N Engl J Med
... SCD-HeFT: Conclusions In class II or III CHF patients with EF < 35% on good background drug therapy, the mortality rate for placebo-controlled patients is 7.2% per year over 5 years Simple, shock-only ICDs decrease mortality by 23% Amiodarone, when used as a primary preventive agent, does not i ...
... SCD-HeFT: Conclusions In class II or III CHF patients with EF < 35% on good background drug therapy, the mortality rate for placebo-controlled patients is 7.2% per year over 5 years Simple, shock-only ICDs decrease mortality by 23% Amiodarone, when used as a primary preventive agent, does not i ...
The Management of Atrial Fibrillation in the ICU
... Metoprolol (intravenously or orally) is an alternative agent. b-blockers are particularly effective in patients with increased sympathetic tone. These agents may cause hypotension, particularly in unstable ICU patients. Magnesium has been shown to reduce the ventricular response in AF, with a greate ...
... Metoprolol (intravenously or orally) is an alternative agent. b-blockers are particularly effective in patients with increased sympathetic tone. These agents may cause hypotension, particularly in unstable ICU patients. Magnesium has been shown to reduce the ventricular response in AF, with a greate ...
A Case of Verapamil-Sensitive Left Ventricular Tachycardia
... Key Points • Fascicular ventricular tachycardia can easily be misdiagnosed and over-treated with antiarrhythmic agents or cardioversion. ...
... Key Points • Fascicular ventricular tachycardia can easily be misdiagnosed and over-treated with antiarrhythmic agents or cardioversion. ...
Antiarrhythmic Drugs
... Class I, II, III & IV actions. • Ventricular tachyarrhythmia after MI or VF • Life threatening recurrent ventricular fibrillation or hemodynamically unstable ventricular tachycardia. D ...
... Class I, II, III & IV actions. • Ventricular tachyarrhythmia after MI or VF • Life threatening recurrent ventricular fibrillation or hemodynamically unstable ventricular tachycardia. D ...
The management of cardiac arrest
... In the arrested patient arterial pH does not correlate well with tissue pH. Mixed venous or central venous pH should be used to guide any further alkalizing therapy and it should always be remembered that good basic life support is more effective than alkalizing agents at raising myocardial pH. Bica ...
... In the arrested patient arterial pH does not correlate well with tissue pH. Mixed venous or central venous pH should be used to guide any further alkalizing therapy and it should always be remembered that good basic life support is more effective than alkalizing agents at raising myocardial pH. Bica ...
Suggestion from clinicians
... function, its stimulatory effects on β arresting signaling, and its anti-oxidant properties.45-47 Carvedilol has also been found to be superior to metoprolol in maintaining a favorable glycemic profile in patients with diabetes, improved insulin sensitivity, and decreased progression to microalbumin ...
... function, its stimulatory effects on β arresting signaling, and its anti-oxidant properties.45-47 Carvedilol has also been found to be superior to metoprolol in maintaining a favorable glycemic profile in patients with diabetes, improved insulin sensitivity, and decreased progression to microalbumin ...
Antiarrhythmic drugs
... •Most antiarrhythmic drugs are pro-arrhythmic (promote arrhythmia) •They are classified according to Vaughan William into four classes according to their effects on the cardiac action potential ...
... •Most antiarrhythmic drugs are pro-arrhythmic (promote arrhythmia) •They are classified according to Vaughan William into four classes according to their effects on the cardiac action potential ...
ACLS Pharmacology/Algorithms Algorithms Primary ABCD Survey
... Don’t drop temperature too quickly or below 32C as you may induce a dysrhythmia or pulmonary edema Hypothermia should be maintained for 12-24 hours. Cooling should be started as soon as possible after ROSC, but appears to be successful even if delayed for 4-6 hours. Hypothermia would be expected to ...
... Don’t drop temperature too quickly or below 32C as you may induce a dysrhythmia or pulmonary edema Hypothermia should be maintained for 12-24 hours. Cooling should be started as soon as possible after ROSC, but appears to be successful even if delayed for 4-6 hours. Hypothermia would be expected to ...
