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Ventricular Tachycardia ECG Interpretation #315


  • The morphologic features continue with the dysrhythmia. No P wave, wide and bizarre QRS.
  • Ventricular Tachycardia occurs when the rate exceeds 100 bpm.
  • Approximately 50% of patients become unconscious at the onset of ventricular tachycardia.
  • Although patients in V Tach may be treated with a defibrillator, not all patients in Ventricular Tachycardia require this level of treatment.
  • Depending upon their level of consciousness and blood pressure. The patient may be treated with medications, synchronized cardioversion or in the worst case scenario a defibrillator and BLS/ACLS response.
  • This rhythm must always be reported whether the patient appears stable or not. (Follow your local reporting and treatment protocols)
ventricular tachycardia tracing

Practice Strip

ventricular tachycardia tracing #2

Analyze this tracing using the five steps of rhythm analysis.

Show Answer
  • Rhythm: Regular
  • Rate: 150
  • P Wave: absent
  • PR interval: n/a
  • QRS: Wide and bizarre
  • Interpretation: Ventricular Tachycardia

Authors and Sources

Authors and Reviewers


? v:5 | onAr:0 | onPs:2 | tLb:0 | pv:1
uStat: False | db:0 | cc: US | tar: False
| cDbLookup # 0 | pu: False | pl: System.Collections.Generic.List`1[System.String]
em: | newuser: False

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