Broad Complex Tachycardias

Authors: Elizabeth Docherty, Francis P Morris / Editors: Jason M Kendall, Chris Gray / Reviewer: Chris Gray, Joshua Davison / Codes: / Published: 09/11/2023

This session covers the assessment and management of broad complex tachycardia.

Before commencing this session you should:

  • Be familiar with basic ECG interpretation

By the end of this session you will be able to:

  • Identify the range of rhythm disturbance giving rise to a broad complex tachycardia
  • Differentiate between the types of broad complex tachycardia
  • Formulate a treatment plan for a patient with a broad complex tachycardia

References

  1. Resuscitation Council UK. Adult Advanced Life Support Guidelines 2021. [Accessed October 2023].
  2. Tomlinson DR, et al. Intravenous amiodarone for the pharmacological termination of haemodynamically-tolerated sustained ventricular tachycardia: is bolus dose amiodarone an appropriate first-line treatment? Emerg Med J. 2008 Jan;25(1):15-8. [Accessed October 2023].
  3. Sana M. Al-Khatib. et al. 2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death. Circulation, Vol.138, Issue 13, 25 Sept 2018; Pages e272-e391. [Accessed October 2023].
  4. Dave J, et al. Torsade de Pointes. Medscape, 2022. [Accessed October 2023].
  5. Ho KM. Intravenous magnesium for cardiac arrhythmias: jack of all trades. Magnes Res. 2008 Mar;21(1):65-8.
  6. Joshi S, Wilber DJ. Ablation of idiopathic right ventricular outflow tract tachycardia: current perspectives. J Cardiovasc Electrophysiol. 2005 Sep;16 Suppl 1:S52-8.

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