Supraventricular tachyarrhythmias (SVT)
... • atypical (type II) – macroreentry circuit anywhere in the right or left atrium (after surgical treatment of inborn errors of the heart) ...
... • atypical (type II) – macroreentry circuit anywhere in the right or left atrium (after surgical treatment of inborn errors of the heart) ...
Irregular Heart Beats/Palpitations
... • Adenosine is usually not effective in terminating the tachycardia. • Calcium channel blockers are very effective and hence this tachycardia is also referred to as verapamil sensitive ventricular tachycardia. • This is usually amenable to ablation. ...
... • Adenosine is usually not effective in terminating the tachycardia. • Calcium channel blockers are very effective and hence this tachycardia is also referred to as verapamil sensitive ventricular tachycardia. • This is usually amenable to ablation. ...
2. The arrhythmias with heterotop automatism predominance are the
... B. P-R interval shorter than that of basic rhythm C. QRS complexes is supple, by supraventricular type D. QRS complex is opposed to T waves in standard leads E. P wave is sharp, biphasic or negative 4. Atrioventricular extrasystole on ECG is characterizing by follows, except: A. P wave is negative, ...
... B. P-R interval shorter than that of basic rhythm C. QRS complexes is supple, by supraventricular type D. QRS complex is opposed to T waves in standard leads E. P wave is sharp, biphasic or negative 4. Atrioventricular extrasystole on ECG is characterizing by follows, except: A. P wave is negative, ...
2005 American Heart Association Guidelines for CPR and ECC
... Fatigue has also been identified as a factor limiting the quality of CPR. Effectiveness has been found to deteriorate after two minutes of chest compressions. As a consequence, it is recommended that rescuers delivering chest compressions be relieved every two minutes. Significant changes have been ...
... Fatigue has also been identified as a factor limiting the quality of CPR. Effectiveness has been found to deteriorate after two minutes of chest compressions. As a consequence, it is recommended that rescuers delivering chest compressions be relieved every two minutes. Significant changes have been ...
Radiofrequency ablation on veno-arterial extracorporeal life support
... East Midlands Congenital Cardiac Centre, Glenfield Hospital, Groby Rd, Leicester LE3 9QP, UK; 2Department of Cardiology, Glenfield Hospital, Groby Rd, Leicester LE3 9QP, UK; 3Department of Cardiovascular Sciences, University of Leicester, UK; 4NIHR Leicester Cardiovascular Biomedical Research Unit, ...
... East Midlands Congenital Cardiac Centre, Glenfield Hospital, Groby Rd, Leicester LE3 9QP, UK; 2Department of Cardiology, Glenfield Hospital, Groby Rd, Leicester LE3 9QP, UK; 3Department of Cardiovascular Sciences, University of Leicester, UK; 4NIHR Leicester Cardiovascular Biomedical Research Unit, ...
Synopsis of Management on Ventricular arrhythmias
... increase in risk (Ann Intern Med 1992;117:990–6) , while another study suggested no increased risk.(J Intern Med 1999;246:363–72) • PVCs and runs of NSVT in subjects with structural heart disease contribute to an increased mortality risk. • Suppression of PVCs – Severe and disabling symptoms. • Beta ...
... increase in risk (Ann Intern Med 1992;117:990–6) , while another study suggested no increased risk.(J Intern Med 1999;246:363–72) • PVCs and runs of NSVT in subjects with structural heart disease contribute to an increased mortality risk. • Suppression of PVCs – Severe and disabling symptoms. • Beta ...
click here for presentation
... • No digoxin if there is WPW • Acute: Procainamide, amiodarone, DC cardioversion Anticoagulation may be necesssary ...
... • No digoxin if there is WPW • Acute: Procainamide, amiodarone, DC cardioversion Anticoagulation may be necesssary ...
Amiodarone or an Implantable Cardioverter–Defibrillator for
... Before randomization, all patients underwent electrocardiography, a 6-minute walk test, 24-hour ambulatory electrocardiography, liver- and thyroidfunction studies, and chest radiography. All patients were required, if such treatment was clinically reasonable, to receive treatment with a beta-blocker ...
