Arrythmia - SVT Flashcards

1
Q

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2
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5
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6
Q

first line acute management of SVT ?

A

VALSALVA MANUVER - blow into emplty plastic syringe
carotid sinus massage

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7
Q

second line managmnet of SVT ?

A

IV adenosine - rapid IV bolus of 6mg , then 12mg , then further 18 mg

ADENOSINE IS CONTRAINDICATED IN ASTHMATICS

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8
Q

what can we give instead of adenosine in ASTHMATICS ?

A

VERAPAMIL

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9
Q

Third line management of SVT ?

A

ELETRICAL CARDIOVERSION

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10
Q

when should anticoagulant be considered in afib?

A

men CHA2DS2 VASC = >1
women CHA2DS2-VASC =>2

CCF = 1
HYPERTENSION =1 
AGE >65 = 1  >75=2
DM = +1
previous stroke / TIA =2
vascular disease history -MI or peripheral vascular disease = +1
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11
Q

how to prevent further SVT episodes ?

A

BETA BLOCKERS
AND RADIO FREQ ABLATION

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12
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13
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14
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15
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16
Q

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17
Q

what is Multifocal atrial tachycardia

A

irregular cardiac rhythm caused by at least three different sites in the atria

demonstrated by morphologically distinctive P waves

18
Q

who is Multifocal atrial tachycardia more common in ?

A

elderly patients with chronic lung disease, for example COPD

19
Q

managmnet of Multifocal atrial tachycardia

A

correction of hypoxia and
electrolyte disturbances

rate-limiting calcium channel = VERAPAMIL

blockers are often used first-line
cardioversion and digoxin are not useful in the management of MAT

20
Q

how to differentiate vtach from SVT with aberrant conduction?

A

AV dissociation

fusion or capture beats

positive QRS concordance in chest leads

marked left axis deviation

history of IHD

lack of response to adenosine or carotid sinus massage

QRS > 160 ms