Tachyarrhythmias Flashcards
Give three broad complex regular tachycardias
SVT with BBB: appearance of BBB
Wolff-Parkinson-White: delta waves
VT: V-A dissociation, fusion and capture beats, concordance
Give three narrow complex regular tachycardias
Atrial flutter
AVRT
Atrial ectopic
Sinus tachycardia
Give three broad complex irregular tachycardias
Polymorphic VT
VF
Torsades
What is the management of an acute narrow complex tachycardia?
Vagal manoeuvres
Adenosine (6mg -> 12mg -> 18mg)
Verapamil in asthmatics
DC Cardioversion
What is the management of a broad complex tachycardia?
ABCDE
Vagal manoeuvres
If VT: Amiodarone
If VF: Magnesium sulphate
What are the ECG features in Wolff-Parkinson-White?
Short PR interval, broad QRS, delta wave
What features suggest instability with arrhythmia?
Shock/hypotension
Syncope
Heart failure
Myocardial ischaemia
Which electrolyte disturbances cause prolonged QT?
Low K+, Mg2+ and Ca2+