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 tachycardiais not documented, a careful his...

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Veröffentlicht in:SAMJ: South African Medical Journal 2016-03, Vol.106 (3), p.246-250
Hauptverfasser: Chin, A, Vezi, B, Namane, M, Weich, H, Scott-Millar, R
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container_end_page 250
container_issue 3
container_start_page 246
container_title SAMJ: South African Medical Journal
container_volume 106
creator Chin, A
Vezi, B
Namane, M
Weich, H
Scott-Millar, R
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 tachycardiais 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.
doi_str_mv 10.7196/SAMJ.2016.v106i3.10322
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subjects Care and treatment
Diagnosis
Diagnosis, Differential
Disease Management
Electrocardiogram
Electrocardiography
Electrocardiography - methods
Emergency service
Emergency Service, Hospital
Health Care Sciences & Services
Health Policy & Services
Heart
Hospitals
Humans
Medical Ethics
Medicine, General & Internal
Medicine, Legal
Medicine, Research & Experimental
Palpitation
Risk factors
Tachycardia
Tachycardia - diagnosis
Tachycardia - etiology
Tachycardia - therapy
title An approach to the patient with a suspected tachycardia in the emergency department
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