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Variants of Tachycardia

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Variants of Tachycardia

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)