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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.
Amiodarone may be used in cases of ventricular fibrillation, ventricular tachycardia, and wide complex tachycardia. [109] Lidocaine is a Class IB anti-arrhythmic, also used to manage acute arrhythmias. [110] Anti-arrhythmic medications may be used after an unsuccessful defibrillation attempt.
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.
The core algorithm of ALS that is invoked when cardiac arrest has been confirmed, Advanced Cardiac Life Support (ACLS), relies on the monitoring of the electrical activity of the heart on a cardiac monitor. Depending on the type of cardiac arrhythmia, defibrillation and/or medication may be administered.
Amiodarone is an antiarrhythmic medication used to treat and prevent a number of types of cardiac dysrhythmias. [4] This includes ventricular tachycardia, ventricular fibrillation, and wide complex tachycardia, atrial fibrillation, and paroxysmal supraventricular tachycardia. [4]
The pads are then attached to a monitor/defibrillator, a heart rate is selected, and current (measured in milliamps) is increased until electrical capture (characterized by a wide QRS complex with tall, broad T wave on the ECG) is obtained, with a corresponding pulse. Pacing artifact on the ECG and severe muscle twitching may make this ...
[1] [5] [6] Treatment of TIC can involve treating the heart failure as well as the tachycardia or arrhythmia. [1] TIC has a good prognosis with treatment, with most people recovering some to all of their heart function. [1] The number of cases that occur is unclear. [5] TIC has been reported in all age groups. [6]
The following outline is provided as an overview of and topical guide to cardiology, the branch of medicine dealing with disorders of the human heart. [1] The field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular heart disease and electrophysiology.
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