... Before randomization, all patients underwent electrocardiography, a 6-minute walk test, 24-hour ambulatory electrocardiography, liver- and thyroidfunction studies, and chest radiography. All patients were required, if such treatment was clinically reasonable, to receive treatment with a beta-blocker ...
Tachyarrhythmias, Diagnosis and Management
... should be evaluated with EPS • Accessory pathways capable of conducting faster than 240 BPM should be ablated • Patients with inducible arrhythmias involving pathway should be ablated • WPW patients in high risk professions should be ablated. ...
... should be evaluated with EPS • Accessory pathways capable of conducting faster than 240 BPM should be ablated • Patients with inducible arrhythmias involving pathway should be ablated • WPW patients in high risk professions should be ablated. ...
Tachydysrhymias - Calgary Emergency Medicine
... One of the most common lethal errors made in arrhythmia diagnosis is to mistake VT for SVT and treat with verapamil, diltiazem, and adenosine, all of which can precipitate ventricular fibrillation in patients in VT, even if initially stable. ...
... One of the most common lethal errors made in arrhythmia diagnosis is to mistake VT for SVT and treat with verapamil, diltiazem, and adenosine, all of which can precipitate ventricular fibrillation in patients in VT, even if initially stable. ...
Amiodarone versus Sotalol for Atrial Fibrillation
... 706 patients (279 patients in both the amiodarone and sotalol groups and 148 patients in the placebo group). The log-rank test was used to compare the three groups in a pairwise manner. Changes in the quality of life and exercise ability were compared in patients with sustained sinus rhythm and thos ...
... 706 patients (279 patients in both the amiodarone and sotalol groups and 148 patients in the placebo group). The log-rank test was used to compare the three groups in a pairwise manner. Changes in the quality of life and exercise ability were compared in patients with sustained sinus rhythm and thos ...
21 Pharmacology of Antiarrhythmic Agents
... the orderly sequence of depolarization and repolarization in the heart. The clinical severity of disordered cardiac activation range from asymptomatic palpitations to lethal arrhythmias. Clinicians have a number of therapeutic options from which to choose in an effort to suppress and/or eliminate th ...
... the orderly sequence of depolarization and repolarization in the heart. The clinical severity of disordered cardiac activation range from asymptomatic palpitations to lethal arrhythmias. Clinicians have a number of therapeutic options from which to choose in an effort to suppress and/or eliminate th ...
AAFP Board Review: Managing Dysrhythmias
... The EKG shown represents torsades de pointes. This special form of ventricular tachyarrhythmia is often regarded as an intermediary between ventricular tachycardia and ventricular fibrillation. Morphologically it is characterized by wide QRS complexes with apices that are sometimes positive and some ...
... The EKG shown represents torsades de pointes. This special form of ventricular tachyarrhythmia is often regarded as an intermediary between ventricular tachycardia and ventricular fibrillation. Morphologically it is characterized by wide QRS complexes with apices that are sometimes positive and some ...
Proarrhythmic Effects Of Antiarrhythmic Drugs: Case Study
... prolongation can still lead to development of dangerous ventricular arrhythmias. A cautious approach and thorough investigations and follow up are recommended. ...
... prolongation can still lead to development of dangerous ventricular arrhythmias. A cautious approach and thorough investigations and follow up are recommended. ...
The new england journal of medicine
... Before randomization, all patients underwent electrocardiography, a 6-minute walk test, 24-hour ambulatory electrocardiography, liver- and thyroidfunction studies, and chest radiography. All patients were required, if such treatment was clinically reasonable, to receive treatment with a beta-blocker ...
... Before randomization, all patients underwent electrocardiography, a 6-minute walk test, 24-hour ambulatory electrocardiography, liver- and thyroidfunction studies, and chest radiography. All patients were required, if such treatment was clinically reasonable, to receive treatment with a beta-blocker ...
Amiodarone
Amiodarone is a class III antiarrhythmic agent used for various types of cardiac dysrhythmias, both ventricular and atrial. It was discovered in 1961. Despite relatively common side-effects, it is used in arrhythmias that are otherwise difficult to treat with medication.