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Class I Antiarrythmics
1A→ Procainamide *Proarrthymic, BP rate limiting
1B→ Lidocaine
1C→Propafenone, Flecainide *Proarrythmic
Class III antiarrhythmics
Amiodarone 150 mg IV over 10 minutes if have pulse (no pulse is 300)
Sotalol- Torsades
When to use Non DHP CCBs
Use if pt cant take BB unless they have HFrEF
what is this
PVC
PVC treatment algorithm
Address triggers &
1)BB
2)Non DHP CCB
3)catheter ablation
Non Sustained VT
3 successive ventricular beats at a rate of >100 bpm
Terminates within 30 seconds
Sustained VT
Persists for >30 seconds
—> Monomoprhic & polymorphic
Monomorphic Vtach
Polymorphic Vtach
Vfib
NSVT treatment
Normal heart→ Treat only if symptomatic
1)BB, NonDHP
2)Class 1C
3)radiofrequency ablation
Structural heart disease→ MUST TREAT!
1)BB
2)Evaluate for ICD
Polymorphic SVT (torsades) treatment
ID and stop offending
Mg
Amio
Termination of SMVT
EF<40—> Amio, Lidocaine
EF>40—> Procainamide
treatment options for patients with implantable cardioverter defibrillators receiving multiple shocks
Amio + BB
Maybe Sotalol