Cited by 738Cardiac Arrhythmias and TreatmentsCardiac electrophysiology and arrhythmiasECG Monitoring and Analysis

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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

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Abstract

BACKGROUND: In the differential diagnosis of a tachycardia with a wide QRS complex (greater than or equal to 0.12 second) diagnostic mistakes are frequent. Therefore, we investigated the reasons for failure of presently available criteria, and we identified new, simpler criteria and incorporated them in a stepwise approach that provides better sensitivity and specificity for making a correct diagnosis. METHODS AND RESULTS: A prospective analysis revealed that current criteria had a poor specificity for the differential diagnosis. The value of four new criteria incorporated in a stepwise approach was prospectively analyzed in a total of 554 tachycardias with a widened QRS complex (384 ventricular and 170 supraventricular). The sensitivity of the four consecutive steps was 0.987, and the specificity was 0.965. CONCLUSIONS: Current criteria for the differential diagnosis between supraventricular tachycardia with aberrant conduction and ventricular tachycardia are frequently absent or suggest the wrong diagnosis. The absence of an RS complex in all precordial leads is easily recognizable and highly specific for the diagnosis of ventricular tachycardia. When an RS complex is present in one or more precordial leads, an RS interval of more than 100 msec is highly specific for ventricular tachycardia. This new stepwise approach may prevent diagnostic mistakes.

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Crossref · 10.1161/01.cir.83.5.1649

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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
Wide Complex Tachycardia: Misdiagnosis and Outcome After Emergent Therapy
Stewart, R. B., BARDY, G. H., & GREENE, H. L. (1986) · Annals of Internal Medicine · doi:10.7326/0003-4819-104-6-766 · Cited by 259
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
Criteria, old and new, for differentiating between ectopic ventricular beats and aberrant ventricular conduction in the presence of atrial fibrillation
Marriott, H. J. L., & Sandler, I. A. (1966) · Progress in Cardiovascular Diseases · doi:10.1016/s0033-0620(66)80019-1 · Cited by 94
A Prevalent Misconception Regarding Wide-Complex Tachycardias
Morady, F. (1985) · JAMA · doi:10.1001/jama.1985.03360190096032 · Cited by 81
The Differentiation between Ventricular Tachycardia and Supraventricular Tachycardia with Aberrant Conduction: The Value of the 12-Lead Electrocardiogram
Wellens, H. J. J., Bär, F. W. H. M., Vanagt, E. J., Brugada, P., & Farré, J. (1981) · Springer eBooks · doi:10.1007/978-94-009-8239-0_11 · Cited by 75
Problems in the differentiation of ventricular arrhythmia from supraventricular arrhythmia with abnormal QRS
Kistin, A. D. (1966) · Progress in Cardiovascular Diseases · doi:10.1016/s0033-0620(66)80018-x · Cited by 56

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“The low specificity of the RS greater than 100 milliseconds criterion in patients with organic LBBB is in contrast to the specificity of this criterion in the general WCT population of 92% to 100%.(3,12) The aVR algorithm had low specificity because of the common occurrence of both a notch on the downstroke of a negat…”
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Method
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Are wide complex tachycardia algorithms applicable in children and patients with congenital heart disease?
Ceresnak, S. R., Liberman, L., Avasarala, K., Tanel, R. E., Motonaga, K. S., & Dubin, A. M. (2010) · Journal of Electrocardiology · doi:10.1016/j.jelectrocard.2010.02.008 · Cited by 19
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“The diagnosis is supported by three surface electrocardiographic features: (1) incomplete or complete RBBB; (2) inverted T waves in the anterior precordial leads; and (3) epsilon waves visible as sharp discrete deflections at the terminal portion of the QRS complex in the anterior precordial leads (Fig.”
