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Ventricular Arrhythmias
Overview
22
Art History
2nd Grade
02/09/2014

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Cards

Term
regular irregular (rate)
Definition
pattern
Term
irregular irregular (rate)
Definition
no pattern
Term
is the QRS normal?
Definition
is the width less than 3 small squares?
Term
> 100 beats/minute
Definition
tachycardia
Term
< 60 beats/minute
Definition
bradycardia
Term
High T wave
Definition
high potassium
Term
Low T wave
Definition
low potassium
Term
Prolonged QT
Definition
delayed repolarization, lead to tachydysrhythmias and death, changes as rate changes
Term
pathologic excessive prolongation of the QT interval upon exposure of the drug, which reverses with removal of the drug; can lead to Torsades, vfib and death
Definition
Drug Induced Long QT Syndrome
Term
Class Ia antiarrhythmic agents
Definition
quinidine, disopyramide, procainamide
Term
class III antiarrhythmic agents
Definition
amiodarone, sotalol, dofetilide, ibutilide
Term
psychiatric meds that can cause torsades
Definition
haloperidol, TCA, SSRI, lithium, ziprasidone
Term
antihistamines that can cause torsades
Definition
terfinadine, diphenhydramine, hydroxyzine, loratadine
Term
antimicrobials/antimalarials that can cause torsades
Definition
macrolides, fluoroquinolones, quinine, ketoconazole, chloroquine
Term
prevention of torsades
Definition
Mexiletine (oral lidocaine analog)
Term
normalizes electrolytes (torsades txt)
Definition
magnesium bolus
Term
Very common caused by abnormal automaticity, triggered activity, reentrant mechanisms
Definition
Premature ventricular contractions (PVCs)
Term
PVC with structural heart disease
Definition
increase risk of death
Term
Txt of PVC w/ no structural heart disease
Definition
no therapy
Term
txt of PVC w/ structural heart disease
Definition
encainide, flecainide, and moricizine = increase mortality; sotalol = increase mortality; Amiodarone and dofetilide? beta blockers
Term
defined as 3 or more PVCs at greater than 100 bpm
Definition
ventricular tachycardia
Term
ventricular tachycardia causes
Definition
metabolic abnormalities, ischemia, drug toxicity, chronic paroxysmal
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