Tachyarrhythmias Flashcards
Atrial Fibrillation - Causes
Electrolyte imbalance Sepsis PE Hyperthyroidism Cardiomyopathy
Atrial Fibrillation - Pathophysiology
Dilation of the atria with fibrosis and inflammation causes a difference in refractory periods within the atrial tissue and promotes electrical re-entry
Atrial Fibrillation - ECG
Absent P waves Irregularly irregular ventricular rate
Atrial Fibrillation - Management
Rate control - beta-blockers or digoxin in patients with CCF Rhythm control (cardioversion) - amiodarone Prophylaxis against thromboembolic complications depends on CHADSVASc score
Atrial Flutter - Causes
Left atrial enlargement Mitral valve disease Post cardiac surgery PE
Atrial Flutter - Clinical Presentation
Exercise intolerance Palpitations Fatigue Lightheadedness
Atrial Flutter - ECG
Too many P waves Saw-tooth atrial defections Possible 2:1 AV block
Atrial Flutter - Management
Rate control - beta-blockers or digoxin in patients with CCF Rhythm control (cardioversion) - amiodarone
Ventricular Tachycardia - Causes
IHD Cardiomyopathy Post-AMI Mitral valve prolapse Digoxin toxicity Electrolyte disturbances
Ventricular Tachycardia - Pathophysiology
Slow conduction due to damaged myocardium or scarring May progress to VF
Ventricular Tachycardia - ECG
Rapid, broad and abnormal QRS complexes
Ventricular Tachycardia - Management
Amiodarone or sodium channel blockers (lignocaine)
Ventricular Fibrillation - Causes
VT Idiopathic (Brugada syndrome)
Ventricular Fibrillation - ECG
Rapid, shapeless oscillations
Torsades de Pointes - Causes
Congenital AMI Electrolyte disturbances Drugs - Quinidine, Sotalol, Tricyclic antidepressants, Macrolides