Vfib 2

Class I Antiarrythmics

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