Method
Sequential bilateral bundle branch block during dofetilide, a new class III antiarrhythmic agent, in a patient with atrial fibrillation
CRIJNS, H. J. G. M., KINGMA, J. H., GOSSELINK, A. T. M., DALRYMPLE, H. W., De LANGEN, C. D. J., & LIE, K. (1993) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.1993.tb01283.x · Cited by 18
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Kashou, A. H., Evenson, C. M., Noseworthy, P. A., Muralidharan, T. R., DeSimone, C. V., Deshmukh, A. J., Asirvatham, S. J., & May, A. M. (2020) · Indian Heart Journal · doi:10.1016/j.ihj.2020.09.006 · Cited by 18
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Samesima, N., God, E. M. G., Kruse, J. C. L., Leal, M. G., Pinho, C., França, F. F., Pimenta, J., Cardoso, A. F., Paixão, A., da Fonseca, A. J., et al. (2022) · Arquivos Brasileiros de Cardiologia · doi:10.36660/abc.20220623 · Cited by 28
Ventricular Arrhythmias
DRESEN, W. F., & Ferguson, J. (2017) · Cardiology Clinics · doi:10.1016/j.ccl.2017.08.007 · Cited by 18
Intravenous lipid emulsion in wide complex arrhythmia with alternating bundle branch block pattern from cocaine overdose
Kundu, R., Almasri, H., Moza, A., Ghose, A., & Assaly, R. (2013) · Kardiologia Polska · doi:10.5603/kp.2013.0263 · Cited by 17
“On analysis of the wide complex rhythm seen in the ECG of our patient, using the Brugada criteria, the most likely explanation was accelerated idioventricular rhythm or slow ventricular tachycardia [7].”
Method
JCS / JHRS 2022 Guideline on Diagnosis and Risk Assessment of Arrhythmia
Takase, B., Ikeda, T., Shimizu, W., Abe, H., Aiba, T., Chinushi, M., Koba, S., KUSANO, K. F., Niwano, S., Takahashi, N., et al. (2024) · Journal of Arrhythmia · doi:10.1002/joa3.13052 · Cited by 19
Wide Complex Tachycardia
Delbridge, T. R., & Yealy, D. M. (1995) · Emergency Medicine Clinics of North America · doi:10.1016/s0733-8627(20)30594-0 · Cited by 17
Intelligent control of cardiac rhythms using artificial neural networks
Lima, G. D. S., Savi, M. A., & Bessa, W. M. (2023) · Nonlinear Dynamics · doi:10.1007/s11071-023-08447-1 · Cited by 16
“Atrial ﬂutter is a rhythmic disorder characterized by an increase in heart rate, usually 300 bpm, but which can range from 240 to 430 bpm [9].”
Background
Cardiac Arrhythmias in the Intensive Care Unit
Tarditi, D., & Hollenberg, S. M. (2006) · Seminars in Respiratory and Critical Care Medicine · doi:10.1055/s-2006-945525 · Cited by 17
“It is better to err on the side of overdiagnosis of VT.”
BackgroundInfluential
Nonsustained Ventricular Tachycardia in the Normal Heart
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Wide Complex Tachycardias: Understanding this Complex Condition: Part 1 - Epidemiology and Electrophysiology.
