LA TAQUICARDIA VENTRICULAR IDIOPÁTICA USEFULNESS AND PERFORMANCE OF THE BRUGADA AND VERECKEI-2 ALGORITHMS IN THE DIAGNOSIS OF IDIOPATHIC VENTRICULAR TACHYCARDIA
Puerta, R. C., González, E. C., Fábián, F., Ramírez, R. R., Peña, G. P., Elizundia, J. M. C., & León, A. R. (2012) · Dialnet (Universidad de la Rioja)
Frequency and Outcomes of Arrhythmias
Ali, Z., Khokhar, M. M., Shahid, S., Mahmood, S., & Tufail, S. (2013) · DOAJ (DOAJ: Directory of Open Access Journals)
Cardiac Arrhythmia 3 Ventricular arrhythmias and sudden cardiac death
John, R. M., Tedrow, U. B., Koplan, B. A., Albert, C. M., Epstein, L. M., Sweeney, M. O., Miller, A. L., Michaud, G. F., & Stevenson, W. G. (2012)
Utility of lead aVR
Thakran, V., & Gupta, A. (2015) · Journal of the Practice of Cardiovascular Sciences · doi:10.4103/2395-5414.157580
A tale of two tachycardias
Yeo, C., Chow, J., Leong, K., & Ho, K. (2015) · Singapore Medical Journal · doi:10.11622/smedj.2015014
“3 The aVR criteria(7) used for the diagnosis of ventricular tachycardia.”
BackgroundMethodInfluential
Analyzing ECGs: Putting it together with case studies
Kusumoto, F. M. (2009) · Springer eBooks · doi:10.1007/978-0-387-88880-4_15
Atrial fibrillation and supraventricular arrhythmias
Katritsis, D. G., & Camm, A. J. (2021) · Oxford University Press eBooks · doi:10.1093/med/9780198849346.003.0054
Tachycardia with wide QRS complex on a cocaine dependent patient: not everything is what it seems
Kiuchi, M. G., Silva, G. R. E., Paz, L. M. R., & Souto, G. L. L. (2016) · Interventional Cardiology · doi:10.4172/interventional-cardiology.1000531
“Another algorithm [20] suggests ventricular tachycardia showed Notch on the descendant of an early QRS and predominantly negative in the aVR lead (Figure 2E).”
Background
Tachykarde Herzrhythmusstörungen in der Notaufnahme – Aktuelle Entwicklungen
Pätz, T., & Wolfrum, S. (2017) · DMW - Deutsche Medizinische Wochenschrift · doi:10.1055/s-0043-110490
“Beim Vi/Vt-Verhältnis wird die Aktivierungsgeschwindigkeit (Amplitude in mV 40msec nach dem Beginn und vor dem Ende des QRS-Komplexes) zum initialen (Vi) und terminalen (Vt) Zeitpunkt des gleichen QRS-Komplexes gemessen [4].”
BackgroundInfluential
R-Wave Peak Time at Lead II in Adults With Ventricular Premature Beats, Bundle Branch Block and Left Anterior Fascicular Block
Yu, M., Chen, T., Hu, S., Zou, S., Wang, C., Zeng, C., Chen, W., & Tan, X. (2017) · The American Journal of the Medical Sciences · doi:10.1016/j.amjms.2017.08.017
Wide Complex Tachycardia in a Patient Without Conduction System Disease
Hall, D. J., Smith, T. W., & Noheria, A. (2017) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2017.6569

Authors: Vereckei, A., Duray, G., Szénási, G., Altemose, G. T., & Miller, J. M.
Affiliations: Semmelweis University (HU)
National Healthcare Service Center (HU)
Egis Pharmaceuticals (Hungary) (HU)
Mayo Clinic in Arizona (US)
Indiana University School of Medicine (US)
Corresponding author: Vereckei, András
ORCID: Vereckei, András
Duray, Gábor
Szénási, Gábor
Miller, John M.
Venue: Heart Rhythm
Publisher: Elsevier BV
Published: 2008-01
Volume: 5
Issue: 1
Pages: 89-98
ISSN: 1547-5271 (ISSN-L)
DOI: 10.1016/j.hrthm.2007.09.020
OpenAlex: W2135161353
Cited by: 280
References: 28
Citations by year: 2026: 7 · 2025: 9 · 2024: 23 · 2023: 15 · 2022: 16 · 2021: 17 · 2020: 27 · 2019: 23 · 2018: 16 · 2017: 27 · 2016: 13 · 2015: 20 · 2014: 11 · 2013: 13 · 2012: 14
FWCI: 3.98
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Heart Rhythm (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › ECG Monitoring and Analysis
Keywords: wide QRS tachycardia, ventricular tachycardia, supraventricular tachycardia, lead aVR, ECG algorithm, QRS morphology, differential diagnosis
MeSH terms: Adult, Algorithms, Diagnosis, Differential, Electrocardiography, Electrodes, Female, Humans, Male, Tachycardia, Supraventricular, Tachycardia, Ventricular, Brugada Syndrome

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

New algorithm using only lead aVR for differential diagnosis of wide QRS complex tachycardia

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Citations

Cites

Cited by

Related

Metadata

Record

About these checks