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Management of Intractable Supra-Ventricular Arrhythmias in the ICU

  • J. D. Edwards
Conference paper
  • 59 Downloads
Part of the Update in Intensive Care and Emergency Medicine book series (UICM, volume 1)

Abstract

Supraventricular or atrial tachyarrhathmias — paroxysmal supraventricular tachycardia (PSVT) and atrial fibrillation (AF) can complicate the course of any acute illness. For instance, one study of patients admitted to an intensive care unit (ICU) for septic shock recorded an incidence of AF of up to 30% [1]. There is little information on the incidence of such arrhythmias in patients with adult respiratory distress syndrome (ARDS) but unpublished observations on our own unit suggest that it may lie between 10 and 20%. Before a consideration of the principles of management of atrial tachycardias in such patients it is worth reviewing their undesirable effects, mediated by an uncontrolled, rapid, ventricular rate on gas exchange and organ perfusion.

Keywords

Atrial Fibrillation Adult Respiratory Distress Syndrome Atrial Tachycardia Hypoxic Pulmonary Vasoconstriction Pulmonary Artery Occlusion Pressure 
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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Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • J. D. Edwards

There are no affiliations available

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