Polymorphic Ventricular Tachycardia: Terminology, Mechanism, Diagnosis, and Emergency Therapy. Issue 10 (8th September 2021)

• Record Type: Journal Article
• Authors: Viskin, Sami; Chorin, Ehud; Viskin, Dana; Hochstadt, Aviram; Schwartz, Arie Lorin; Rosso, Raphael
• Is Part Of: Circulation. Volume 144:Issue 10(2021)
• Page Start: 823
• Page End: 839
• Publication Date: 2021-09-08
• Subjects: Brugada syndrome -- quinidine -- tachycardia, ventricular -- torsade de pointes -- ventricular fibrillation; Blood -- Circulation -- Periodicals; Cardiovascular system -- Periodicals; Cardiology -- Periodicals; Heart -- Diseases -- Periodicals; Blood Circulation; Cardiovascular System; Vascular Diseases; 616.1
• DOI: 10.1161/CIRCULATIONAHA.121.055783
• Languages: English
• ISSNs: 0009-7322

Abstract

Abstract : Polymorphic ventricular tachyarrhythmias are highly lethal arrhythmias. Several types of polymorphic ventricular tachycardia have similar electrocardiographic characteristics but have different modes of therapy. In fact, medications considered the treatment of choice for one form of polymorphic ventricular tachycardia, are contraindicated for the other. Yet confusion about terminology, and thus diagnosis and therapy, continues. We present an in-depth review of the different forms of polymorphic ventricular tachycardia and propose a practical step-by-step approach for distinguishing these malignant arrhythmias.