ventricular premature beats (ectopics) Flashcards
1
Q
what does patient present with
A
- extra beats
- missed beats
- heavy beats
2
Q
pulse
A
irregular
3
Q
treatment
A
beta-blockade
4
Q
what are QRS complexes like
A
broad
5
Q
what follows a premature beat
A
compensatory pause
6
Q
when are they treated
A
only if symptomatic
7
Q
treatment
A
- reassurance
- beta-blocker
8
Q
what are the 3 options for long term management
A
- antiarrhythmic drug therapy
- ablation therapy
- device therapy
9
Q
treatment for AV node re-entrant tachycardia
A
- beta blockers
- calcium channel blockers
- digoxin
- class Ic
- class III
- catheter ablation
10
Q
treatment for AV re-entrant tachycardia
A
- beta blockers
- calcium channel blocker
- digoxin
- class Ic
- class III
- catheter ablation
11
Q
treatment for wolf-parkinson-white syndrome
A
- class Ic
- class III
- catheter ablation
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)
13
Q
treatment for atrial flutter
A
- class Ic
- class III
- catheter ablation
- beta blocker
- calcium channel blocker
- digoxin
- anticoagulation
14
Q
treatment for atrial tachycardia
A
- class Ic
- class III
- catheter ablation
- beta blockers
- calcium channel blocker
- digoxin
- anticoagulation
15
Q
treatment for congenital long QT
A
- beta blocker + pacemaker
- ICD
- correct bradycardia
- correct electrolytes