Garmel, G. M. (2008) · PubMed Central · Cited by 16
Ventricular Tachycardia May Masquerade as Supraventricular Tachycardia in Patients With Preexisting Bundle-Branch Block
Littmann, L., & McCall, M. M. (1995) · Annals of Emergency Medicine · doi:10.1016/s0196-0644(95)70245-8 · Cited by 16
<![CDATA[Diretriz de interpreta��o de eletrocardiograma de repouso]]>
Guimar�es, J. I., Nicolau, J. C., Polanczyk, C. A., Pastore, C. A., Pinho, J. A., Bacellar, M. S. C., Ribeiro, D. G. L., Darwich, R. Z., Ribeiro, A. L. P., Dunda, M. M. E., et al. (2003) · Arquivos Brasileiros de Cardiologia · doi:10.1590/s0066-782x2003000800001 · Cited by 15
Diretrizes
Pastore, C. A., Pinho, C., Germiniani, H., Samesima, N., & Mano, R. (2009) · Arquivos Brasileiros de Cardiologia · doi:10.1590/s0066-782x2009001800001 · Cited by 15
Cardiovascular Emergencies in the Elderly
Gupta, R., & Kaufman, S. (2006) · Emergency Medicine Clinics of North America · doi:10.1016/j.emc.2006.01.003 · Cited by 15
Classification of pre-excited tachycardias by electrocardiographic methods for differentiation of wide QRS-complex tachycardias
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Chow, B. J. W., Fayyazifar, N., Balamane, S., Saha, N., Farooqui, M., Hasan, B. A., Clarkin, O. J., Green, M. S., Maiorana, A., Golian, M., et al. (2024) · Canadian Journal of Cardiology · doi:10.1016/j.cjca.2024.03.027 · Cited by 16
Automatic wide complex tachycardia differentiation using mathematically synthesized vectorcardiogram signals
Kashou, A. H., LoCoco, S., McGill, T. D., Evenson, C. M., Deshmukh, A. J., Hodge, D. O., Cooper, D. H., Sodhi, S. S., Cuculich, P. S., Asirvatham, S. J., et al. (2021) · Annals of Noninvasive Electrocardiology · doi:10.1111/anec.12890 · Cited by 14
“Second, the diagnostic performance of automated models was not directly compared with traditional manual WCT differentiation approaches (Brugada et al., 1991; Chen et al., 2019; Jastrzebski et al., 2017; Pava et al., 2010; Vereckei et al., 2008).”
Method
Regelmäßige Tachykardien mit breitem Kammerkomplex
Schumacher, B., SPEHL, S., Langbein, A., Schade, A., Kerber, S., & Koller, M. L. (2009) · Herzschrittmachertherapie + Elektrophysiologie · doi:10.1007/s00399-009-0029-6 · Cited by 14
Sustained ventricular tachycardia in structural heart disease
Hadid, C. (2015) · Cardiology Journal · doi:10.5603/cj.a2014.0069 · Cited by 14
Tachydysrhythmias
Stahmer, S. A., & Cowan, R. M. (2006) · Emergency Medicine Clinics of North America · doi:10.1016/j.emc.2005.08.007 · Cited by 14
Evaluation of new self‐learning techniques for the generation of criteria for differentiation of wide‐QRS tachycardia in supraventricular tachycardia and ventricular tachycardia
Dassen, W. R. M., Mulleneers, R. G. A., Smeets, J. L. R. M., Wellens, H. J. J., Karthaus, V., & Talmon, J. L. (1995) · Clinical Cardiology · doi:10.1002/clc.4960180213 · Cited by 14
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“In one such instance despite treatment, the patient's condition worsened; EKG showed a prolonged QT interval and an idioventricular rhythm, and the patient eventually died from complications related to these conditions [35].”
BackgroundInfluential
General Approach to a Wide QRS Complex
Ponti, R. D., Bagliani, G., Padeletti, L., & Natale, A. (2017) · Cardiac Electrophysiology Clinics · doi:10.1016/j.ccep.2017.05.006 · Cited by 13
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Kashou, A. H., May, A. M., & Noseworthy, P. A. (2023) · Journal of Electrocardiology · doi:10.1016/j.jelectrocard.2023.03.009 · Cited by 14
[Wide QRS complex tachycardia: an old and new problem].
