Doctor insights on:
Ventricular Tachycardia Arrhythmia
Abnormal heart rhythm is a condition in which a person has an abnormal heartbeat pattern, as detected by an EKG (electrocardiogram) of the heart. Some abnormal rhythms run in families (hereditary abnormal rhythms). Some abnormal rhythms are not dangerous, while others can cause ...Read more
No specific signs: You can not determine if an abnormal heart rhythm is due to VT by how it feels. Vt is, by definition, a fast heart beat so people may feel pounding in their chest. Depending on the rate, they may become dizzy, short of breath, have chest pain, get sweaty and/or pass out. None of these symptoms are specific for vt. The rhythm must be recorded on ekg or on a monitor for definitive diagnosis. ...Read more
Life threatening: Ventricular tachcardia is a life threatening arrythmia. Its the rythm that needs to be "shocked". The pts in persistent v-tach is when shocking or medicine doesnt restore normal sinus rythm. The pt usually expire. ...Read more
Not really pulseless: When VT occurs at a fast enough rate, there is inadequate time for ventricular filling, cardiac output falls, and blood pressure falls. You may not be able to palpate a pulse but an arterial line would show a waveform that is reduced in amplitude. Rate is the key. As tissue perfusion fails, acidosis, hypoxemia and hyperkalemia result leading to ventricular fibrillation and death. ...Read more
It depends: Some types of ventricular tachycardia can be modified or even eliminated with a procedure called an electrophysiologic study. Other types may be more complex and warrant long term medication or an implanted cardioverter-defibrillator. You should have yourself checked by a cardiologist that specializes in arrhythmias (an electrophysiologist) as soon as possible. ...Read moreSee 1 more doctor answer
No definite rules...: Can differentiate these 2 arrhythmia types, although ventricular tachycardia generally causes more severe symptoms such as chest pain, fainting and even a cardiac arrest. Atrial tachycardia almost never causes cardiac arrest, although can be felt as palpitations with lightheadedness or difficulty breathing. ...Read moreSee 1 more doctor answer
Nonsustained VT: Best way is to see a cardiologist and get worked up for diagnosis and cause of the nonsustained VT and then discuss the findings and recommendations with the dr. Who has information specific to you. Not as simple as you hope. ...Read more
Is it true that nonsustained supra ventricular tachycardia is the same as nonsustained ventricular tachycardia?
No: Supraventricular tachycardia signifies that the abnormal rhythm arises from a part of the heart above the atrioventricular node (that normally conducts atrial electrical impulses to the ventricles for ventricular excitation), whereas a ventricular tachycardia originates from the ventricular myocardium itself (below the level of the atrioventricular node). ...Read more
What to do if I had seen a patient with underlying congestive cardiac failure presented with ventricular tachycardia.?
Patient: A patient like that should be seen by a cardiologist ...Read more
Is a transeptal puncture required to access the left ventricular during an EP study for ventricular tachycardia? If so, is it as risky as A-fib?
If the tachycardia: is originating from a left sided focus either transeptal approach or retrograde approach across the aortic valve would be necessary. Any time you are intervening on the left side there are slightly increased risks but in experienced hands this is no more concerning than any other interventional procedure. ...Read more
Arrhythmia, also known as abnormal heart rhythm, is any type of irregular heart beat. It might be a simple skip of the heart beat, or a transient pause, both of which are typically benign. However, there are also more serious types of arrhythmias when the heart races ...Read more
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