Arrhythmias Flashcards

1
Q

Ventricular?

A

Origin in ventricle

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2
Q

Supraventricular?

A

Origin is above the ventricles - SA, atrial muscle, AV node, bundle of His

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3
Q

Define an ectopic beat

A

Beat or rhythm that originates somewhere other than the SA node

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4
Q

Supraventricular arrhythmias

A
Atrial fibrillation
Atrial flutter
Ectopic Atrial tachycardia
Sinus bradycardia 
Sinus pause
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5
Q

AV Node Arrhythmia

A

AV node re-entry
Heart Block
WPW syndrome

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6
Q

Ventricular arrhythmias

A

Ventricular tachycardia
Ventricular fibrillation
Asystole

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7
Q

What is Asystole?

A

When the heart ceases to beat

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8
Q

What is the treatment for sinus bradycardia?

A

Atropine

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9
Q

What is the treatment for sinus tachycardia?

A

B-blockers and treat the underling cause

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10
Q

Should atrial ectopic beats be treated?

A

Generally, no - can give B-blockers

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11
Q

Acute ventricular tachycardia management

A
DC cardioversion if unstable
Pharmacological cardioversion if stable e.g. class I or III
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12
Q

Long term treatment for Ventricular tachycardia?

A

ICD

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13
Q

VF Treatment

A

Defibrillation

CPR

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14
Q

Acute management of SVT?

A

Vagal manoeuvres
IV adenosine
IV verapamil

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15
Q

Chronic management of SVT?

A
Radio frequency ablation
Anti-arrhythmic drugs (class II or IV)
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16
Q

What is a normal arrhythmia in young people?

A

Sinus arrhythmia - HR increases on inspiration

17
Q

What is a narrow complex tachycardia due to?

A

Supraventricular

18
Q

What are broad complex tachycardias due to?

A

Ventricular or conduction problem

19
Q

What is paroxysmal AF?

A

An episode lasting < 48hrs, return to NSR spontaneously

20
Q

What is persistent AF?

A

AN episode lasting > 48hrs, return to NSR usually through treatment

21
Q

What is permanent AF?

A

No return to NSR

22
Q

Rate management for AF?

A

Digoxin
B-blocker
Verapamil

23
Q

Rhythm management for AF?

A

Cardioversion

Ablation