treat arrhythmias

Question 0

What is used to terminate most episodes of PSVT

Answer 0

IV adenosine or IV or oral verapamil used mostly

… but esmolol, metoprolol, dilitiazem, and digoxin are possibilities

Question 1

What are the treatments for mechanical interruption of acute Paroxysmal supraventricular arrhythmias?

Answer 1

valsalva maneuver
coughing
breath holding
stretching
putting thehead between the kenees
applying cold water to the face
unilateral carotid sinus massage

Question 2

Prevention of supraventricular arrhythmias

Answer 2

diltiazem and/or verapamil or a B-blocker

Question 3

treatment of atrial flutter

Answer 3

Ibutilide

or electral cardioversion

Question 4

What is the treatment of choice for a chronic a-flutter

Answer 4

amiodarone or dofetilide

-radiofreq ablation recommended for refractory or recurrent conditions

Question 5

what is defined as three or more consecutive ventricular premature beats

Answer 5

V-tach

Question 6

What is V-tach a frequent complication of

Answer 6

acute MI and dilated cardiomyopathy

Question 7

V tach in which the QRS complex twists around the baseline.

Answer 7

Torsades de pointes

Question 8

In what pt does Torsades de pointes occur

Answer 8

spontaneously or when the patient has hypokalemia or hypomagnesemia, or following administration of drugs that prolongs the QT

Question 9

Describe Long QT Syndrome

Answer 9

may be congenital or acquired and causes recurrent syncope, a QT interval usually 0.5 to 0.7 seconds long, ventricular arrhythmias, and sudden death

Question 10

Genetic disorder, more common in Asians and in men, that causes syncope, ventricular fib, and sudden death

Answer 10

Brugada’s syndrome

Question 11

No effective pumping action exists, without intervention, death ensues

Answer 11

V-Fib

Question 12

Which ventricular arrhythmia is associated with sudden death, most often in the mornings?

Answer 12

Ventricular Fibrillation

Question 13

what is the treatment of Ventricular premature beats

Answer 13

beta blockers in symptomatic patient; class I and III agents can be used with caution only in symptomatic patient

Question 14

In V tach with severe hypotension or loss of consciousness?

Answer 14

synchronized cardioversion may be necessary; ventricular overdrive pacing may help

Question 15

what is the preferred pharmacologic agent for acute V tach

Answer 15

lidocaine, procainamide, and amiodarone

empiric magnesium may help

Question 16

When do you use an implantable debrillator to treat Ventricular arrhythmias?

Answer 16

1. chronic recurrent sustained V tach without a reversible cause
2. congenital long QT syndrome
3. Brugada’s syndrome

Question 17

What is the treatment for Torsades de Pointes

Answer 17

BB, magnesium, and temporary atrial or ventricular pacing

Question 18

When is Sick Sinus Syndrome Reversible?

Answer 18

caused by digitalis, quinidine, B-Blockers, or aerosols

Question 19

a wastebasket of arrhythmias caused by SA Node dysfunction associated with unresponsive supraventricular (atrial and Junctional) automaticity foci, which are also dysfunctional and cant employ their normal escape mechanism to assume pacing responsibility

Answer 19

SSS

Question 20

patients with SSS may develop intermittent episodes of SVT (sometimes even Aflutter or Afib) mingled with the Sinus Bradycardia what is this?

Answer 20

Bradycardia- Tachycardia Syndrome

Question 21

describe the clinical features of SSS and AV Block

Answer 21

SSS = syncope, dizziness, confusion, heart failure, or angina
AV block = weakness, fatique, light headed ness, and syncope

Question 22

What is the treatment for SSS?

What is the treatment for AV Block?

Answer 22

SSS = permanent pacemaking if the pt is symptomatic

AV block = cardiac pacing