Oreto, G., Luzza, F., Satullo, G., Donato, A., Carbone, V., & Calabrò, M. P. (2009) · PubMed · Cited by 13
Utility of Conventional Electrocardiographic Criteria in Patients With Idiopathic Ventricular Tachycardia
Yadav, A. V., Nazer, B., Drew, B. J., Miller, J. M., Masry, H. E., Groh, W. J., Natale, A., Marrouche, N. F., Badhwar, N., Yang, Y., et al. (2017) · JACC. Clinical electrophysiology · doi:10.1016/j.jacep.2017.01.010 · Cited by 13
Ventricular tachycardia score – A novel method for wide QRS complex tachycardia differentiation – Explained
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Biochaos in cardiac rhythms
de Melo, A. L. C., & Savi, M. A. (2021) · The European Physical Journal Special Topics · doi:10.1140/epjs/s11734-021-00314-7 · Cited by 12
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Srivathsan, K. S., Ng, D. W., & Mookadam, F. (2009) · Expert Review of Cardiovascular Therapy · doi:10.1586/erc.09.69 · Cited by 12
Lewis Lead Enhances Atrial Activity Detection in Wide QRS Tachycardia
de Holanda-Miranda, W. R., Furtado, F. M., Luciano, P. M., & Pazin‐Filho, A. (2009) · Journal of Emergency Medicine · doi:10.1016/j.jemermed.2009.08.057 · Cited by 12
Circadian variation in ventricular tachycardia and atrial fibrillation in a medical-cardiological ICU
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Narin, C. (2012) · InTech eBooks · doi:10.5772/2307 · Cited by 12
Electrocardiographic manifestations: aberrant ventricular conduction
Pollack, M. L., Chan, T. C., & Brady, W. J. (2000) · Journal of Emergency Medicine · doi:10.1016/s0736-4679(00)00254-7 · Cited by 12
Derived 12-lead ECG
Drew, B. J., Koops, R. R., Adams, M. G., & Dower, G. E. (1994) · Journal of Electrocardiology · doi:10.1016/s0022-0736(94)80100-2 · Cited by 12
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Gasparotto, F. M., Lívero, F. A. D. R., Palozi, R. A. C., Ames, M. L., Nunes, B. C., Donadel, G., Ribeiro, R., Lourenço, E. L. B., Kassuya, C. A. L., & Junior, A. (2018) · Planta Medica · doi:10.1055/a-0644-2794 · Cited by 11
“Additionally, increases in R-wave amplitude and QRS duration may contribute directly to cases of ventricular tachycardia or even sudden death [37].”
Background
Approach to Wide QRS Complex Tachycardias
Issa, Z. F., Miller, J. M., & Zipes, D. P. (2009) · Elsevier eBooks · doi:10.1016/b978-1-4160-5998-1.00020-3 · Cited by 11
Two cases of wide QRS complex tachycardia caused by anamorelin
Okidono, Y., Osada, J., Otsu, K., Kowase, S., Aoki, H., & Yumoto, K. (2022) · Journal of Cardiology Cases · doi:10.1016/j.jccase.2022.04.015 · Cited by 11
“The tachycardias did not meet ventricular tachycardia criteria, such as the Brugada criteria [7].”
Background
Sustained monomorphic ventricular tachycardia associated with unrepaired double-chambered right ventricle
Álvarez, M., Tercedor, L., Lozano, J. M., & Azpitarte, J. (2006) · EP Europace · doi:10.1093/europace/eul084 · Cited by 11
Drugs after Cardioversion to Prevent Relapses of Chronic Atrial Fibrillation or Flutter
Crijns, H. J. G. M., Gosselink, A. T. M., Gelder, I. C. V., Wiesfeld, A. C. P., van den Berg, M. P., Tuininga, Y. S., & Lie, K. I. (1992) · Developments in cardiovascular medicine · doi:10.1007/978-94-011-1816-3_7 · Cited by 11
Risks of developing supraventricular and ventricular tachyarrhythmias after implantation of a cardioverter-defibrillator, and timing the activation of arrhythmia termination therapies
Hii, J. T. Y., Gillis, A. M., Wyse, D. G., Sheldon, R. S., Duff, H. J., & Mitchell, L. B. (1993) · The American Journal of Cardiology · doi:10.1016/0002-9149(93)90512-b · Cited by 11
A novel convolutional neural network structure for differential diagnosis of wide QRS complex tachycardia
Fayyazifar, N., Dwivedi, G., Suter, D., Ahderom, S., Maiorana, A., Clarkin, O., Balamane, S., Saha, N., King, B., Green, M. S., et al. (2022) · Biomedical Signal Processing and Control · doi:10.1016/j.bspc.2022.104506 · Cited by 12
Ventricular tachycardia in the absence of structural heart disease
Killu, A. M., & Stevenson, W. G. (2018) · Heart · doi:10.1136/heartjnl-2017-311590 · Cited by 10
