n South African Medical Journal - An approach to the patient with a suspected tachycardia in the emergency department : CME
|Article Title||An approach to the patient with a suspected tachycardia in the emergency department : CME|
|© Publisher:||Health and Medical Publishing Group (HMPG)|
|Journal||South African Medical Journal|
|Affiliations||1 University of Cape Town, 2 University of Cape Town, 3 Ethekwini Hospital, 4 Vanguard Community Health Centre and 5 Stellenbosch University|
|Publication Date||Mar 2016|
|Pages||246 - 250|
Patients present to the emergency department with either an ongoing tachycardia or a history suspicious of a tachycardia. Either way, the tachycardia needs to be documented, preferably on a 12-lead electrocardiogram (ECG) for diagnosis and management. If a tachycardia is not documented, a careful history of the palpitations should be taken to see if further monitoring and investigations are required. If a tachycardia is confirmed on an ECG, the clinician needs to classify it according to two variables: (i) regularity of the rhythm; and (ii) QRS width. This will allow a differential diagnosis to be made.
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