U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

EKG: ventricular tachycardia

MedGen UID:
576279
•Concept ID:
C0344428
•
Finding
Synonyms: ECG: ventricular tachycardia; Electrocardiographic ventricular tachycardia; Ventricular Tachycardia; Ventricular Tachycardia by ECG Finding; Ventricular Tachycardia by EKG Finding
SNOMED CT: ECG: ventricular tachycardia (164895002); EKG: ventricular tachycardia (164895002); Electrocardiographic ventricular tachycardia (164895002)

Definition

An electrocardiographic finding of three or more consecutive complexes of ventricular organ with a rate greater than a certain threshold (100 or 120 beats per minute are commonly used). The QRS complexes are wide and have an abnormal morphology. (CDISC) [from NCI]

Professional guidelines

PubMed

Diagnosis and Management of Paroxysmal Supraventricular Tachycardia.
Peng G, Zei PC
JAMA 2024 Feb 20;331(7):601-610. doi: 10.1001/jama.2024.0076. PMID: 38497695
Diagnosis and management of ventricular tachycardia.
Whitaker J, Wright MJ, Tedrow U
Clin Med (Lond) 2023 Sep;23(5):442-448. Epub 2023 Sep 29 doi: 10.7861/clinmed.2023-23.5.Cardio3. PMID: 37775174Free PMC Article
Multidisciplinary Critical Care Management of Electrical Storm: JACC State-of-the-Art Review.
Jentzer JC, Noseworthy PA, Kashou AH, May AM, Chrispin J, Kabra R, Arps K, Blumer V, Tisdale JE, Solomon MA; American College of Cardiology Critical Care Cardiology and Electrophysiology Sections
J Am Coll Cardiol 2023 Jun 6;81(22):2189-2206. doi: 10.1016/j.jacc.2023.03.424. PMID: 37257955Free PMC Article

Recent clinical studies

Etiology

Ventricular Tachycardia Ablation: Past, Present, and Future Perspectives.
Guandalini GS, Liang JJ, Marchlinski FE
JACC Clin Electrophysiol 2019 Dec;5(12):1363-1383. doi: 10.1016/j.jacep.2019.09.015. PMID: 31857035
Ventricular Arrhythmias.
AlMahameed ST, Ziv O
Med Clin North Am 2019 Sep;103(5):881-895. doi: 10.1016/j.mcna.2019.05.008. PMID: 31378332
Catecholaminergic polymorphic ventricular tachycardia, an update.
Pérez-Riera AR, Barbosa-Barros R, de Rezende Barbosa MPC, Daminello-Raimundo R, de Lucca AA Jr, de Abreu LC
Ann Noninvasive Electrocardiol 2018 Jul;23(4):e12512. Epub 2017 Oct 19 doi: 10.1111/anec.12512. PMID: 29048771Free PMC Article
Catecholaminergic Polymorphic Ventricular Tachycardia.
Wall JJ, Iyer RV
Pediatr Emerg Care 2017 Jun;33(6):427-431. doi: 10.1097/PEC.0000000000001156. PMID: 28570361
Ventricular Tachycardias.
Hsia HH
Card Electrophysiol Clin 2016 Mar;8(1):75-8. Epub 2016 Jan 16 doi: 10.1016/j.ccep.2015.10.008. PMID: 26920174

