Tachycardia origin prediction using point of care ultrasound (TOP-UP) - A novel technique.

IF 1.1 Q3 EMERGENCY MEDICINE

Turkish Journal of Emergency Medicine Pub Date : 2022-09-30 eCollection Date: 2022-10-01 DOI:10.4103/2452-2473.357346

Sasikumar Mahalingam, Gunaseelan Rajendran, Balamurugan Nathan, Manu Ayyan, Vivekanandan Muthu Pillai

引用次数: 0

Abstract

Narrow complex tachycardia (NCT) is often due to supraventricular tachycardia (SVT). SVT with aberrancy, preexcitation, paced rhythm, rate-dependent bundle branch block, preexisting conduction defects or SVT due to drugs, and electrolyte abnormality can also be wide complex. Wide-complex tachycardia (WCT) is often ventricular tachycardia (VT), but fascicular VT (fVT) can present as NCT. Thus, WCT can be either VT or SVT. This has been a perplexing problem for the emergency physician for ages. Here, in this case series, we describe the novel use of point-of-care ultrasound to differentiate SVT from VT.

Abstract Image

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利用点超声(TOP-UP)预测心动过速起源——一项新技术。

窄性复杂心动过速(NCT)常由室上性心动过速(SVT)引起。伴有异常、预兴奋、节奏性节律、速率依赖性束支阻滞、预先存在的传导缺陷或药物引起的SVT以及电解质异常的SVT也可能非常复杂。宽复性心动过速(WCT)常表现为室性心动过速(VT)，但束状心动过速(fVT)可表现为NCT。因此，WCT既可以是VT也可以是SVT。多年来，这一直是困扰急诊医生的一个难题。在这里，在这个病例系列中，我们描述了使用即时超声来区分室速和室速的新方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Turkish Journal of Emergency Medicine EMERGENCY MEDICINE-

CiteScore

1.70

自引率

0.00%

发文量

审稿时长

22 weeks

期刊介绍： The Turkish Journal of Emergency Medicine (Turk J Emerg Med) is an International, peer-reviewed, open-access journal that publishes clinical and experimental trials, case reports, invited reviews, case images, letters to the Editor, and interesting research conducted in all fields of Emergency Medicine. The Journal is the official scientific publication of the Emergency Medicine Association of Turkey (EMAT) and is printed four times a year, in January, April, July and October. The language of the journal is English. The Journal is based on independent and unbiased double-blinded peer-reviewed principles. Only unpublished papers that are not under review for publication elsewhere can be submitted. The authors are responsible for the scientific content of the material to be published. The Turkish Journal of Emergency Medicine reserves the right to request any research materials on which the paper is based. The Editorial Board of the Turkish Journal of Emergency Medicine and the Publisher adheres to the principles of the International Council of Medical Journal Editors, the World Association of Medical Editors, the Council of Science Editors, the Committee on Publication Ethics, the US National Library of Medicine, the US Office of Research Integrity, the European Association of Science Editors, and the International Society of Managing and Technical Editors.