Right bundle branch block–type wide QRS complex tachycardia with a reversed R/S complex in lead V6: Development and validation of electrocardiographic differentiation criteria
Kim, M., Kwon, C. H., Lee, J. H., Hwang, K. W., Choi, H. O., Kim, Y., Lee, K., Ahn, J., Park, H., & Nam, G. (2020) · Heart Rhythm · doi:10.1016/j.hrthm.2020.08.023 · Cited by 10
Lacosamide Intoxication-induced Wide QRS Tachycardia Successfully Treated with Veno-arterial Extracorporeal Membrane Oxygenation
Takai, C., Misumi, K., Kaito, D., Nishida, H., Yoshii, M., Yamada, S., Kobayashi, T., Koinuma, T., Kadoya, T., Kimura, T., et al. (2022) · Internal Medicine · doi:10.2169/internalmedicine.0145-22 · Cited by 10
Electrocardiographic and electrophysiological characteristics of ventricular arrhythmias from the right bundle branch of the moderator band
Zhang, T., Liang, Z., Liu, X., Ren, X., Liang, M., Chen, L., & Wang, Y. (2023) · Heart Rhythm · doi:10.1016/j.hrthm.2023.01.005 · Cited by 10
Fascicular Ventricular Tachycardia: An Uncommon but Distinctive Form of Ventricular Tachycardia
Elswick, B. D., & Niemann, J. T. (1998) · Annals of Emergency Medicine · doi:10.1016/s0196-0644(98)70356-7 · Cited by 10
Neural nets and classification trees: A comparison in the domain of ECG analysis
Talmon, J. L., Dassen, W. R. M., & Karthaus, V. (1994) · Machine intelligence and pattern recognition · doi:10.1016/b978-0-444-81892-8.50041-9 · Cited by 10
Simple models vs. deep learning in detecting low ejection fraction from the electrocardiogram
Hughes, J. W., Somani, S. S., Elias, P. A., Tooley, J., Rogers, A. J., Poterucha, T. J., Haggerty, C. M., Salerno, M., Ouyang, D., Ashley, E. A., et al. (2024) · European Heart Journal - Digital Health · doi:10.1093/ehjdh/ztae034 · Cited by 9
Ventricular tachycardia in an adolescent with severe diabetic ketoacidosis
Bergmann, K. R., & Whitcomb, V. (2020) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2020.12.029 · Cited by 9
Taquicardia de QRS largos – importância eletrocardiográfica no diagnóstico diferencial
Sousa, P. A., Pereira, S., Candeias, R., & de Jesus, I. (2014) · Revista Portuguesa de Cardiologia · doi:10.1016/j.repc.2013.07.016 · Cited by 9
Neural Networks in Biomedical Signal Processing
Micheli-Tzanakou, E. (1999) · The electrical engineering handbook/Electrical engineering handbook series/Electrical engineering handbook · doi:10.1201/9781420049510.ch58 · Cited by 9
Novel criterion for the differential diagnosis of wide QRS complexes and wide complex tachycardia using the initial activation of QRS on leads V1 and V2
Hajjaji, I. E., Becker, G., Kuś, T., Vinet, A., Berkovitz, A., & Sturmer, M. (2018) · Journal of Electrocardiology · doi:10.1016/j.jelectrocard.2018.04.015 · Cited by 9
Management of tachyarrhythmias in pregnancy – A review
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“The most helpful ECG findings indicating VT are the presence of capture and fusion beats, and AV dissociation.(1,2)”
Background
Limitations of the negative concordance pattern in the diagnosis of broad QRS tachycardia
Barold, S. S., Stroobandt, R. X., & Herweg, B. (2012) · Journal of Electrocardiology · doi:10.1016/j.jelectrocard.2012.06.017 · Cited by 9
Case 20-2000
Stevenson, W. G., & Aretz, H. T. (2000) · New England Journal of Medicine · doi:10.1056/nejm200006293422608 · Cited by 9
CLINICAL APPROACH TO WIDE QRS COMPLEX TACHYCARDIAS
Shah, C. P., Thakur, R. K., Xie, B., & Hoon, V. K. (1998) · Emergency Medicine Clinics of North America · doi:10.1016/s0733-8627(05)70006-7 · Cited by 9
Adenosine-Sensitive Wide-Complex Tachycardia: An Uncommon Variant of Idiopathic Fascicular Ventricular Tachycardia
Kassotis, J., Slesinger, T. L., Festić, E., Voigt, L. P., & Reddy, C. V. R. (2003) · Angiology · doi:10.1177/000331970305400315 · Cited by 9
“’ The characteristic triad of this type of VT includes the following: (1) induction with overdrive atrial pacing during electrophysiologic study; (2) RBBB, left-axis morphology; and (3) occurrence of this arrhythmia in people without structural heart disease.”
