Tạp chí Tim mạch học Việt Nam

Article detail

Article detail description

Home
NGHIÊN CỨU LÂM SÀNG Issue: Số 110 BỆNH RỐI LOẠN NHỊP TIM

The value of VT score diagnosis of mechanism of tachycardia with wide QRS

Phạm Trần Linh: Viện Tim mạch Việt Nam, Bệnh viện Bạch Mai; Nguyễn Đại Nghĩa: Viện Tim mạch Việt Nam, Bệnh viện Bạch Mai;
Published: July 30, 2024
Views: 223

Abstract

Objective: To investigate the diagnostic value of the VT score on a 12-lead electrocardiogram in determine the mechanism of wide QRS tachycardia.

Results: During the period from May 2017 to September 2023, we used the VT score to differentiate wide QRS tachycardia in a total of 58 patients, the results of sensitivity and specificity were the accuracy with VT ≥ 1 is 88.1%, 62.5%, and 81%, respectively. Especially in our study, VT score ≥ 3 points, with results showing that the sensitivity, specificity, and accuracy were 33.3%, 100%, 51.7% respectively. Score ≥ 3 points specificity in our study is almost absolute specificity for a diagnosis of ventricular tachycardia.

Conclusion: Regarding the diagnostic value of VT score in differentiating the mechanism of wide QRS tachycardia: The VT score used 7 features on the  electrocardiogram with sensitivity, specificity, and accuracy. 88.1%, 62.5%, 81% respectively with VT score ≥ 1

References

1.
Miller JM, Das MK, Arora R, et al. Differential Diagnosis of Wide QRS Complex Tachycardia. In Cardiac Electrophysiology: Fourth Edition. Elsevier Inc. 2004:747-757. doi: 10.1016/B0-7216-0323-8/50084-1
2.
Issa ZF, Miller JM, Zipes DP. Approach to wide QRS complex tachycardias. In: Clinical arrhythmology and electrophysiology. 2nd Edition. Saunders, Elsevier; 2012:499-511.
3.
Vereckei A, Duray G, Szénási G, et al. Application of a new algorithm in the differential diagnosis of wide QRS complex tachycardia. Eur Heart J. 2007;28(5):589-600. doi:10.1093/eurheartj/ehl473
4.
Pava LF, Perafán P, Badiel M, et al. R-wave peak time at DII: a new criterion for differentiating between wide complex QRS tachycardias. Heart Rhythm. 2010;7(7):922-926. doi:10.1016/j.hrthm.2010.03.001
5.
Vereckei A, Duray G, Szénási G, et al. New algorithm using only lead aVR for differential diagnosis of wide QRS complex tachycardia. Heart Rhythm. 2008;5(1):89-98. doi:10.1016/j.hrthm.2007.09.020
6.
Brugada P, Brugada J, Mont L, et al. A new approach to the differential diagnosis of a regular tachycardia with a wide QRS complex. Circulation. 1991;83(5):1649-1659. doi:10.1161/01.cir.83.5.1649
7.
Jastrzebski M, Sasaki K, Kukla P, et al. The ventricular tachycardia score: a novel approach to electrocardiographic diagnosis of ventricular tachycardia. Europace. 2016;18(4):578-584. doi:10.1093/europace/euv118
The value of VT score diagnosis of mechanism of tachycardia with wide QRS

Files

Article Views223
Document Views0
Downloads0
Section NGHIÊN CỨU LÂM SÀNG
Issue Số 110
Category BỆNH RỐI LOẠN NHỊP TIM
Pages 65-70
Copyright Holder 2024 Tạp chí Tim mạch học Việt Nam