An approach to the patient with a suspected tachycardia in the emergency department
Patients present to the emergency department with either an ongoing tachycardia or a history suspicious of a tachycardia. Either way, the tachycardia needs to be documented, preferably on a 12-lead electrocardiogram (ECG) for diagnosis and management. If a tachycardia is not documented, a careful history of the palpitations should be taken to see if further monitoring and investigations are required. If a tachycardia is confirmed on an ECG, the clinician needs to classify it according to two variables: (i) regularity of the rhythm; and (ii) QRS width. This will allow a differential diagnosis to be made.
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South African Medical Association
2016
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oai:scielo:S0256-957420160003000122016-04-05An approach to the patient with a suspected tachycardia in the emergency departmentChin,AVezi,BNamane,MWeich,HScott-Millar,RPatients present to the emergency department with either an ongoing tachycardia or a history suspicious of a tachycardia. Either way, the tachycardia needs to be documented, preferably on a 12-lead electrocardiogram (ECG) for diagnosis and management. If a tachycardia is not documented, a careful history of the palpitations should be taken to see if further monitoring and investigations are required. If a tachycardia is confirmed on an ECG, the clinician needs to classify it according to two variables: (i) regularity of the rhythm; and (ii) QRS width. This will allow a differential diagnosis to be made.South African Medical AssociationSAMJ: South African Medical Journal v.106 n.3 20162016-03-01journal articletext/htmlhttp://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0256-95742016000300012en |
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| author |
Chin,A Vezi,B Namane,M Weich,H Scott-Millar,R |
| spellingShingle |
Chin,A Vezi,B Namane,M Weich,H Scott-Millar,R An approach to the patient with a suspected tachycardia in the emergency department |
| author_facet |
Chin,A Vezi,B Namane,M Weich,H Scott-Millar,R |
| author_sort |
Chin,A |
| title |
An approach to the patient with a suspected tachycardia in the emergency department |
| title_short |
An approach to the patient with a suspected tachycardia in the emergency department |
| title_full |
An approach to the patient with a suspected tachycardia in the emergency department |
| title_fullStr |
An approach to the patient with a suspected tachycardia in the emergency department |
| title_full_unstemmed |
An approach to the patient with a suspected tachycardia in the emergency department |
| title_sort |
approach to the patient with a suspected tachycardia in the emergency department |
| description |
Patients present to the emergency department with either an ongoing tachycardia or a history suspicious of a tachycardia. Either way, the tachycardia needs to be documented, preferably on a 12-lead electrocardiogram (ECG) for diagnosis and management. If a tachycardia is not documented, a careful history of the palpitations should be taken to see if further monitoring and investigations are required. If a tachycardia is confirmed on an ECG, the clinician needs to classify it according to two variables: (i) regularity of the rhythm; and (ii) QRS width. This will allow a differential diagnosis to be made. |
| publisher |
South African Medical Association |
| publishDate |
2016 |
| url |
http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0256-95742016000300012 |
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