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The differential diagnosis of ventricular premature beats and aberrant QRS complexes with a picture of complete right bundle branch block

https://doi.org/10.35336/VA-2023-2-13

EDN: WYARQL

Abstract

Approaches to the differential diagnosis of ventricular premature beats and aberrant QRS complexes with a picture of complete right bundle branch block are considered, based on the assessment of the rates of myocardial coverage by excitation, the similarity, and differences in the initial parts of “narrow” and “wide” QRS complexes, the presence of a low-amplitude onset of the QRS complex in several leads.

About the Authors

M. M. Medvedev
Saint-Petersburg State University; NJSC Institute of Cardiology Engineering «INCART»
Russian Federation

Saint-Petersburg, 7/9 Universitetskaya emb.

Saint-Petersburg, 22A Viborgskoye h



A. V. Parizhskiy
NJSC Institute of Cardiology Engineering «INCART»
Russian Federation

Saint-Petersburg, 22A Viborgskoye h



References

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2. Brugada J, Katritsis D, Arbelo E, et al. 2019 ESC guidelines for the management of supraventricular tachycardias. The Task Force for the management of patients with supraventricular tachycardia of the European Society of Cardiology (ECS). Eur Heart J 2019;41: 655-720. https://doi.org/10.1093/eurheartj/ehz467.

3. Katritsis D, Brugada J. Differential diagnosis of wide QRS tachycardias. Arrhythmia & Electrophysiology Review 2020;9(3): 155-60. https://doi.org/10.15420/aer.2020.20.

4. Vereckei A, Duray G, Szénási G, et al. Application of a new algorithm in the differential diagnosis of wide QRS complex tachycardia. Eur Heart J. 2007;28: 589-600.

5. Vereckei A, Duray G, Szénási G, et al. New algorithm using only lead aVR for differential diagnosis of wide QRS complex tachycardia. Heart Rhythm. 2008;5: 88-98.

6. Kashou AH, LoCoco S, McGill TD et al. Automatic wide complex tachycardia differentiation using mathematically synthesized vectorcardiogram signals. Annals of Noninvasive Electrocardiology. 2020;27: e12890. https://doi.org/10.1111/anec.12890.


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For citations:


Medvedev M.M., Parizhskiy A.V. The differential diagnosis of ventricular premature beats and aberrant QRS complexes with a picture of complete right bundle branch block. Journal of Arrhythmology. 2023;30(2):е26-е32. https://doi.org/10.35336/VA-2023-2-13. EDN: WYARQL

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ISSN 1561-8641 (Print)
ISSN 2658-7327 (Online)