Arrhythmias Flashcards
4 adverse signs of tachyarrhythmias
SBP < 90
Chest pain
Heart failure
Decreased GCS
Atrium rate in atrial flutter
300
Indications for rhythm control of an arrhythmia rather than rate control
Atrial structure normal - high chance of success
Mx of AF / atrial flutter
One of adverse signs - shock
Rhythm / rate
?anticoagulation
Rate control medication
Beta blocker / verapamil
Digoxin
Amiodarone
Rhythm control medication
Amiodarone
Flecanide
SVT / AVRT ECG changes
Narrow complex
Regular
No p waves
Mx of SVT
Vagal manoeuvres
Adenosine - not in asthma
?Ablation
Ventricular tachycardia ECG changes
Broad complex
Regular
Mx of VT
Adverse sign - shock
No adverse signs - Amiodarone
Prophylaxis of VT
Sotalol
Amiodarone
Vetricular fibrillation ECG changes
Broad complex
Irregular
Mx of VF
Shock
Types of heart block
Type 1
Type 2 : Mobitz 1, Mobitz 2
Type 3
Type 1 heart block
Long PR
No Rx