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arrhythmias - ichapps.com
arrhythmias - ichapps.com

... similar to that of flecainide. Propafenone is metabolized in the liver, with an average half-life of 5–7 hours. The usual daily dosage of propafenone is 450–900 mg in three divided doses. The drug is used primarily for supraventricular arrhythmias. The most common adverse effects are a metallic tast ...
an account of a seven year experience with
an account of a seven year experience with

... Also, cardiovascular disease is the leading cause of death in the developed world today, and the congestive heart failure is the only cardiovascular disease that is actually increasing in both incidence and prevalence (36). There have been the suggestions that slowing the heart rate in congestive he ...
Propranolol efficiency in prevention of sustained ventricular
Propranolol efficiency in prevention of sustained ventricular

... of recidivate ventricular arrhythmia in these patients is antiarrhythmic therapy, but if this is inefficient, arrhythmic substrate radiofrequency (RF) ablation is recommended. Ablation treatment is an accepted procedure in patients with ischemic heart disease, but it has rarely been used in patients ...
(5)ANTI-ARRHYTHMICS
(5)ANTI-ARRHYTHMICS

... In ischemic tissue, cells are partly depolarized because they lack the amount of ATP needed to operate the Na+ pump. As a result, these cells spend more time in the inactivated state than do cells in non-ischemic tissue.  ↓APD is due to blokade of slow Sodium window current (slow leakage of sodium ...
Pharmacotherapy In Cardiopulmonary Resuscitation (CPR)
Pharmacotherapy In Cardiopulmonary Resuscitation (CPR)

... persistant VF, animals receiving amiodarone alone had significantly lower resuscitation generated aortic (systolic and diastolic), right atrial systolic and coronary perfusion pressures than did either adrenaline alone or the combination of amiodarone and adrenaline. This study suggested that for op ...
introduction - Surgical Critical Care. Net
introduction - Surgical Critical Care. Net

... Balser et. al. randomized 64 noncardiac surgical ICU patients with recent-onset SVT to receive intravenous diltiazem or intravenous esmolol. Patients who received esmolol experienced a 59% rate of conversion to sinus rhythm within 2 hours of treatment compared with only 33% of the patients randomize ...
Table 3. Classification of Ventricular Arrhythmias - Af
Table 3. Classification of Ventricular Arrhythmias - Af

... of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents and the European Society of Cardiology Committee for Practice Guidelines. J Am Coll Cardiol 2003; 42:1687–713. ...
Antiarrhythmic Drugs - Website of Neelay Gandhi
Antiarrhythmic Drugs - Website of Neelay Gandhi

... corneal deposits, photodermatitis ...
King Saud University College of Pharmacy Pharmacology
King Saud University College of Pharmacy Pharmacology

... impulses being conducted through the AV junction but the conduction time (PR interval) is abnormally prolonged (> 0.20 seconds). Second degree heart block results from partial blockade to impulse conduction; some impulses are conducted to the ventricles but others are blocked. Second degree-type 1 i ...
Antiarrhythmic drugs
Antiarrhythmic drugs

... Amiodarone is used in chronic ventricular arrhythmias, atrial fibrillation and supraventricular tachycardia associated with WPW syndrome. The drug is well absorbed orally, metabolized in the liver and eliminated by biliary tract. The onset of action after oral and I.V therapy is delayed for about 6 ...
Disturbances of Rate and Rhythm
Disturbances of Rate and Rhythm

... metaraminol, phenylephrin, digoxin. These drugs may be contraindicated in WPW syndrome! Cardioversion: DC shock 50-100 J. Not to be used when digitalis toxicity is present! Prevention of attacks: Drugs: digoxin, verapamil, -blockers, chinidine+digoxin, procainamide, dysopyramide, propafenone, ...
Amiodarone Versus Procainamide for the Acute Treatment of
Amiodarone Versus Procainamide for the Acute Treatment of

