Ventricular Tachycardia Flashcards
1
Q
VT
A
Potentially life threatening
Immediate intervention needed
Common in Hx of CVD
2
Q
ECG findings
A
Broad QRS complex Rapid rate Distorted Regular rhythm No P waves No T waves
3
Q
Monomorphic VT
A
VT due to one source
Mainly due to presence of a scar
Wide QRS, similar shape and height
4
Q
Polymorphic VT
A
Associated with Torsades de Pointes.
Prolonged QT interval
Change in height of QRS complexes (as they seem to be twisting on a point)
Cause: hypokalaemia, drug induced prolonged AP
5
Q
Acute Management
A
Unstable Monomorphic: DC Cardioversion
Unstable Polymorphic / Pulseless VT: Defibrillation
Pharmacologic cardioversion (with drugs)
Adenosine has no effect in VT
6
Q
Chronic Management
A
ICD
Cardiac pacing
Anti-arrhythmic drugs are ineffective
