{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T06:59:08Z","timestamp":1785394748462,"version":"3.55.0"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,9,12]],"date-time":"2017-09-12T00:00:00Z","timestamp":1505174400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Noninvasive Electrocardiol"],"published-print":{"date-parts":[[2018,3]]},"abstract":"Background<\/jats:title>Despite substantial progress in the field of differentiation between ventricular tachycardia (VT<\/jats:styled-content>) and supraventricular tachycardia (SVT<\/jats:styled-content>) with wide QRS<\/jats:styled-content> complexes, differentiation between VT<\/jats:styled-content> and preexcited SVT<\/jats:styled-content> remains largely unresolved due to significant overlap in QRS<\/jats:styled-content> morphology. Our aim was to assess the specificities of various single ECG<\/jats:styled-content> criteria and sets of criteria (Brugada algorithm, aVR<\/jats:styled-content> algorithm, Steurer algorithm, and the VT<\/jats:styled-content> score) for diagnosis of VT<\/jats:styled-content> in a sizable cohort of patients with preexcitation.<\/jats:p><\/jats:sec>Methods<\/jats:title>We performed a retrospective study of consecutive accessory pathway ablation procedures to identify preexcited tachycardias. Among 670 accessory pathway ablation procedures, 329 cases with good quality ECG<\/jats:styled-content> with either bona fide preexcited SVT<\/jats:styled-content> (n<\/jats:italic>\u00a0=\u00a030) or a surrogate preexcited SVT<\/jats:styled-content> (fast paced atrial rhythm with full preexcitation, n<\/jats:italic>\u00a0=\u00a0299) were identified. ECG<\/jats:styled-content>s were analyzed with the use of wide QRS<\/jats:styled-content> complex algorithms\/criteria to determine specificities of these methods.<\/jats:p><\/jats:sec>Results<\/jats:title>The Steurer algorithm and VT<\/jats:styled-content> score (\u22653 points), with specificities of 97.6% and 96.1%, respectively, were significantly (p<\/jats:italic>\u00a0<\u00a0.01) more specific for the diagnosis of VT<\/jats:styled-content> than Brugada algorithm, aVR<\/jats:styled-content> algorithm, and Pava criterion with specificities of 31%, 11.6%, and 57.1%, respectively. The first step of the Brugada algorithm and the first step of the aVR<\/jats:styled-content> algorithm had also high specificities of 93.3% and 96.0%, respectively.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>There are sufficient electrocardiographical differences between VT<\/jats:styled-content> and preexcited SVT<\/jats:styled-content> to allow electrocardiographic differentiation. VT<\/jats:styled-content> score, Steurer algorithm, and some single criteria do not overdiagnose VT<\/jats:styled-content> in patients with preexcitation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/anec.12493","type":"journal-article","created":{"date-parts":[[2017,9,13]],"date-time":"2017-09-13T10:56:58Z","timestamp":1505300218000},"source":"Crossref","is-referenced-by-count":15,"title":["Specificity of wide QRS complex tachycardia criteria and algorithms in patients with ventricular preexcitation"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3318-6601","authenticated-orcid":false,"given":"Marek","family":"Jastrz\u0119bski","sequence":"first","affiliation":[{"name":"First Department of Cardiology Interventional Electrocardiology and Hypertension Medical College Jagiellonian University Cracow Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pawe\u0142","family":"Moskal","sequence":"additional","affiliation":[{"name":"First Department of Cardiology Interventional Electrocardiology and Hypertension Medical College Jagiellonian University Cracow Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piotr","family":"Kukla","sequence":"additional","affiliation":[{"name":"Department of Cardiology H. Klimontowicz Specialistic Hospital Gorlice Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamil","family":"Fijorek","sequence":"additional","affiliation":[{"name":"Department of Statistics Cracow University of Economics Cracow Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roksana","family":"Kisiel","sequence":"additional","affiliation":[{"name":"First Department of Cardiology Interventional Electrocardiology and Hypertension Medical College Jagiellonian University Cracow Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danuta","family":"Czarnecka","sequence":"additional","affiliation":[{"name":"First Department of Cardiology Interventional Electrocardiology and Hypertension Medical College Jagiellonian University Cracow Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,9,12]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.1994.tb01517.x"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.83.5.1649"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.eurheartj.a061568"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/bioinformatics\/btr574"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(94)91223-8"},{"key":"e_1_2_8_7_1","first-page":"1674","article-title":"Limitations in the aVR algorithm should not lead to a redefinition of ventricular tachycardia","volume":"14","author":"Jastrzebski M.","year":"2012","journal-title":"European Pacing, Arrhythmias, and Cardiac Electrophysiology"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jelectrocard.2017.04.003"},{"key":"e_1_2_8_9_1","first-page":"1165","article-title":"Comparison of five electrocardiographic methods for differentiation of wide QRS\u2010complex tachycardias","volume":"8","author":"Jastrzebski M.","year":"2012","journal-title":"European Pacing, Arrhythmias, and Cardiac Electrophysiology"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jelectrocard.2011.08.012"},{"key":"e_1_2_8_11_1","first-page":"578","article-title":"The ventricular tachycardia score: A novel approach to electrocardiographic diagnosis of ventricular tachycardia","volume":"18","author":"Jastrzebski M.","year":"2016","journal-title":"European Pacing, Arrhythmias, and Cardiac Electrophysiology"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(88)91169-1"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1460-9592.2000.01519.x"},{"key":"e_1_2_8_14_1","first-page":"91","article-title":"Differential diagnosis of supraventricular and ventricular tachycardia","volume":"25","author":"Marriott H. 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