Tachycardia

Diagnosis and treatment

  1. Diagnosis
  2. Treatment
  3. Scores
  4. Pharmaceuticals
  5. ESC recommandations

Treatment

  1. Treatment of narrow QRS complexes tachycaridas.
  2. Treatment of wide QRS complex tachycardias

Treatment of wide QRS complex tachycardias

  1. Non sustained wide QRS complexes tachycardia < 30 sec, well tolerated and not recurrent
  2. Sustained tachycardia > 30 sec

Sustained tachycardia > 30 sec

  1. Torsades de pointes
  2. VT or ventricular flutter
  3. Digitalis intoxication
  4. TV or wide QRS tachycardia and unknown diagnosis

TV or wide QRS tachycardia and unknown diagnosis

  1. Antiarrhythmics: [Amiodarone] (# 131) (Cordarone) or i.v. [lidocaine] (# 136) (Xylocaine) i.v. or [Procainamide] (# 138) (Pronestyl) i.v.
  2. Shock synchronous 100J (sedation + analgesia)
  3. Pacemaker endovenous (overdrive)

If SVT with conduction aberrancy see narrow QRS complexes tachycardia

Atrial tachycardia with conduction abnormalities
Orthodromic AV tachycardia using an accessory pathway (AVRT) RP’ >120 ms.
Typical AV nodal reentry tachycardia (AVNRT), RP’ < 100 ms

Treatment of narrow QRS complex tachycardia