Vt Vs Svt With Aberrant Conduction. The qrs morphology is identical to that in the lower tracing and so if they were premature atrial complexes pacs. Ventricular tachycardia vt supraventricular tachycardia svt with aberrant conduction due to bundle branch block.
It is crucial to be able to make this distinction as therapeutic decisions are anchored to this differentiation. The short answer is yes but it can be very difficult and even experienced clinicians can misdiagnose vt as svt with aberrancy. Can you differentiate between svt with aberrant conduction and vt.
Among the ecg features i look to first for rapid distinction between an svt rhythm with qrs widening due to either preexisting bbb or aberrant conduction vs vt are.
The summary below provides some tips for differentiating the two. The short answer is yes but it can be very difficult and even experienced clinicians can misdiagnose vt as svt with aberrancy. The 2 wide qrs complexes indicated by arrows are also helpful in proving vt. And iii is there.