Diagnosis

Diagnosis and management of ventricular tachycardia.
Whitaker J, Wright MJ, Tedrow U
Clin Med (Lond) 2023 Sep;23(5):442-448. Epub 2023 Sep 29 doi: 10.7861/clinmed.2023-23.5.Cardio3. PMID: 37775174Free PMC Article
Wide Complex Tachycardias.
Alblaihed L, Al-Salamah T
Emerg Med Clin North Am 2022 Nov;40(4):733-753. Epub 2022 Oct 7 doi: 10.1016/j.emc.2022.06.010. PMID: 36396219
Polymorphic Ventricular Tachycardia: Terminology, Mechanism, Diagnosis, and Emergency Therapy.
Viskin S, Chorin E, Viskin D, Hochstadt A, Schwartz AL, Rosso R
Circulation 2021 Sep 7;144(10):823-839. doi: 10.1161/CIRCULATIONAHA.121.055783. PMID: 34491774
How to use the 12-lead ECG to predict the site of origin of idiopathic ventricular arrhythmias.
Enriquez A, Baranchuk A, Briceno D, Saenz L, Garcia F
Heart Rhythm 2019 Oct;16(10):1538-1544. Epub 2019 Apr 4 doi: 10.1016/j.hrthm.2019.04.002. PMID: 30954600
Entrainment Mapping.
Kumar S, Tedrow UB, Stevenson WG
Card Electrophysiol Clin 2017 Mar;9(1):55-69. doi: 10.1016/j.ccep.2016.10.004. PMID: 28167086

Therapy

Bidirectional Ventricular Tachycardia: Challenges and Solutions.
Almarzuqi A, Kimber S, Quadros K, Senaratne J
Vasc Health Risk Manag 2022;18:397-406. Epub 2022 Jun 7 doi: 10.2147/VHRM.S274857. PMID: 35698640Free PMC Article
Ventricular Tachycardia Ablation: Past, Present, and Future Perspectives.
Guandalini GS, Liang JJ, Marchlinski FE
JACC Clin Electrophysiol 2019 Dec;5(12):1363-1383. doi: 10.1016/j.jacep.2019.09.015. PMID: 31857035
Ventricular Arrhythmias.
AlMahameed ST, Ziv O
Med Clin North Am 2019 Sep;103(5):881-895. doi: 10.1016/j.mcna.2019.05.008. PMID: 31378332
Runaway pacemaker.
Gul A, Sheikh MA, Rao A
BMJ Case Rep 2019 Mar 31;12(3) doi: 10.1136/bcr-2018-225411. PMID: 30936325Free PMC Article
Idiopathic ventricular tachycardia.
Altemose GT, Buxton AE
Annu Rev Med 1999;50:159-77. doi: 10.1146/annurev.med.50.1.159. PMID: 10073270

Prognosis

How to use the 12-lead ECG to predict the site of origin of idiopathic ventricular arrhythmias.
Enriquez A, Baranchuk A, Briceno D, Saenz L, Garcia F
Heart Rhythm 2019 Oct;16(10):1538-1544. Epub 2019 Apr 4 doi: 10.1016/j.hrthm.2019.04.002. PMID: 30954600
Management of outflow tract ventricular arrhythmias.
Maury P, Rollin A, Mondoly P, Duparc A
Curr Opin Cardiol 2015 Jan;30(1):50-7. doi: 10.1097/HCO.0000000000000122. PMID: 25389648
Contact force-sensing catheters.
Hoffmayer KS, Gerstenfeld EP
Curr Opin Cardiol 2015 Jan;30(1):74-80. doi: 10.1097/HCO.0000000000000131. PMID: 25389646
Diagnosis and management of idiopathic ventricular tachycardia.
Hoffmayer KS, Gerstenfeld EP
Curr Probl Cardiol 2013 Apr;38(4):131-58. doi: 10.1016/j.cpcardiol.2013.02.002. PMID: 23497740
Mapping for ventricular tachycardia.
Dixit S, Callans DJ
Card Electrophysiol Rev 2002 Dec;6(4):436-41. doi: 10.1023/a:1021196627551. PMID: 12438825

