Cardiovascular Medicine Book

Approach

Atrial Fibrillation

Bradycardia

Information Resources

Miscellaneous

Symptoms

Tachycardia

Coronary Artery Disease Chapter related topics

Examination Chapter related topics

Myocardial Disorders Chapter related topics

Obstetrics Chapter related topics

Pericardial Disorders Chapter related topics

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Ventricular TachycardiaAka: Wide Complex Tachycardia

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  1. See Also
    1. Guidelines 2000 CPR and Emergency Cardiovascular Care
    2. Unstable Tachycardia
  2. Epidemiology
    1. Wide Complex Tachycardia in Children
      1. Presumptive ventricular tachycardia
    2. Wide Complex Tachycardia in Adults
      1. 75% of patients have Ventricular Tachycardia
      2. 90% of patients with CAD have VT
      3. Verapamil can cause significant problems if VT
    3. References
      1. Akhtar (1988) Ann Intern Med 109:905
  3. Management: Acute Wide Complex Tachycardia
    1. New emphasis on use of one Antiarrhythmic
      1. Contrast to prior Antiarrhythmic soups
      2. Pro-arrhythmic effects increase with poly-drugs
    2. See Ventricular Tachycardia Management in the Adult
    3. See Ventricular Tachycardia Management in the Child
  4. Management: Chronic recurrent ventricular tachycardia
    1. Implantable Defibrillator (ICD)
      1. Long term best option (much better than meds)
      2. Efficacy: 40-50% reduction in sudden death
      3. References
        1. (1997) N Engl J Med 337:1576
        2. Moss (1996) N Engl J Med 335:1933
    2. Maximize Coronary Artery Disease management
      1. Bigger (1997) N Engl J Med 337:1569
  5. References
    1. (2000) Circulation, 102(Suppl I):86-9
    2. http://www.circulationaha.org

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