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CASE REPORT
Year : 2022  |  Volume : 22  |  Issue : 4  |  Page : 221-225

Tachycardia origin prediction using point of care ultrasound (TOP-UP) - A novel technique


1 Department of Emergency Medicine, Aarupadai Veedu Medical College and Hospital, Puducherry, India
2 Department of Emergency Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India

Correspondence Address:
Sasikumar Mahalingam
No 9, Vaigai Street, Vallalar Nagar, Nainarmandabam, Puducherry - 605 004
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2452-2473.357346

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Narrow complex tachycardia (NCT) is often due to supraventricular tachycardia (SVT). SVT with aberrancy, preexcitation, paced rhythm, rate-dependent bundle branch block, preexisting conduction defects or SVT due to drugs, and electrolyte abnormality can also be wide complex. Wide-complex tachycardia (WCT) is often ventricular tachycardia (VT), but fascicular VT (fVT) can present as NCT. Thus, WCT can be either VT or SVT. This has been a perplexing problem for the emergency physician for ages. Here, in this case series, we describe the novel use of point-of-care ultrasound to differentiate SVT from VT.


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