WebTachycardia is classified as regular or irregular and narrow complex or wide complex. Differential diagnosis See below for additional details for each. Evaluation Obtain 12-lead ECG and full set of vital signs to determine hemodynamic stability. WebAdult tachycardia If ineffective: • Synchronised DC shock up to 3 attempts • Sedation or anaesthesia if conscious Probable atrial fibrillation: • Control rate with beta-blocker • Consider digoxin or amiodarone if evidence of heart failure •– Anticoagulate if duration > 48 h Vagal manoeuvres If ineffective: • Give Adenosine
Adult Tachycardia (with pulse) Algorithm - Resus
WebOct 22, 2024 · It's often done when an extra signaling pathway is responsible for an increased heart rate. Catheter ablation doesn't require surgery to access the heart, but it may be done at the same time as other heart … WebNov 1, 2015 · Permanent (persistent) junctional reciprocating tachycardia, in which the accessory pathway conducts slowly in a retrograde direction, is a form of AVRT that occurs mostly in children. chip tonic s13
03. Wide Complex Tachycardia Hospital Handbook
WebCorrespondence: Janek Senaratne, Tel +1 (780) 463-2184, Fax +1 (780) 450-8359, Email [email protected]. Abstract: Bidirectional ventricular tachycardia (BiVT) is a rare form of ventricular tachycardia that manifests on surface electrocardiogram by dual QRS morphologies alternating on a beat-to-beat basis. It was first reported in the 1920s as ... WebJan 28, 2024 · According to the ACLS tachycardia algorithm, patients with persisting tachyarrhythmia who are deemed hemodynamically unstable as determined by identification of hypotension, acutely altered mental status, signs of shock, ischemic chest discomfort, or acute heart failure should undergo synchronized cardioversion or defibrillation. WebOct 28, 2024 · Tests to diagnose and determine the cause of ventricular fibrillation include: Electrocardiogram (ECG or EKG). This quick and painless test measures the electrical activity of the heart. Sticky patches (electrodes) are placed on the chest and sometimes the arms and legs. Wires connect the electrodes to a computer, which displays the test results. graphic archiver