Background
Computerized electrocardiogram data transformation enables effective algorithmic differentiation of wide QRS complex tachycardias
Kashou, A. H., LoCoco, S., Shaikh, P. A., Katbamna, B. B., Sehrawat, O., Cooper, D. H., Sodhi, S. S., Cuculich, P. S., Gleva, M. J., Deych, E., et al. (2022) · Annals of Noninvasive Electrocardiology · doi:10.1111/anec.13018 · Cited by 8
“Although numerous WCT differentiation criteria and algorithms are readily available for clinical use (Akhtar et al., 1988; Brugada et al., 1991; Chen et al., 2019; Griffith et al., 1994; Jastrzebski et al., 2017; Kindwall et al., 1988; Lau et al., 2000; Marriott, 1970; Moccetti et al., 2022; Pachon…”
Background
Aberrant Ventricular Conduction: Revisiting an Old Concept
Morton, M. B., Morton, J. B., & Mond, H. G. (2023) · Heart Lung and Circulation · doi:10.1016/j.hlc.2023.03.001 · Cited by 8
Usefulness of Lewis Lead for Visualizing P-Wave
Mizuno, A., Masuda, K., & Niwa, K. (2014) · Circulation Journal · doi:10.1253/circj.cj-14-0744 · Cited by 8
Wide complex tachycardia discrimination tool improves physicians' diagnostic accuracy
Kashou, A. H., Noseworthy, P. A., Jentzer, J. C., Rafie, N., Roy, A. R., Abraham, H. M., Sang, P. D., Kronzer, E. K., Inglis, S. S., Rezkalla, J. A., et al. (2022) · Journal of Electrocardiology · doi:10.1016/j.jelectrocard.2022.07.070 · Cited by 8
Inter-American Society of Cardiology (CIFACAH-ELECTROSIAC) and Latin-American Heart Rhythm Society (LAHRS): multidisciplinary review on the appropriate use of implantable cardiodefibrillator in heart failure with reduced ejection fraction
Gómez‐Mesa, J. E., Márquez-Murillo, M. F., Figueiredo, M. J. D. O., Berni-Betancourt, A., Jerez, A. M., Ayala, E. N., Pow-Chon-Long, F., Sáenz-Morales, L. C., Molano, L. F. P., Montes, M. C., et al. (2022) · Journal of Interventional Cardiac Electrophysiology · doi:10.1007/s10840-022-01425-4 · Cited by 8
Wide complex tachycardia: What is the mechanism?
Vijayaraman, P., Kok, L. C., Rhee, B., & Ellenbogen, K. A. (2005) · Heart Rhythm · doi:10.1016/j.hrthm.2004.08.010 · Cited by 8
Essential ECG clues in patients with congenital heart disease and arrhythmias
Cano, Ó., Andrés, A., Alonso, P., Osca, J., Sancho-Tello, M. J., Rueda, J., Osa, A., & Martínez‐Dolz, L. (2016) · Journal of Electrocardiology · doi:10.1016/j.jelectrocard.2016.08.005 · Cited by 8
Study of P wave indices in sinus rhythm and tachycardia
Bhardwaj, A., & Sivaraman, J. (2021) · International Conference on Bio Signals, Images, and Instrumentation (ICBSII) · doi:10.1109/icbsii51839.2021.9445148 · Cited by 8
“Various studies have been carried out on ventricular and atrial components for predetermination of diseases [1-3].”