... in pediatric patients. Although relatively well tolerated in most, SVT may impose significant hemodynamic compromise in children who have recently undergone cardiac surgery or those who have abnormal ventricular function. Although SVT is often terminated with vagal maneuvers, adenosine administratio ...
Dronedarone for the treatment of atrial fibrillation and atrial flutter
Dronedarone for the treatment of atrial fibrillation and atrial flutter

... and standard therapy alone. The incremental costeffectiveness ratio of dronedarone was relatively robust and less than £20,000 per quality-adjusted life-year. Exploratory work undertaken by the ERG identified that the main drivers of cost-effectiveness were the benefits assigned to dronedarone for a ...
new strategies for treatment of serious
new strategies for treatment of serious

... of clinical risk, clinical signs, and clinical management, high grade second degree AV block is managed in the same fashion as third degree AV block. With both arrhythmias, the QRS-T complexes may originate from ventricular or junctional tissue. Typically, these cardiac rhythms are due to primary pa ...
Atrial Fibrillation To Cardiovert or not to Cardiovert ?
Atrial Fibrillation To Cardiovert or not to Cardiovert ?

... Spontaneous Cardioversion occurs in proportion of pts with short duration AF ...
ACLS Asystole
ACLS Asystole

... - If no signs of return of spontaneous circulation (ROSC), go to 10 or 11 - If ROSC, go to Post-Cardiac Arrest Care protocol ...
Managing Atrial Fibrillation - Scioto County Medical Society
Managing Atrial Fibrillation - Scioto County Medical Society

... Ross Heart Hospital Columbus, Ohio ...
Dysrhythmias
Dysrhythmias

... Table originally developed by Bridges and published in CCN (2008) Rauen et al. Updated for this outline by Rauen 1/13 ...
Management of Post MI Complications
Management of Post MI Complications

... asymptomatic give NTG 10-20 mcg/min  If systolic BP is 70-100 and patient has no signs and symptoms give dobutamine 2-20mcg/min.  If systolic BP is 70-100 and patient is symptomatic give Dopamine 5-15 mcg/min.  If Systolic BP is <70 and patient symptomatic give adrenalin 30mcg/min. ...
ARRHYTHMIAS IN CHILDREN
ARRHYTHMIAS IN CHILDREN

...  In the case of administration through peripherial vein by small diameter, the dose can be slightly increased to 0,15 mg/kg, with possibility to repeat the dose over 10 minutes without to exceed 0,4 mg/kg or 12 mg totally(see emergency treatment).  In the case of failure the propafenone, amiodaron ...
fibrillation atriale : strategie antiarythmique, cardioversion
fibrillation atriale : strategie antiarythmique, cardioversion

... at 14 26women), age 55.7 ! 9.6 years, referred to our center for a first AF ablation A total(5) of 100 patients (86 men, studies have concluded that net benefit of catheter paroxysmal; 3.5 ! 1.4 prior ineffective antiarrhythmic agents) were followed for 5 the years. Complete sucmonths (6) and an 8.7 ...
1 DRUGS IN ADVANCED CARDIAC LIFE SUPPORT
1 DRUGS IN ADVANCED CARDIAC LIFE SUPPORT

... Drugs that have potent effect on blood pressure and heart rate: – Should not be given as rapid bolus except in cardiac arrest patient i.e. should be given as slow bolus or infusion – Should be tapered / tailed down gradually under ECG and BP monitoring – The lowest dose that achieves the desired eff ...
A5 Ventricular Arrhythmia
A5 Ventricular Arrhythmia

... • Add amiodarone 200 mg daily • Reasonable addition in this patient’s therapy, because he is symptomatic. If this patient was asymptomatic then simply monitoring patient would be okay. • The ICD did not fire and amiodarone LOAD is NOT necessary CAST trial - 11 • Famous trial to those who follow vent ...
Antiarrhythmic Drugs
Antiarrhythmic Drugs

... Calcium channel blocking β- adrenoceptor blocking ...
Anti arrhythmic Drugs
Anti arrhythmic Drugs

... • Ia, Ic class: Prolong QT interval, will cause VT or VF in coronary artery disease and heart failure patients • III class: Like Ia, Ic class agents • II, IV class: Bradycardia ...
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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.
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