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Ventricular Fibrillation: A Pediatric Problem
Ventricular Fibrillation: A Pediatric Problem

... low blood pressure and may lead to ventricular fibrillation, polymorphic ventricular tachycardia. Acquired problems are usually related to ...
ECG Analysis (Fundamentals) - American Academy of Family
ECG Analysis (Fundamentals) - American Academy of Family

... faculty, which may be helpful to others who face similar situations. The AAFP disclaims any and all liability for injury or other damages resulting to any individual using this material and for all claims that might arise out of the use of the techniques demonstrated therein by such individuals, whe ...
Breaking It Gently: A Rare Case of Arrhythmogenic Right Ventricular
Breaking It Gently: A Rare Case of Arrhythmogenic Right Ventricular

... predominantly affects the right ventricle (RV) and is characterized pathologically by gradual replacement of myocytes by fibrous tissue that can result in arrhythmia, sudden cardiac death (SCD), and heart failure. ARVC was first described in 1977 in a report of six patients with sustained VT and enl ...
How Do Atrial-Selective Drugs Differ From Antiarrhythmic
How Do Atrial-Selective Drugs Differ From Antiarrhythmic

... N.Y. 13501. Phone: (315)735-2217, Fax: (315)735-5648, E-mail: [email protected] Charles Antzelevitch, PhD, FACC, FAHA, FHRS,Executive Director and Director of Research,Gordon K. MoeScholar, 2150 Bleecker Street,Utica, N.Y. 13501. ...
Supraventricular tachycardia: Implications for the intensivist
Supraventricular tachycardia: Implications for the intensivist

... when adenosine fails. AV block without arrhythmia termination again suggests the diagnosis of atrial tachycardia. Because of its longer half-life, verapamil may also be effective for prompt tachycardia recurrence after initial success with adenosine. Automatic atrial tachycardia is difficult to mana ...
Interventional Role of Piperazine Citrate in Barium Chloride Induced
Interventional Role of Piperazine Citrate in Barium Chloride Induced

Successful radiofrequency catheter ablation therapy of an
Successful radiofrequency catheter ablation therapy of an

... had only symptoms of palpitation and chest pain, but not cardiomyopathy. In children, abnormal focus is more frequently located near the pulmonary veins or the right atrium appendage. The ectopic focus in our patient was determined in the lower region of the right atrium along the crista terminalis. ...
Tachycardia-induced cardiomyopathy in children and
Tachycardia-induced cardiomyopathy in children and

... Background. Idiopathic dilated cardiomyopathy is the most common form of cardiomyopathy in children; however, potentially reversible causes may occasionally be identified. Among these is a group of patients with symptoms of congestive heart failure and persistent tachycardia representing a form of n ...
Narrow Complex Tachycardias - Calgary Emergency Medicine
Narrow Complex Tachycardias - Calgary Emergency Medicine

... Avoid AV blockers in any WCT or irregular rhythym WPW has a small but definite risk of sudden cardiac ...
Left Ventricle Posterior Wall Aneurysms with Calcified Thrombus in
Left Ventricle Posterior Wall Aneurysms with Calcified Thrombus in

... tachycardia (Figure 1). After cardioversion, his ECG showed sinus rhythm. There was an ST-depression in leads I, aVL and V4-6 and T wave inversion in leads II, III aVF. Because of persistence of the ventricular tachycardia, Continuous amiodarone infusion was started for treatment of persistent ventr ...
When Cardiac Ablation Should Be First Line Therapy
When Cardiac Ablation Should Be First Line Therapy

... Look for “pseudo S-wave” in inferior leads and “pseudo-R prime” in V1 which actually indicate retrograde P-waves Terminates with vagal maneuvers in 1/3 cases Responsive to AV nodal blocking agents such as beta blockers, CA channel blockers, adenosine. Recurrences are the norm on medical therapy Cath ...
F Part 7.2: Management of Cardiac Arrest
F Part 7.2: Management of Cardiac Arrest

... deliver 1 shock (Box 4) and then resume CPR immediately, beginning with chest compressions. If a biphasic defibrillator is available, providers should use the dose at which that defibrillator has been shown to be effective for terminating VF (typically a selected energy of 120 J to 200 J). If the pr ...
Level of Evidence
Level of Evidence

