arrhythmias Flashcards

1
Q

treatment acute SVT

A

vagal manoeuvres
IV adenosine
IV verapamil

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2
Q

treatment chronic SVT

A

avoid stimulants
EP study + RFA
BBs

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3
Q

treatment atrial ectopic beats

A

generally none
avoid stimulants
BB

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4
Q

treatment sinus tachycardia

A

BB

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5
Q

treatment sinus bradycardia

A

atropine

Pacing if haemodynamically compromised

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6
Q

treatment mobitz type 2

A

permanent pacemaker

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7
Q

treatment 3rd degree heart block

A

ventricular pacemaker

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8
Q

treatment VF

A

defibrillation

cardiopulmonary resuscitation

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9
Q

treatment stable VT

A

amiodarone

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10
Q

treatment pulseless VT

A

defibrillation

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11
Q

treatment longterm VT

A

ICD

VT catheter ablation

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12
Q

treatment acute VT

A

high flow O2
adenosine/BB/CCB
amiodarone/DCCV

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13
Q

treatment TdP

A

IV Magnesium chloride / Magnesium sulfate
isoprenaline
temporary/permanent pacing

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14
Q

treatment atrial flutter

A

RF ablation
warfarin
anti arrhythmic drugs

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15
Q

treatment AF

A

1st line - BB or CCB (rate limiting)
2nd line - amiodarone or digoxin

anticoagulate with heparin
warfarin if chronic
DCCV if >150bpm
RFA

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16
Q

what kind of arrhythmia is WPW

A

accessory pathway tachycardia (re-entry)

17
Q

what do the following do to the slope of phase 4 and therefore HR
Hyperthermia

A

increase slope

increase HR

18
Q

what do the following do to the slope of phase 4 and therefore HR
hypoxia

A

increase slope

increase HR

19
Q

what do the following do to the slope of phase 4 and therefore HR
hypothermia

A

decrease slope

decrease HR

20
Q

what do the following do to the slope of phase 4 and therefore HR
hypercapnia

A

increase slope

increase HR

21
Q

what do the following do to the slope of phase 4 and therefore HR
hyperkalaemia

A

decrease slope

decrease HR

22
Q

what do the following do to the slope of phase 4 and therefore HR
cardiac dilation

A

increase slope

increase HR

23
Q

what do the following do to the slope of phase 4 and therefore HR
hypokalaemia

A

increase slope

increase HR

24
Q

what is the vagal manoeuvre for infants

A

ice water to face

25
Q

what is the vagal manoeuvre for children/teen

A

valsalva

carotid massage

26
Q

what is the vagal manoeuvre for adults

A

NG placement
carotid massage
breath holding

27
Q

what study is undertaken in chronic SVT

A

EP study + RFA

28
Q

through what vein is the EP study catheter placed

A

femoral