ventricular premature beats (ectopics) Flashcards
what does patient present with
- extra beats
- missed beats
- heavy beats
pulse
irregular
treatment
beta-blockade
what are QRS complexes like
broad
what follows a premature beat
compensatory pause
when are they treated
only if symptomatic
treatment
- reassurance
- beta-blocker
what are the 3 options for long term management
- antiarrhythmic drug therapy
- ablation therapy
- device therapy
treatment for AV node re-entrant tachycardia
- beta blockers
- calcium channel blockers
- digoxin
- class Ic
- class III
- catheter ablation
treatment for AV re-entrant tachycardia
- beta blockers
- calcium channel blocker
- digoxin
- class Ic
- class III
- catheter ablation
treatment for wolf-parkinson-white syndrome
- class Ic
- class III
- catheter ablation
treatment for atrial fibrillation
maintain sinus rhythm:
- class Ic or class III drugs
+ cardioversion
catheter ablation
rate control:
- beta blocker
- calcium
- digoxin
- AV node ablation + pacemaker
anticoagulation:
- warfarin
- oral anticoagulant (rivaroxaban, dabigatran)
treatment for atrial flutter
- class Ic
- class III
- catheter ablation
- beta blocker
- calcium channel blocker
- digoxin
- anticoagulation
treatment for atrial tachycardia
- class Ic
- class III
- catheter ablation
- beta blockers
- calcium channel blocker
- digoxin
- anticoagulation
treatment for congenital long QT
- beta blocker + pacemaker
- ICD
- correct bradycardia
- correct electrolytes
treatment for acquired long QT
- avoid all QT-longing drugs
treatment for normal heart ventricular tachycardias
- beta blockers
- calcium channel blocker
- catheter ablation (cure)
treatment for non-sustained VT
- beta blocker
- class Ic
- class III
- ICD
