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Tachycardia Approach and Management

Tachycardia Approach and Management

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Published by Chadi Alraies
Palpitations and tachycardia are common problems in all age groups, young and old populations. The patient usually presents with shortness of breath and palpitations or sometimes can be settled and the only presentation is fatigue or generalized weakness.

In this lecture I am going to go with you over the type of tachycardia and how to differentiate between each type and what is the appropriate management at the bedside and by the expert.

It is going to be helpful for all people in the medical fields, nurses, paramedics, physician assistants, and doctors in training or in practice.

Please feel free to let me know if you have any comments or additions.

Thank you
Palpitations and tachycardia are common problems in all age groups, young and old populations. The patient usually presents with shortness of breath and palpitations or sometimes can be settled and the only presentation is fatigue or generalized weakness.

In this lecture I am going to go with you over the type of tachycardia and how to differentiate between each type and what is the appropriate management at the bedside and by the expert.

It is going to be helpful for all people in the medical fields, nurses, paramedics, physician assistants, and doctors in training or in practice.

Please feel free to let me know if you have any comments or additions.

Thank you

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Published by: Chadi Alraies on Sep 10, 2009
Copyright:Attribution Non-commercial

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06/21/2013

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M Chadi Alraies, MDCleveland Clinic Foundation
1M C Alraies
 
The initial step in management of all patients with
 tachycardia is to evaluate for hemodynamic instability:
Is the patient experiencing signs and symptomsrelated to the rapid heart rate?
Hypotension, dyspnea, decreased level ofconsciousness, chest pain, shock
If hemodynamicallyunstable, often no time forECG and thorough evaluation
If stable, 12-lead ECG can be used to differentiate
2M C Alraies
 
Narrow or Wide Complex?< 120 msec = narrow> 120 msec = wide
Narrow complex tachycardiasreflectsynchronous activation of both ventricles viasupraventricularinitiation, iesinus node,atria, AV node, His bundle
Wide complex tachycardias(WCTs)may beventricular in origin, SVT with aberrantconduction, or accessory pathway mediated
3M C Alraies

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