Dysrhythmia
Wide Complex Tachycardia
Standard VT (VT in structurally abnormal heart)
Fascicular VT (structurally normal heart)
Smith post here. Can be seen in children w/ normal hearts. Usually relatively narrow (≤ 140 ms) QRS. Usually well tolerated and HD stable. POCUS to eval for cardiomyopathy or structural abnormality prior to giving negative inotrope like verapamil. Comes in 2 variants:
Posterior fascicular VT
- Originates in posterior fascicle and has RBBB + LAFB morphology
- Verapamil responsive (not adenosine)
RVOT fascicular VT
- Has LBBB morphology and inferior axis
- Adenosine responsive