Wide QRS tachycardia VT score Calculator

Score :

Wide QRS tachycardia VT score

The VT score can detect ventricular tachycardia on an ECG showing wide QRS tachycardia. Depending on the score, we can deduct:

        - Score = 0: Probably supraventricular tachycardia.

        - Score = 1: Tachycardia is difficult to characterize (area of uncertainty).

        - Score = 2: Probably ventricular tachycardia.

        - Score ≥ 3: Ventricular tachycardia (specificity close to 100%).

Wide QRS complex tachycardias

- A poorly tolerated tachycardia responsible for disturbances of consciousness must be defibrillated, whatever its appearance.

- A regular wide QRS complex tachycardia is considered ventricular tachycardia until proven otherwise.

- Performing a 12-lead ECG is an essential prerequisite for the management of tachycardia in a conscious patient.

- Apart from a critical state, the electrical or pharmacological reduction of atrial fibrillation is not an emergency, whereas the slowing down of the ventricular rate improves its tolerance.

- An exhaustive pharmacological knowledge of antiarrhythmics is an essential prerequisite for the management of wide QRS complex tachycardias.

- The etiological investigation is fundamental and fully participates in the management of these arrhythmias.