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Management of Cardiac Arrhythmias

Part of the Contemporary Cardiology book series (CONCARD)

Abstract

The rational basis of antiarrhythmic therapy ideally requires a knowledge of
  1. 1.
    The mechanism of the arrhythmia:
    • Disturbances in impulse generation (enhanced automaticity or ectopic tachyarrhythmia).

    • Disturbances of impulse conduction (reentrant arrhythmias). Most of the evidence suggests that reentry is the mechanism for sustained ventricular tachycardia (VT).

    • he site or sites where such disturbances are present.

     
  2. 2.

    The mode of action of the drug with which control of the arrhythmia is to be attempted.

     
  3. 3.
    The clinical situation:
    • Acute, persistent or paroxysmal.

    • Associated with a low blood pressure < 90 mmHg, congestive heart failure (CHF), or distressing symptoms.

    • Associated with cardiac pathology, accessory pathway or secondary to hypoxemia, acute blood loss, electrolyte or acid-base imbalance, extracardiac conditions as diverse as thyrotoxicosis, chronic obstructive pulmonary disease, or acute conditions such as pyrexial illness, pneumothorax, or even rupture of the esophagus.

     

Keywords

Ventricular Tachycardia Sinus Rhythm Ventricular Arrhythmia Atrial Flutter Antiarrhythmic Agent 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Suggested Reading

  1. Alboni P, Tomasi C, Menozzi C, et al. Efficacy and safety of out-of-hospital self-administered single-dose oral drug treatment in the management of infrequent, well-tolerated paroxysmal supraventricular tachycardia. J Am Coll Cardiol 2001;37:548–553.PubMedCrossRefGoogle Scholar

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