Arrythmias Flashcards
True or false: rhythm control is usually the preferred first line treatment in AF
False: rate control is preferred first line
_______ are class IV anti arrhythmic drugs
Non-dihydropyridine calcium channel blockers
Beta blockers are class _____anti arrhythmic drugs
Class II
Class III anti arrhythmic drugs are ______ and ______
Amiodarone and sotalol
Risk assessment tool for stroke risk ?
CHA2DS2-VASc
Risk assessment tool for bleeding risk ?
HAS-BLED
Edit: Recently replaced by ORBIT (from NICE CKS)
What class of anti arrhythmic is flecainide?
Class I
Which drug is used for treatment of paroxysmal supraventricular tachycardia ?
Adenosine is the drug of choice
What is the antidote for digoxin
Digoxin specific antibody
True or false: plasma concentration of digoxin needs to be regularly monitored during maintenance treatment
FALSE - it does not need to be monitored regularly unless problems are suspected
First line for rate control is ____
Beta blockers
Second line CCBs
First line for rhythm control is ______
Beta blockers
second line amiodarone/other anti-arrhythmics
What CHADS-VASc score indicates a need for anticoagulation?
Hint: different score for men and for women
Men: +1
Women: +2
True or false:
Amiodarone can cause hyponatraemia
TRUE
True or false: Beta blockers are cautioned in diabetics
TRUE
They may mask the signs of hypoglycaemia
Which antiemetic increases the risk of arrhythmias and should therefore be avoided in patients with arrhythmias?
Domperidone (A DA receptor antagonist)
True or false:
Verapamil is effective for both SVT and VT
FALSE
It is only effective for SVT
Which drugs can be used for both SVT and VT
5 points
Amiodarone Beta blockers Disopyramide Flecainide Propafenone
What drug(s) are used to terminate paroxysmal SVT
Adenosine
Verapamil preferred if asthmatic
True or false:
Beta blockers can be used for both rate and rhythm control in AF
TRUE
What is used to treat Torsades des pointes?
IV magnesium sulfate
What is the preferred drug treatment to correct ventricular tachycardia
IV amiodarone
