I didn't study anti-arrhythmics, use at your own risk! Flashcards
Paroxysmal SVT
Adenosine
WPW
Procainamide
Sinus arrythmia
If needed:
Atropine if brady
BB/CCB if tachy
Torsades de Pointes
IV mag sulfate
Use for IA anti-arrhythmics (quinidine, procainamide, disopyramide)
A-fib/flutter, SVT, V-tach
Not often used
Use of IB anti-arrhythmics (lidocaine, mexiletine)
V-tach only
Mexiletine is maintenance drug for V-tach
Use of IC anti-arrhythmics (flecainide, propafenone)
A-fib/flutter, paroxysmal SVT abortion
Use of class II antiarrhythmics (metoprolol, propanolol, esolol)
SVT and ventricular arrhythmia prevention and treatment
A-fib/A-flutter
Paroxysmal SVT: abort/prevent
Prevention of ventricular arrhythmias
Reduction of DADs
Sotalol
A-fib/flutter
Ventricular arrhythmias in patients with ICD
Dofetilide
A-fib/flutter
Ibutilide
Acute termination of a-flutter/fib
Amiodarone
Ventricular arrhythmias
Off-label: a-fib/flutter; pulseless v-tach
Dronedarone
A-fib/flutter, but less effective than amiodarone and not to be used in permanent a-fib patients
Class IV antiarrhythmics
SVTs, a-fib/flutter, PSVT
Adenosine
Paroxysmal SVT
AV nodal reentry tachycardia
Accessory pathway reentry tachycardia
(Useful in ER)