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Advanced cardiac life support, advanced cardiovascular life support (ACLS) refers to a set of clinical guidelines established by the American Heart Association (AHA) for the urgent and emergent treatment of life-threatening cardiovascular conditions that will cause or have caused cardiac arrest, using advanced medical procedures, medications, and techniques.
Orthodromic conduction usually results in a narrow complex tachycardia, and antidromic conduction usually results in a wide complex tachycardia that often mimics ventricular tachycardia. Most antiarrhythmics are contraindicated in the emergency treatment of AVRT, because they may paradoxically increase conduction across the accessory pathway.
Amiodarone may be used in cases of ventricular fibrillation, pulseless ventricular tachycardia, and wide complex tachycardia. [110] Lidocaine is a class Ib anti-arrhythmic, also used to manage acute arrhythmias. [111] Anti-arrhythmic medications may be used after an unsuccessful defibrillation attempt.
Ventricular tachycardia (V-tach or VT) is a cardiovascular disorder in which fast heart rate occurs in the ventricles of the heart. [3] Although a few seconds of VT may not result in permanent problems, longer periods are dangerous; and multiple episodes over a short period of time are referred to as an electrical storm.
An idioventricular rhythm is a cardiac rhythm characterized by a rate of <50 beats per minute (bpm), absence of conducted P waves and widening of the QRS complex. [1] In cases where the heart rate is between 50 and 110 bpm, it is known as accelerated idioventricular rhythm and ventricular tachycardia if the rate exceeds 120 bpm.
Stable tachyarrhythmia treatment is subcategorized based on narrow QRS vs. wide QRS. If narrow QRS/ SVT, perform vagal maneuvers and give adenosine. If wide QRS/ VT with regular rhythm and monomorphic QRS, the provider can give adenosine and should consult pediatric cardiology for recommendations.
Ventricular tachycardia is a regular rhythm with a rate of 140-250 bpm, there are no P waves and the main feature is a wide QRS complex (0.12 and greater) Ventricular fibrillation has no p waves or QRS complexes, there are only wavy irregular deflections throughout the heart rhythm, at this point the heart would have a rate of 0 and be ...
It is a broad, encompassing term that includes other rhythms in this list (e.g., afib with RVR) and others. Torsades de pointes – A type of ventricular tachycardia with a characteristic ECG appearance that can progress to ventricular fibrillation.
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