Ventricular Tachycardia (VT)

Overview


Plain-Language Overview

Ventricular Tachycardia (VT) is a type of fast heart rhythm that starts in the lower chambers of the heart called the ventricles. It affects the heart's electrical system, causing the heart to beat very quickly and inefficiently. This can reduce the heart's ability to pump blood properly, leading to symptoms like dizziness, chest pain, or even loss of consciousness. VT can be dangerous because it may progress to a more serious rhythm called ventricular fibrillation, which can cause sudden cardiac arrest. The condition often occurs in people with underlying heart disease or after a heart attack.

Clinical Definition

Ventricular Tachycardia (VT) is defined as a rapid heart rhythm originating from the ventricles, characterized by at least three consecutive ventricular beats at a rate exceeding 100 beats per minute. It results from abnormal electrical activity due to reentry circuits, enhanced automaticity, or triggered activity within the ventricular myocardium. The most common causes include ischemic heart disease, cardiomyopathies, and structural heart abnormalities. VT is clinically significant because it can cause hemodynamic instability, leading to symptoms such as syncope or sudden cardiac death. It is classified as monomorphic or polymorphic based on QRS morphology on electrocardiogram. Prompt recognition and management are critical to prevent progression to ventricular fibrillation.

Inciting Event

Locked content

Latency Period

Locked content

Diagnostic Delay

Locked content

Clinical Presentation


Signs & Symptoms

Locked content

History of Present Illness

Locked content

Past Medical History

Locked content

Family History

Locked content

Physical Exam Findings

Locked content

Diagnostic Workup


Diagnostic Criteria

Locked content

Pathophysiology


Key Mechanisms

Locked content

Organs

Locked content

Tissues

Locked content

Cells

Locked content

Chemical Mediators

Locked content

Treatments


Pharmacological Treatments

Locked content

Non-pharmacological Treatments

Locked content

Prevention


Pharmacological Prevention

Locked content

Non-pharmacological Prevention

Locked content

Outcome & Complications


Complications

Locked content

Short-term Sequelae

Locked content

Long-term Sequelae

Locked content

Differential Diagnoses


Differentials

Locked content

Medical Disclaimer: The content on this site is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. If you think you may be experiencing a medical emergency, call 911 or your local emergency number immediately. Always consult a licensed healthcare professional with questions about a medical condition.

Artificial Intelligence Use: Portions of this site’s content were generated or assisted by AI and reviewed by Erik Romano, MD; however, errors or omissions may occur.

USMLE® is a registered trademark of the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). Doctogenic and Roscoe & Romano are not affiliated with, sponsored by, or endorsed by the USMLE, FSMB, or NBME. Neither FSMB nor NBME has reviewed or approved this content. "USMLE Step 1" and "USMLE Step 2 CK" are used only to identify the relevant examinations.