Diagnosis at Mayo Clinic
Mayo Clinic doctors trained in heart and blood vessel conditions (cardiologists), heart rhythm conditions (electrophysiologists), and other specialties evaluate your condition. Doctors at Mayo Clinic have extensive experience evaluating heart rhythm conditions (arrhythmias).
To diagnose ventricular tachycardia, your doctor may review your symptoms and your family and medical history, and conduct a physical examination.
Your doctor may order several tests to diagnose your condition, determine the cause and severity of your condition, and determine the most appropriate treatment for your condition. Ventricular tachycardia may be a medical emergency, and it may require an urgent diagnosis and prompt treatment.
Tests may include:
Feb. 07, 2015
- Electrophysiology tests. During an electrophysiology test, your doctors insert thin, flexible tubes (catheters) with electrodes at the tips in a blood vessel in your arm or groin and thread them through your blood vessels to several areas within your heart. Once in place, the electrodes precisely map the spread of electrical impulses throughout your heart.
- Electrocardiogram (ECG or EKG). In an ECG, sensor patches with wires attached (electrodes) on your skin measure your heart's electrical impulses.
- Echocardiogram. In this test, sound waves create detailed images of your heart's size, structure and motion.
- Coronary angiogram. In this test, your doctor inserts a long, thin tube (catheter) into a blood vessel in your groin, arm or neck and threads it to your coronary arteries. Your doctor then injects a type of dye that's visible on X-ray through the catheter into your blood vessels. The dye shows the inside of your blood vessels and shows whether coronary artery disease is causing ventricular tachycardia.
- Blood tests. Blood tests may be used to check thyroid hormone or potassium levels in your blood that may lead to ventricular tachycardia.
- Stress test. During a stress test, you'll exercise on a treadmill or stationary bicycle — or take a drug that simulates heart activity during exercise — while an electrocardiogram or other tests monitor your heart activity.
- Holter monitor. A Holter monitor is a portable ECG device that you wear for a day or more to record your heart's electrical activity during your daily routine.
- Event monitor. An event monitor is a portable ECG device that you can activate when you experience symptoms of an arrhythmia. Some event monitors may activate when they sense an abnormal heart rhythm.
- What is an arrhythmia? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/arr/. Accessed Oct. 1, 2014.
- Tachycardia: Fast heart rate. American Heart Association. http://www.heart.org/HEARTORG/Conditions/Arrhythmia/AboutArrhythmia/Tachycardia_UCM_302018_Article.jsp. Accessed Oct. 21, 2014.
- Phang R. Nonsustained VT in the absence of apparent structural heart disease. http://www.uptodate.com/home. Accessed Oct. 21, 2014.
- Podrid PJ. Sustained monomorphic ventricular tachycardia: Diagnosis and evaluation. http://www.uptodate.com/home. Accessed Oct. 21, 2014.
- Ganz LI, et al. Sustained monomorphic ventricular tachycardia in patients with a prior myocardial infarction: Treatment and prognosis. http://www.uptodate.com/home. Accessed Oct. 21, 2014.
- Riggin EA. Decision Support System. Mayo Clinic, Rochester, Minn. Oct. 7, 2014.
- Mankad R (expert opinion). Mayo Clinic, Rochester, Minn. Nov. 26, 2014.