Heart Rhythm
Volume 7, Issue 7 , Pages 922-926 , July 2010

R-wave peak time at DII: A new criterion for differentiating between wide complex QRS tachycardias

  • Luis Fernando Pava, MD, PhD

      Affiliations

    • Department of Cardiac Electrophysiology, Fundación Valle del Lili, Cali, Colombia
    • Corresponding Author InformationAddress reprint requests and correspondence: Dr. Luis Fernando Pava, Unidad de Electrofisiología Cardiaca, Fundación Valle del Lili, Carrera 98 número 18-49, Cali, Colombia
    • ,
  • Pablo Perafán, MD

      Affiliations

    • Department of Cardiac Electrophysiology, Fundación Valle del Lili, Cali, Colombia
    • ,
  • Marisol Badiel, MD, MSc

      Affiliations

    • Department of Clinical Investigations Institute, Fundación Valle del Lili, Cali, Colombia
    • ,
  • Juan José Arango, MD

      Affiliations

    • Department of Clinical Investigations Institute, Fundación Valle del Lili, Cali, Colombia
    • ,
  • Lluis Mont, MD, PhD

      Affiliations

    • Unit of Cardiac Electrophysiology, Hospital Clinic, Barcelona, Spain
    • ,
  • Carlos A. Morillo, MD, FRCPC, FHRS

      Affiliations

    • Cardiology Division, Arrhythmia Service, McMaster University, Population Health Research Institute, Hamilton, Ontario, Canada
    • ,
  • Josep Brugada, MD, PhD

      Affiliations

    • Unit of Cardiac Electrophysiology, Hospital Clinic, Barcelona, Spain

Received 10 January 2010 ,Accepted 1 March 2010.

References 

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  2. Steinman RT, Herrera C, Schuger CD, Lehmann MH. Wide QRS tachycardia in the conscious adult (Ventricular tachycardia is the most frequent cause). JAMA. 1989;261:1013–1016
  3. Paulus MR. Distinguishing wide complex tachycardia: a prehospital perspective. Emerg Med Serv. 2006;35:95–99
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  11. Vereckei A, Duray G, Szénási G, Altemose GT, Miller JM. New algorithm using only lead aVR for differential diagnosis of wide QRS complex tachycardia. Heart Rhythm. 2008;5:89–98
  12. Kleber AG, Rudy Y. Basic mechanisms of cardiac impulse propagation and associated arrhythmias. Physiol Rev. 2004;84:431–488
  13. Surawicz B, et al. AHA/ACC/HRS recommendations for the standardization and interpretation of the electrocardiogram. J Am Coll Cardiol. 2009;53:976–981
  14. Landis RJ, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–174
  15. Pava LF, Arango JJ, Perafan P, Badiel M. La pseudo-deflexión DII: un análisis sencillo para diferenciar taquicardias de complejos anchos. Rev Colomb Cardiol. 2003;10:507
  16. Valderrabano M. Influence of anisotropic conduction properties in the propagation of the cardiac action potential. Prog Biophys Mol Biol. 2007;94:144–168
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PII: S1547-5271(10)00216-X

doi: 10.1016/j.hrthm.2010.03.001

Heart Rhythm
Volume 7, Issue 7 , Pages 922-926 , July 2010

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