Vereckei Algorithm

Vereckei Algorithm: A simplified, lead aVR-only algorithm to differentiate Ventricular Tachycardia (VT) from Supraventricular Tachycardia (SVT) with aberrancy.

Examine Lead aVR Only

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

Differential diagnosis of wide complex tachycardia (WCT) where the underlying rhythm is unclear.

As a fast, single-lead (aVR) alternative to the 4-step Brugada criteria.

Particularly useful when precordial leads (V1-V6) are unavailable or difficult to interpret.

Clinical Caveat

Any wide complex tachycardia in an unstable patient should be treated as VT regardless of algorithm results. Synchronized cardioversion is the priority.

Last Comprehensive Review: 2026

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

Differential diagnosis of wide complex tachycardia (WCT) where the underlying rhythm is unclear.

As a fast, single-lead (aVR) alternative to the 4-step Brugada criteria.

Particularly useful when precordial leads (V1-V6) are unavailable or difficult to interpret.

Clinical Caveat

Any wide complex tachycardia in an unstable patient should be treated as VT regardless of algorithm results. Synchronized cardioversion is the priority.

Last Comprehensive Review: 2026

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Recent Journal Updates

DiabetologiaJun 6, 2026

SARS-CoV-2 infection and COVID-19 vaccination and the risk for new-onset type 1 diabetes: a register-based population study in Sweden

Clinical Context

We think this has broad domain relevance to Vereckei Algorithm (VT vs SVT).

JAMAJun 2, 2026

Virtual Neurology Visits Comparable With In-Person for Initial Evaluations

Clinical Context

We think this has broad domain relevance to Vereckei Algorithm (VT vs SVT).

DiabetologiaMay 26, 2026

Clinical and psychological phenotypes of type 1 diabetes and disordered eating derived from a case vignette series: T1DE phenotypes

Clinical Context

We think this has broad domain relevance to Vereckei Algorithm (VT vs SVT).

Vereckei Algorithm

Vereckei Algorithm: A simplified, lead aVR-only algorithm to differentiate Ventricular Tachycardia (VT) from Supraventricular Tachycardia (SVT) with aberrancy.

Examine Lead aVR Only

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

Differential diagnosis of wide complex tachycardia (WCT) where the underlying rhythm is unclear.

As a fast, single-lead (aVR) alternative to the 4-step Brugada criteria.

Particularly useful when precordial leads (V1-V6) are unavailable or difficult to interpret.

Clinical Caveat

Any wide complex tachycardia in an unstable patient should be treated as VT regardless of algorithm results. Synchronized cardioversion is the priority.

Last Comprehensive Review: 2026

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

Differential diagnosis of wide complex tachycardia (WCT) where the underlying rhythm is unclear.

As a fast, single-lead (aVR) alternative to the 4-step Brugada criteria.

Particularly useful when precordial leads (V1-V6) are unavailable or difficult to interpret.

Clinical Caveat

Any wide complex tachycardia in an unstable patient should be treated as VT regardless of algorithm results. Synchronized cardioversion is the priority.

Last Comprehensive Review: 2026