?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Approach+to+the+Evaluation+and+Management+of+Wide+Complex+Tachycardias&rft.creator=Lam%2C+Patrick&rft.creator=Saba%2C+Samir&rft.subject=Indian+Pacing+and+Electrophysiology+Journal&rft.description=Wide+complex+tachycardia+(WCT)+refers+to+a+cardiac+rhythm+of+more+than+100+beats+per+minute+with+a+QRS+duration+of+120+ms+or+more+on+the+surface+electrocardiogram+(ECG).+It+often+presents+a+diagnostic+dilemma+for+the+physician+particularly+in+determining+its+site+of+origin%2C+which+can+be+ventricular+or+supraventricular.+In+one+series%2C+only+32%25+of+clinicians+correctly+diagnosed+ventricular+tachycardia+(VT)+in+patients+who+presented+with+WCT1.+Prompt+diagnosis+of+the+etiology+of+WCT+is%2C+however%2C+essential+since+immediate+care+is+frequently+required.+Diagnostic+and+therapeutic+errors+can+produce+poor+outcome+especially+when+ventricular+tachycardia+is+not+recognized.2%2C3%0A%0A++++++++++++WCT+that+is+grossly+irregular+typically+represents+atrial+fibrillation+with+aberrant+conduction+or+preexcitation.+If+its+rate+exceeds+200+beats+per+minute%2C+the+likelihood+of+atrial+fibrillation+with+conduction+over+an+accessory+pathway+should+be+entertained.+In+this+article%2C+we+will+discuss+the+approach+to+the+evaluation+and+management+of+regular+WCT.+%0A&rft.publisher=Indian+Pacing+and+Electrophysiology+Group&rft.contributor=Singh%2C+Balbir&rft.contributor=Lokhandwala%2C+Yash&rft.contributor=Francis%2C+Johnson&rft.contributor=Gupta%2C+Anup&rft.date=2002-10&rft.type=Journal+(Paginated)&rft.type=PeerReviewed&rft.format=text%2Fhtml&rft.identifier=http%3A%2F%2Fcogprints.org%2F4301%2F1%2Fsaba.htm&rft.identifier=++Lam%2C+Patrick+and+Saba%2C+Samir++(2002)+Approach+to+the+Evaluation+and+Management+of+Wide+Complex+Tachycardias.++%5BJournal+(Paginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F4301%2F