... Amiodarone has originally been designed and introduced into cardiac therapy as an antiischemic drug. Today it represents the antiarrhythmic drug most frequently prescribed in Europe with a rate of 34,5%. The prescription rate of amiodarone for treatment of arrhythmias, like atrial fibrillation, vent ...
Intravenous magnesium for cardiac arrhythmias: jack of all trades
Intravenous magnesium for cardiac arrhythmias: jack of all trades

... [22] (including in patients with Wolff-ParkinsonWhite syndrome [23]), improving rhythm control with ibutilide [24, 25], treatment of digoxin induced supraventricular and ventricular arrhythmias, multifocal atrial tachycardia [26], polymorphic ventricular tachycardia with a prolonged QT interval, and ...
Part 7
Part 7

... causes or complicating factors. Providers should insert an advanced airway (eg, endotracheal tube, Combitube, LMA). Once the airway is in place, 2 rescuers should no longer deliver cycles of CPR (ie, compressions interrupted by pauses when breaths are delivered). Instead the compressing rescuer shou ...
Bidirectional ventricular tachycardia associated with digoxin toxicity
Bidirectional ventricular tachycardia associated with digoxin toxicity

... Twelve-lead ECG showing bidirectional ventricular tachycardia in a patient with acute kidney injury and elevated serum digoxin ...
Risk Stratification in Frequent Ventricular Extrasystoles: The
Risk Stratification in Frequent Ventricular Extrasystoles: The

... CMR diagnosed underlaying myocardial disease in 74% of cases, and 50% were reassigned to a new diagnosis [15]. In the case of myocarditis, CMR has shown a high specificity (91%) making it the gold standard now-a-days [16]. Most of these patients present a combination of oedema, hyperemia and late ga ...
Feature Extraction for Detection of Ventricular Tachycardia and
Feature Extraction for Detection of Ventricular Tachycardia and

... heart is disturbed. Among various types of arrhythmias, ventricular arrhythmias such as ventricular tachycardia (VT) and ventricular fibrillation (VFIB) are life threatening. Hence, it is very important to detect features that can be used to differentiate between the two for reliable design of an ar ...
bYTEBoss Ventricular arrhythmias EP overview Medtronic
bYTEBoss Ventricular arrhythmias EP overview Medtronic

... Prolongation of the action potential duration ...
Atrial fibrillation and flutter: Management issues
Atrial fibrillation and flutter: Management issues

... Compared morbidity and mortality in patients randomly assigned to rate or rhythm control strategy  In the rhythm control strategy, patients were allowed to stop A/C if serial Holter studies showed no AF ...
Status of Antiarrhythmic Drug Development for Atrial Fibrillation
Status of Antiarrhythmic Drug Development for Atrial Fibrillation

... compared with placebo. Those patients that did develop clinically significant ventricular arrhythmia after vernakalant were more likely to have heart failure and valvular heart disease.5 The faster time to cardioversion for vernakalant and its rapid clearance from the body (roughly 2 hours)18 makes ...
Junctional Ectopic Tachycardia after Congenital Heart Surgery
Junctional Ectopic Tachycardia after Congenital Heart Surgery

... risk factors for the development of JET. The age of the patient and surgery near the AV-node, are preoperative risk factors. The younger the patient (or the lower the weight of the patient), the greater the risk of developing JET with associated hemodynamic compromise. Manipulation and trac­tion dur ...
Paediatric Advanced Life Support
Paediatric Advanced Life Support

... The recommended IV/IO dose of adrenaline in children is 10 microgram kg-1. The dose of adrenaline via the tracheal tube route is ten times the IV dose (100 microgram kg-1). This route should be avoided if at all possible as evidence shows that there may be a paradoxical effect. Subsequent doses of a ...
Cardiac Arrhythmias
Cardiac Arrhythmias

... • The AV node initiates electrical activity in the heart. • An ECG of a Junctional rhythm commonly presents with an inverted "P" wave due AV nodal origin of electrical signal ...
ACLS PRE-TEST June, 2011
ACLS PRE-TEST June, 2011

... Question 30: A patient with a possible acute coronary syndrome has ongoing chest discomfort unresponsive to 3 sublingual nitroglycerin tablets. There are no contraindications, and 4 mg of morphine sulfate was administered. Shortly afterward, blood pressure falls to 88/60 mm Hg, and the patient has ...
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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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