Background
ACC/AHA Guidelines for Clinical Intracardiac Electrophysiological and Catheter Ablation Procedures
Ritchie, J. L. (1995) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.1995.tb00443.x · Cited by 8
Usefulness of the Electrocardiogram in Diagnosing Mechanisms of Tachycardia
Tipple, M. A. (2000) · Pediatric Cardiology · doi:10.1007/s002460010129 · Cited by 8
“[2] and Antunes [1] developed an approach using four additional criteria: (1) the absence of RS pattern, (2) RS interval (onset of R to nadir of S) > 100 msec, (3) AV dissociation, (4) morphology of QRS in V 1 and V6 [right bundle branch block (RBBB) or left bundle branch block].”
Method
Bedside Diagnosis of Wide QRS Tachycardia
Barold, S. S. (1995) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.1995.tb04634.x · Cited by 8
Therapie bedrohlicher Herzrhythmusst�rungen
Stellbrink, C. (2005) · Der Internist · doi:10.1007/s00108-005-1353-5 · Cited by 8
A machine learning approach to differentiate wide QRS tachycardia: distinguishing ventricular tachycardia from supraventricular tachycardia
Li, Z., Zhao, W., Mao, Y., Bo, D., Chen, Q., Kojodjojo, P., & Zhang, F. (2024) · Journal of Interventional Cardiac Electrophysiology · doi:10.1007/s10840-024-01743-9 · Cited by 7
“Various algorithms include the Brugada [1], the Bayesian Griffith [2], the aVR algorithms [3], the lead II R-wave-peak-time (RWPT-II) criterion [4], and the new limb lead algorithm (LLA) [5].”
Critical Cardiovascular Skills and Procedures in the Emergency Department
L'Italien, A. J. (2012) · Emergency Medicine Clinics of North America · doi:10.1016/j.emc.2012.09.011 · Cited by 7
Ventricular Tachycardia in Coronary Artery Disease
Haqqani, H. M., & Callans, D. J. (2014) · Cardiac Electrophysiology Clinics · doi:10.1016/j.ccep.2014.05.003 · Cited by 8
Executive Summary: European Heart Rhythm Association Consensus Document on the Management of Supraventricular Arrhythmias
Katritsis, D. G., Boriani, G., Cosío, F. G., Jaı̈s, P., Hindricks, G., Josephson, M. E., Keegan, R., Knight, B. P., Kück, K., Lane, D. A., et al. (2016) · Arrhythmia & Electrophysiology Review · doi:10.15420/aer.2016:5.3.gl1 · Cited by 7
Wide complex tachycardia: differentiating ventricular tachycardia from supraventricular tachycardia
Ding, W. Y., & Mahida, S. (2021) · Heart · doi:10.1136/heartjnl-2020-316874 · Cited by 7
The Electrocardiogram in the Primary Care Office
Patel, P. M., & Wu, W. (2005) · Primary Care Clinics in Office Practice · doi:10.1016/j.pop.2005.09.011 · Cited by 7
The Lewis Lead for Detection of Ventriculoatrial Conduction Type
Huemer, M., Meloh, H., Attanasio, P., Wutzler, A., Parwani, A. S., Matsuda, H., Blaschke, F., Boldt, L., & Haverkamp, W. (2016) · Clinical Cardiology · doi:10.1002/clc.22505 · Cited by 7
BlooXY: On a non-invasive blood monitor for the IoT context
Flórez, D., & Sepúlveda, J. (2017) · IEEE International System-on-Chip Conference (SOCC) · doi:10.1109/socc.2017.8226000 · Cited by 7
“Two values are required to quantify the blood pressure: i) transit time pulse (PTT), which corresponds to the interval between the peak of the QRS complex of the electrocardiogram (ECG) signal [7]; and ii) the peak of the photopletismographic signal (PPG) in one cardiac cycle (See Section IV).”
