Ventricular tachycardia Flashcards
What is the definition of ventricular tachycardia?
A tachycardia with 3 or more consecutive beats that originate from the ventricles, independent of atrial or AV nodal conduction
What electrolyte abnormalities can predispose to VT?
Hyper/Hypokalaemia
Hypomagnesaemia
Hypocalcaemia
What drugs can predispose to VT?
Antiarrhythmics i.e amiodarone Antibiotics Antipsychotics Antiemetics Antihistamines Calcium-channel blockers Opiates
Describe ECG findings of VT
Regular wide complex tachycardia
What are some causes of VT?
Electrolyte abnormalities i.e hypocalcaemia/hypomagnesaemia
Drugs i.e TCAs, anti-arrhythmics
Ischaemic heart disease
Structural heart disease
What is the cause of polymorphic VT?
Prolonged QT interval
Treatment of VT?
Stable: chemical cardioversion i.e amiodarone
Unstable/pulseless: follow arrest rhythm protocol