Article Text

Download PDFPDF
What is this? VT versus SVT
  1. Prabha Nini Gupta1,
  2. Anup Kumar1,
  3. Narayanan Namboodiri2,
  4. Anil Balachandran1
  1. 1Department of Cardiology, Medical College Hospital, Trivandrum, Kerala, India
  2. 2Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India
  1. Correspondence to Professor Prabha Nini Gupta, ninigupta{at}


We present a patient who had a wide QRS tachycardia; it was initially difficult to determine whether it was superventricular tachycardia (SVT) or ventricular tachycardia (VT). By some criteria (sinus capture beats, pseudo-δ waves and wide QRS) the patient's ECG was suggestive of VT of epicardial origin. On the coronary angiogram it was found that this patient had significant coronary artery disease. He was stented with three stents and later had a full electrophysiological study .We present here the ECGs and the differential diagnosis and a brief review of the diagnostic features of epicardial VT.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.