What is Aberrancy ECG?

What is Aberrancy ECG?

Aberrant ventricular conduction is a common electrocardiographic (EKG) manifestation that occurs when the supraventricular electrical impulse is conducted abnormally through the ventricular conducting system. This results in a wide QRS complex that may be confused with a ventricular ectopic beat.

What is atrial tachycardia with Aberrancy?

Atrial tachycardia with aberrant conduction Aberrant conduction is defined as conduction through the atrioventricular node with delay or block, resulting in a broader QRS complex. Aberrant conduction usually manifests as left or right bundle branch block, both of which have characteristic features.

How do you tell VT from sbert with Aberrancy?

Monomorphic VT Although there is a broad complex tachycardia (HR > 100, QRS > 120), the appearance in V1 is more suggestive of SVT with aberrancy, given that the the complexes are not that broad (< 160 ms) and the right rabbit ear is taller than the left.

How do you treat Aberrancy SVT?

If SVT with aberrancy, treat with IV adenosine (vagal maneuvers). For irregular WCTs, if atrial fibrillation with aberrancy, consider expert consultation; control rate. If pre-excited atrial fibrillation (AFIB + WPWS), expert consultation is advised. Avoid AV nodal blocking agents, consider amiodarone.

What causes Aberrancy?

Aberrant conduction occurs when the length of the cardiac cycle is changed without a compensatory change in the length of the refractory period. This is explained by the changes of the refractoriness in the His-Purkinje system related to changes in the RR interval.

What is multifocal atrial tachycardia?

Multifocal atrial tachycardia (MAT) is a rapid heart rate. It occurs when too many signals (electrical impulses) are sent from the upper heart (atria) to the lower heart (ventricles). The external structures of the heart include the ventricles, atria, arteries and veins.

What is AVRT and avnrt?

AT = atrial tachycardia; AVNRT = atrioventricular nodal reentrant tachycardia; AVRT = atrioventricular reciprocating tachycardia; bpm = beats per minute; SVT = supraventricular tachycardia.

What is supraventricular tachycardia with Aberrancy?

Any tachycardic rhythm with a left or right bundle branch block that is NOT ventricular tachycardia is considered “supraventricular tachycardia with aberrancy”.

Do beta blockers prevent ventricular tachycardia?

Furthermore, beta-blockers have been advocated for use in patients with ventricular fibrillation (VF) and ventricular tachycardia (VT), in whom these agents appear to reduce the incidence of recurrent ventricular tachyarrhythmias 6, 7.

How is aberrant conduction treated?

It is usually treated with vagal maneuvers or adenosine. What does aberrancy mean? You can think of “aberrancy” as abnormal conduction. When something is aberrant it “departs from the right, normal, or usual course.”

What causes AVRT?

In a person with an accessory pathway, an episode of AVRT can be triggered by a premature heartbeat—either a premature atrial contraction (PAC) or a premature ventricular contraction (PVC). This premature beat, if it occurs at just the right time, can trigger a continuous (or reentrant) electrical impulse.

Why do aberrant PACS occur?

Aberrant conduction occurs simply because the right and left bundle branches have different lengths of refractory periods. In Figure 2, the shaded area is the refractory period of the left and right bundle branches. As can be seen, one bundle branch, usually the right, has a longer refractory period than the other.