ReviewHerzschrittmachertherapie & Elektrophysiologie2026
[Management of wide QRS complex tachycardia : From acute treatment to long-term prevention].
Review in Herzschrittmachertherapie & Elektrophysiologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
backgroundWide QRS complex tachycardia is among the most common and clinically relevant arrhythmia emergencies. Its differential diagnosis is often perceived as challenging but can be reduced to a single pathophysiological principle.
objectiveThis review presents a structured concept for the diagnosis and management of wide QRS complex tachycardia, from the acute setting to long-term recurrence prevention.
resultsThe QRS complex is wide only when conduction does not proceed through the His-Purkinje system, yielding three scenarios: ventricular tachycardia, supraventricular tachycardia with aberrancy, and pre-excited tachycardia. Acute management depends on hemodynamic stability; long-term prevention comprises pharmacotherapy, device therapy, and catheter ablation.
conclusionWide QRS complex tachycardia differential diagnosis is less complex than commonly perceived when the underlying principle is understood. Novel ablation techniques expand options in selected cases.
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