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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Tachycardia Approach and Management
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…
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