Vereckei criteria used as a diagnostic tool by emergency medicine residents to distinguish between ventricular tachycardia and supra-ventricular tachycardia with aberrancy.

Journal of cardiology
Rupen P BaxiSean P Collins

Abstract

Accurate electrocardiographic (ECG) differentiation of ventricular tachycardia (VT) from supraventricular tachycardia with aberrancy (SVT-A) on ECG is key to therapeutic decision-making in the emergency department (ED) setting. The goal of this study was to test the accuracy and agreement of emergency medicine residents to differentiate VT from SVT-A using the Vereckei criteria. Six emergency medicine residents volunteered to participate in the review of 114 ECGs from 86 patients with a diagnosis of either VT or SVT-A based on an electrophysiology study. The resident reviewers initially read 12-lead ECGs blinded to clinical information, and then one week later reviewed a subset of the same 12-lead ECGs unblinded to clinical information. One reviewer was excluded for failing to follow study protocol and one reviewer was excluded for reviewing less than 50 blinded ECGs. The remaining four reviewers each read 114 common ECGs blinded to clinical data and their diagnostic accuracy for VT was 74% (sensitivity 70%, specificity 80%), 75% (sensitivity 76%, specificity 73%), 61% (sensitivity 81%, specificity 25%), and 68% (sensitivity 84%, specificity 40%). The intraclass correlation coefficient (ICC) was 0.31 (95% CI 0.22-0.42). Elimina...Continue Reading

References

May 1, 1987·The American Journal of Cardiology·A E BuxtonM E Josephson
Jan 1, 1996·Annals of Emergency Medicine·M E HerbertL Dziukas
Aug 5, 2000·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·J L IsenhourR Risch
Jan 9, 2008·Heart Rhythm : the Official Journal of the Heart Rhythm Society·András VereckeiJohn M Miller

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Citations

Aug 19, 2014·Circulation Journal : Official Journal of the Japanese Circulation Society·Atsushi MizunoKoichiro Niwa
May 23, 2015·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Marek JastrzebskiDanuta Czarnecka
Dec 19, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·F Javier Martín-Sánchez, Héctor Bueno
Nov 19, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Zsuzsanna SzelényiAndrás Vereckei
Dec 3, 2016·Critical Care Nurse
May 20, 2020·Journal of the American Heart Association·Anthony H KashouAdam M May
Jan 28, 2021·Journal of Electrocardiology·Christopher M EvensonAdam M May
Feb 11, 2021·Arquivos brasileiros de cardiologia·Francisco Santos NetoMauricio Scanavacca

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