ecg..5 - my250

[ArchivalUser]

http://i.imgur.com/wECAof5.png

Dx?

Tx?

[ArchivalUser]

Dx- V.tach

Tx- look for the cause i.e. electrolyte abnormality and correct it.

if (-) Pulse- Defibrilation

if (+) pilse and stable- Amiodarone ---->Lidocaine----> procainamide

if (+) pulse and unstable- Synchonised cardioversion

??

[ArchivalUser]

Dx

Monomorphic V.tach

QRS complexes are wide and all match each other
Red Arrows: fusion beats-capture of electrical signal through both the atrium and ventricle briefly-->a hybrid of a normal and wide QRS complexes(P waves precede fusion complex)

Tx:
depends on the pt's symptoms and hemodynamic status
Pts who are hemodynamically UNSTABLE: Electrical cardiovesion

STABLE pts do not need urgent and synchronized Cardioversion
ANTIARRHYTMICS like Amiodarone, Lidocaine, Procainamide are given first

Thank you