Which statement best describes V tach?

• A. A rapid rhythm originating in the atria
• B. A slow rhythm originating in the ventricles
• C. A rhythm with irregular rhythm
• D. A rapid rhythm originating in the ventricles

Answer: (D)

Ventricular tachycardia is a fast rhythm that begins in the ventricles. This origin in the ventricular tissue is what sets it apart from arrhythmias that start in the atria (like atrial tachycardias or SVT) or from slower ventricular rhythms. On ECG, it’s typically rapid and often presents with wide QRS complexes due to the abnormal path the impulse travels through the ventricles. It’s not a slow rhythm from the ventricles and is generally more regular than irregular atrial rhythms, which helps differentiate it. So, a rapid rhythm originating in the ventricles is the defining description of ventricular tachycardia.