Cite this post as:
Pendell Meyers. EMCrit – Idiopathic Ventricular Tachycardias for the EM Physician by H Pendell Meyers. EMCrit Blog. Published on September 11, 2018. Accessed on March 29th 2024. Available at [https://emcrit.org/emcrit/idiopathic-ventricular-tachycardia/ ].
Financial Disclosures:
Dr. Scott Weingart, Course Director, reports no relevant financial relationships with ineligible companies.
This episode’s speaker(s), (listed above), report no relevant financial relationships with ineligible companies.
CME Review
Original Release: September 11, 2018
Date of Most Recent Review: Jan 1, 2022
Termination Date: Jan 1, 2025
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hi pendell. there are some works that fall under the category of “light bathroom reading”. this is not one. it’s funny. when i heard the stephen smith lecture (video podcast of his wonderful “EKG’s : too fast” from the 2018 Rocky Mountain Winter Conference, available on emedhome.com), i had come away feeling like a complete dunce. I thought before that lecture i had known ecg’s and VT , more or less, but at the end of steve’s 30 minutes , i was certainly aware that 1. i was very much on the “less” part of the balance, and at the… Read more »
Thanks Tom!
Shouldn’t it be ‘when there is a LBBB (not RBBB) pattern with inferior frontal axis’ in the Fancy Pants #1 option in the last paragraph?
You’re exactly right. Thanks for catching the typo!
Also consider doing modified valsalva maneuver. Recently had an RV OT that was stable. Initially I had plans to cardiovert, however cardiologist was available and wanted to try adenosine. While we were setting up and did a modified Valsalva maneuver and converted the patient to normal sinus rhythm. I was told by a resident recently that this case made me a legend to our local paramedics
Also consider doing modified valsalva maneuver. Recently had an RV OT that was stable. Initially I had plans to cardiovert, however cardiologist was available and wanted to try adenosine. While we were setting up and did a modified Valsalva maneuver and converted the patient to normal sinus rhythm. I was told by a resident recently that this case made me a legend to our local paramedics
Agreed! Try it, no downside. Thanks!
Hi,
Thanks for the blog,
Somehow I landed on your blog and I enjoyed it.
Hoping to get more valuable writing in future too.
Regards,
Shiva K Rao.
Engineer at Vashi Electricals, Mumbai
Thanks for the blog, The treatment with Option 1 and Option 2 are great. and your briefing about Idiopathic Ventricular Tachycardias ( even though I don’t belong to medical field ), it is quite easily understandable, Keep the good work, would love to see more blogs from you.-From Eleczo india