Look for the “tombstones.” Since it’s ventricular there are no paves at all - just the QRS complexes. Ventricular Tachycardia is a wide complex and regular tachycardia. 12msec and means it’s a ventricular rhythm while narrow is 150 + the loss of p-waves (can you tell p-waves from twaves?). 1) Determine the rate: tachycardia is > 100, bradycardia. In order to identify the rhythm, follow these simple principles.
Cardiology Step 1: General Principles The Step 2 exam will ask to either identify the rhythm or choose an intervention.