Clinical prediction guides

Ventricular Tachycardia Ablation: Past, Present, and Future Perspectives.
Guandalini GS, Liang JJ, Marchlinski FE
JACC Clin Electrophysiol 2019 Dec;5(12):1363-1383. doi: 10.1016/j.jacep.2019.09.015. PMID: 31857035
How to use the 12-lead ECG to predict the site of origin of idiopathic ventricular arrhythmias.
Enriquez A, Baranchuk A, Briceno D, Saenz L, Garcia F
Heart Rhythm 2019 Oct;16(10):1538-1544. Epub 2019 Apr 4 doi: 10.1016/j.hrthm.2019.04.002. PMID: 30954600
Catheter Ablation of Idiopathic Ventricular Arrhythmias.
Pathak RK, Ariyarathna N, Garcia FC, Sanders P, Marchlinski FE
Heart Lung Circ 2019 Jan;28(1):102-109. Epub 2018 Oct 17 doi: 10.1016/j.hlc.2018.10.012. PMID: 30554597
Catecholaminergic polymorphic ventricular tachycardia, an update.
Pérez-Riera AR, Barbosa-Barros R, de Rezende Barbosa MPC, Daminello-Raimundo R, de Lucca AA Jr, de Abreu LC
Ann Noninvasive Electrocardiol 2018 Jul;23(4):e12512. Epub 2017 Oct 19 doi: 10.1111/anec.12512. PMID: 29048771Free PMC Article
Ablation of ventricular arrhythmias.
Sadek MM, Marchlinski FE
Trends Cardiovasc Med 2014 Oct;24(7):296-304. Epub 2014 Jul 11 doi: 10.1016/j.tcm.2014.07.002. PMID: 25218675

Recent systematic reviews

Sudden cardiac death, arrhythmias and abnormal electrocardiography in systemic sclerosis: A systematic review and meta-analysis.
Fairley JL, Ross L, Quinlivan A, Hansen D, Paratz E, Stevens W, Kistler PM, McLellan A, La Gerche A, Nikpour M
Semin Arthritis Rheum 2023 Oct;62:152229. Epub 2023 Jun 19 doi: 10.1016/j.semarthrit.2023.152229. PMID: 37354723
Systematic review of long QT syndrome identified during fetal life.
Chivers S, Ovadia C, Regan W, Zidere V, Vigneswaran T, Sharland G, Rosenthal E, Seed PT, Simpson JM, Williamson C
Heart Rhythm 2023 Apr;20(4):596-606. Epub 2022 Dec 22 doi: 10.1016/j.hrthm.2022.12.026. PMID: 36566891
Intravenous haloperidol: A systematic review of side effects and recommendations for clinical use.
Beach SR, Gross AF, Hartney KE, Taylor JB, Rundell JR
Gen Hosp Psychiatry 2020 Nov-Dec;67:42-50. Epub 2020 Aug 22 doi: 10.1016/j.genhosppsych.2020.08.008. PMID: 32979582
Prophylactic catheter ablation of ventricular tachycardia in ischemic cardiomyopathy: a systematic review and meta-analysis of randomized controlled trials.
Atti V, Vuddanda V, Turagam MK, Vemula P, Shah Z, Nagam H, Yandrapalli S, Jazayeri MA, Koerber S, Gonzalez JV, Natale A, Di Biase L, Lakkireddy DR
J Interv Card Electrophysiol 2018 Nov;53(2):207-215. Epub 2018 Apr 21 doi: 10.1007/s10840-018-0376-5. PMID: 29680972
Total cosine R-to-T for predicting ventricular arrhythmic and mortality outcomes: A systematic review and meta-analysis.
Tse G, Gong M, Wong CW, Chan C, Georgopoulos S, Chan YS, Yan BP, Li G, Whittaker P, Ciobanu A, Ali-Hasan-Al-Saegh S, Wong SH, Wu WKK, Bazoukis G, Lampropoulos K, Wong WT, Tse LA, Baranchuk AM, Letsas KP, Liu T; International Health Informatics Study (IHIS) Network
Ann Noninvasive Electrocardiol 2018 Mar;23(2):e12495. Epub 2017 Sep 12 doi: 10.1111/anec.12495. PMID: 28901628Free PMC Article

Supplemental Content

Table of contents

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Related information

    • PMC Articles
      Related information in PubMed Central Links
    • PubMed
      Related literature resources in PubMed

    Recent activity

    Clear Turn Off Turn On

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...