Evaluation of the patient with wide QRS tachycardia

W. M. Miles, E. N. Prystowsky, J. J. Heger, D. P. Zipes

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


The evaulation of the patient who presents with a wide (over 120 mseconds in duration) QRS tachycardia can be difficult. The mechanism of the tachycardia is often not clear at first, but accurate diagnosis may be critical for both short-term and long-term therapy. The goals of this article are to review the mechanisms of wide-complex tachyarrhythmias, clinical and electrocardiographic criteria for differentiating ventricular from supraventricular arrhythmias, and the role of electrophysiologic studies in the management of selected patients.

Original languageEnglish (US)
Pages (from-to)1015-1038
Number of pages24
JournalMedical Clinics of North America
Issue number5
StatePublished - Jan 1 1984

ASJC Scopus subject areas

  • Medicine(all)

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