Key result
Posterior fascicular VT case highlights key diagnostic challenges of broad complex tachycardias in the ED.
Why the study?
Broad complex tachycardias in the emergency department are often a diagnostic challenge despite the importance of prompt and correct treatment.
Case Report (n=1)
This case report highlights the diagnostic challenge of differentiating posterior fascicular ventricular tachycardia from supraventricular tachycardia with aberrancy in the emergency department.
Answers are grounded in this paper and cite their sources.
Case of verapamil-sensitive posterior fascicular VT without CAD highlights diagnostic pitfalls in wide-complex tachycardia; leaves open need for validated ED algorithms.
Prompt and correct treatment of broad complex tachycardias in the emergency department can often be life-saving to the patient and satisfying for the emergency physician. They, however, are often a diagnostic challenge. Here, we present a case of posterior fascicular ventricular tachycardia, an idiopathic form of ventricular tachycardia that occurs in patients without coronary artery disease and verapamil sensitive. The differential diagnoses of posterior fascicular ventricular tachycardia and supraventricular tachycardia with aberrancy will also be discussed.
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Kao et al. (2006) conducted a case report in Posterior fascicular ventricular tachycardia (n=1). A case of posterior fascicular ventricular tachycardia is presented to highlight the diagnostic challenges of broad complex tachycardias in the emergency department.
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