HEIN J. J. WELLENS, M.D.
The correct differentiation between a supraventricular and ventricular origin of a wide QRS tachycardia is of obvious diagnostic, therapeutic, and prognostic importance. In this issue, Stewart and colleagues ( 1 ) present a rather gloomy picture of the diagnostic ability of physicians initially managing patients with a wide QRS tachycardia. An incorrect diagnosis of supraventricular tachycardia was followed by treatment with verapamil with frequently deleterious results.
These mistakes unfortunately are made too often in both the United States and Europe (2, 3). Their occurrence stresses that a physician should only treat a patient with a wide QRS tachycardia when that
WELLENS HJJ. The Wide QRS Tachycardia. Ann Intern Med. ;104:879. doi: 10.7326/0003-4819-104-6-879
Download citation file:
Published: Ann Intern Med. 1986;104(6):879.
Cardiology, Rhythm Disorders and Devices.
Results provided by:
Copyright © 2019 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use