ventricular premature beats (ectopics) Flashcards

1
Q

what does patient present with

A
  • extra beats
  • missed beats
  • heavy beats
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2
Q

pulse

A

irregular

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3
Q

treatment

A

beta-blockade

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4
Q

what are QRS complexes like

A

broad

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5
Q

what follows a premature beat

A

compensatory pause

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6
Q

when are they treated

A

only if symptomatic

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7
Q

treatment

A
  • reassurance

- beta-blocker

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8
Q

what are the 3 options for long term management

A
  • antiarrhythmic drug therapy
  • ablation therapy
  • device therapy
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9
Q

treatment for AV node re-entrant tachycardia

A
  • beta blockers
  • calcium channel blockers
  • digoxin
  • class Ic
  • class III
  • catheter ablation
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10
Q

treatment for AV re-entrant tachycardia

A
  • beta blockers
  • calcium channel blocker
  • digoxin
  • class Ic
  • class III
  • catheter ablation
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11
Q

treatment for wolf-parkinson-white syndrome

A
  • class Ic
  • class III
  • catheter ablation
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12
Q

treatment for atrial fibrillation

A

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)

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13
Q

treatment for atrial flutter

A
  • class Ic
  • class III
  • catheter ablation
  • beta blocker
  • calcium channel blocker
  • digoxin
  • anticoagulation
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14
Q

treatment for atrial tachycardia

A
  • class Ic
  • class III
  • catheter ablation
  • beta blockers
  • calcium channel blocker
  • digoxin
  • anticoagulation
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15
Q

treatment for congenital long QT

A
  • beta blocker + pacemaker
  • ICD
  • correct bradycardia
  • correct electrolytes
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16
Q

treatment for acquired long QT

A
  • avoid all QT-longing drugs
17
Q

treatment for normal heart ventricular tachycardias

A
  • beta blockers
  • calcium channel blocker
  • catheter ablation (cure)
18
Q

treatment for non-sustained VT

A
  • beta blocker
  • class Ic
  • class III
  • ICD