BackgroundMethod
Discrimination of ventricular tachycardia and localization of its exit site using surface electrocardiography.
Leandro, H. I. C., Lebedev, D. S., & Mikhaylov, E. N. (2019) · PubMed Central · doi:10.11909/j.issn.1671-5411.2019.04.008 · Cited by 7
DIFFERENTIAL DIAGNOSIS OF TACHYCARDIA WITH WIDE QRS COMPLEXES: FROM «CLASSICAL» SIGNS TO THE FIRST ALGORITHMS
Медведев, М. М. (2020) · Journal of Arrhythmology · doi:10.35336/va-2019-3-48-56 · Cited by 7
Wide QRS complex tachycardia. Rapid method of prognostic evaluation
Brembilla-Perrot, B., Beurrier, D., Houriez, P., Claudon, O., Rizk, J., Lemoine, C., Nippert, M., Miljoen, H., & Khaldi, E. (2004) · International Journal of Cardiology · doi:10.1016/j.ijcard.2003.08.011 · Cited by 7
Antidromic atrioventricular reentrant tachycardia mimicking ventricular tachycardia in the setting of previous myocardial infarction
Dagres, N., Clague, J. R., Kottkamp, H., BREITHARDT, G. E., & Borggrefe, M. (2000) · Clinical Cardiology · doi:10.1002/clc.4960230122 · Cited by 7
A young man with recurrent syncopes, right bundle branch block and ST segment elevation
Vanpee, D., Blommaert, D., Gillet, J.-B., & Roy, L. D. (1999) · The American Journal of Emergency Medicine · doi:10.1016/s0735-6757(99)90207-3 · Cited by 7
Peculiar Electrocardiographic Aspects of Wide QRS Complex Tachycardia
Ponti, R. D., Marazzato, J., Bagliani, G., Tondini, A., Donzelli, S., & Padeletti, L. (2018) · Cardiac Electrophysiology Clinics · doi:10.1016/j.ccep.2018.02.005 · Cited by 6
Diagnostic accuracy of different ECG-based algorithms in wide QRS complex tachycardia: a systematic review and meta-analysis
Sun, X., Teng, Y., Mu, S., Wang, Y., & Chen, H. (2023) · BMJ Open · doi:10.1136/bmjopen-2022-069273 · Cited by 6
The emergence and destiny of automated methods to differentiate wide QRS complex tachycardias
LoCoco, S., Kashou, A. H., Noseworthy, P. A., Cooper, D. H., Ghadban, R., & May, A. M. (2023) · Journal of Electrocardiology · doi:10.1016/j.jelectrocard.2023.07.008 · Cited by 6

Authors: Brugada, P., Brugada, J., Mont, L., Smeets, J., & Andries, E. W.
Affiliations: Onze Lieve Vrouwziekenhuis Hospital (BE)
ORCID: Brugada, P
Brugada, J
Mont, L
Andries, E W
Venue: Circulation
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1991-05
Volume: 83
Issue: 5
Pages: 1649-1659
ISSN: 0009-7322 (ISSN-L)
1524-4539
DOI: 10.1161/01.cir.83.5.1649
OpenAlex: W2026083345
Cited by: 738
References: 7
Citations by year: 2026: 20 · 2025: 63 · 2024: 32 · 2023: 32 · 2022: 32 · 2021: 26 · 2020: 42 · 2019: 30 · 2018: 22 · 2017: 44 · 2016: 20 · 2015: 26 · 2014: 21 · 2013: 31 · 2012: 22
FWCI: 6.95
Type: journal article
Language: en
Open access: closed
Locations: Circulation (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, differential diagnosis, ventricular tachycardia, supraventricular tachycardia with aberrancy, precordial leads, diagnostic criteria, sensitivity and specificity
MeSH terms: Diagnosis, Differential, Electrocardiography, Humans, Prospective Studies, Sensitivity and Specificity, Tachycardia

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A new approach to the differential diagnosis of a regular tachycardia with a wide QRS complex

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