There are several ways to differentiate tachycardias: based on the QRS, heart rate, and pattern. Major classifications are tachycardias with narrow vs. wide QRS.
They are:
Narrow-QRS tachycardias: QRS < 0.12 seconds. These are primarily supraventricular (SVT):
- Sinus
- Atrial fibrillation (AF)
- Atrial flutter
- Paroxysmal SVT
- Atrioventricular nodal reentry tachycardia (AVNRT)
- Atrioventricular reentry tachycardia (AVRT)
- Atrial tachycardia
- Multifocal atrial tachycardia
- Junctional tachycardia (more common in pediatric patients)
Wide-QRS tachycardias: QRS ≥ 0.12 seconds:
- Ventricular tachycardia
- Polymorphic VT
- Monomorphic VT
- Ventricular fibrillation
- Aberrant sinus tachycardia
- Aberrant SVT
- Preexcitation tachycardia (e.g., Wolf-Parkinson-White or WPW)