Conduction- Tx

Question 1

How do you tx PSVT/SVT?

Answer 1

Valsalva

Carotid Massage

Adenosine, CCB, BB (Esmolol)

Cardiovert (if fail meds)

Ablation (if recurrent)

Question 2

How do you tx Multifocal Atrial Tachy (MAT)

Answer 2

CCB/BB (persistent)

NO Anticoag

Question 3

Tx of WPW

Answer 3

Valsalva

Carotid Massage

Adenosine

NO CCB/BB

Cardiovert (if fail meds)

Ablation (long term mang)

Question 4

A flutter tx

Answer 4

AC (accor to CHADVASC)

Rx same as Afib (Diltiazem, esmolol, Metoprolol, Dig, Amiodarone- DAMED)

******CARDIOVERT*****

Question 5

Afib tx based on CHADVASC score (non-valvular)

Answer 5

2= Warfarin/DOAC

1= ASA 81mg

Question 6

Valvular Afib tx

Answer 6

WARFARIN

Question 7

tx for Afib

Answer 7

Rate= Diltiazem, esmolol, metoprolol, Dig, Amiodarone (“DAMED”)

Cardioversion (if unstable)

Question 8

Long term tx for Afib

Answer 8

Rhythm- Antiarrhy, ablation, Maze

Rate- BB, CCB, Dig; Pacemaker, AV ablation

Question 9

Tx for PVC

Answer 9

CCB/BB

+/- Sotalol (antiarrhythmic)

+/- Ablation (if CM/uncontrolled with rx)

Question 10

tx for Mobitz II

Answer 10

PACEMAKER

+/- Atropine

Question 11

Tx for 1st degree AV block

Answer 11

NO TX

NO CCB/BB

Question 12

3rd degree Heart block tx

Answer 12

PACEMAKER

+/- atropine

Question 13

How to tx stable vs unstable V-tach

Answer 13

Stable= BB, antiarrhyth

Unstable= Cardiovert ASAP

Question 14

Long term tx for V-tach

Answer 14

BB, ICD (improves survival)

Antiarrhyth (Sotalol/amiodarone)

Question 15

Tx for Torsades de Pointes

Answer 15

CARDIOVERSION ASAP

Mg s/p cardioversion

Question 16

Long term tx for Torsades

Answer 16

BB (if congenital)

stop meds (Quinolones, mac, azole)

Question 17

Tx for V-fib

Answer 17

ACLS (ABC, defib, CPR, epi)

Revascularization via cardiac cath

ICD

Question 18

Tx for SSS (if unstable brady)

Answer 18

ACLS

Atropine, Dopamine, epi

Transcut/transvenous pacing

***STOP BB/CCB/Dig/etc***

Pacemaker