Monomorphic Ventricular Tachycardia Strip. Qrs duration exceeds 0 12 s and is usually greater than 0 14 s. Ventricular tachycardia vt is a broad complex tachycardia originating in the ventricles. Each ventricular impulse is being generated from the same place in the ventricles thus all of the qrs waves look the same. Monomorphic ventricular tachycardia with monomorphic vt all of the qrs waves will be symmetrical.
Heart rate that is fast 100 250 bpm and rhythm that is regular. Monomorphic ventricular tachycardia is a more organized rhythm than the polymorphic form and patients may maintain a reasonable hemodynamic state. Each ventricular impulse is being generated from the same place in the ventricles thus all of the qrs waves look the same. The qrs complex is wide 0 10 sec bizarre looking. In monomorphic ventricular tachycardia the shape of each heart beat on the ecg looks the same because the impulse is either being generated from increased automaticity of a single point in either the left or the right ventricle or due to a reentry circuit within the ventricle. Monomorphic ventricular tachycardia with monomorphic vt all of the qrs waves will be symmetrical.
In the absence of hypotension monomorphic ventricular tachycardia can be treated with intravenous sotalol 1 mg kg to a maximum of 100 mg or amiodarone 5 mg kg.
This is ventricular tachycardia monomorphic. Monomorphic ventricular tachycardia consists of a rapid regular succession of ventricular extrasystoles each with the same configuration. The qrs complex is wide 0 10 sec bizarre looking. In monomorphic ventricular tachycardia the shape of each heart beat on the ecg looks the same because the impulse is either being generated from increased automaticity of a single point in either the left or the right ventricle or due to a reentry circuit within the ventricle. This is ventricular tachycardia monomorphic. Monomorphic ventricular tachycardia with monomorphic vt all of the qrs waves will be symmetrical.