Which of the following would be indicative of monomorphic V Tach?

Monomorphic ventricular tachycardia (V Tach) is characterized by a consistent morphology of the QRS complexes. This means that all the QRS complexes appear similar in shape and size, which is indicative of a single ectopic focus in the ventricles generating the rapid heart rhythm.

When uniform shapes of PVCs, or premature ventricular contractions, are observed, it suggests that there is a singular origin for the ventricular activity, aligning with the concept of monomorphic Ventricular Tachycardia. This uniformity is crucial for identifying monomorphic V Tach, as it distinguishes this rhythm from polymorphic forms, where complex shapes would indicate multiple ectopic foci or varying electrical activity in the ventricles.

In this context, other responses demonstrate variability in the shape or occurrence of PVCs, which does not align with the definition of monomorphic V Tach. These variations point to different underlying mechanisms or arrhythmias rather than a consistent single focus, which is a hallmark of monomorphic V Tach. Understanding these characteristics helps in effectively recognizing and managing various cardiac dysrhythmias.