MDCalc

Brugada Criteria for Ventricular Tachycardia

Distinguishes ventricular tachycardia from supraventricular tachycardia.

Absence of an RS complex in all precordial leads

All QRS complexes completely upright or completely downward in precordial leads

Result:

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Advice

The one exception to the rule is an Antidromic Atrioventricular Reentrant Tachycardia (AVRT), seen in Wolff-Parkinson White (WPW) Syndrome.

Management

Once the rhythm is identified, treat according to Advanced Cardiac Life Support (ACLS) algorithms.

Critical Actions

Use ACLS-recommended chemical cardioversion for stable patients. For unstable patients (altered mental status, ongoing chest pain, or hypotension), perform electrical cardioversion.