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ARRHYTHMIAS-POLYMORPHIC VT MANAGEMENT

Cardiology

ARRHYTHMIAS-POLYMORPHIC VT MANAGEMENT

For sustained polymorphic VT, do the same as monomorphic, except:

1. IV beta-blockers if ischemia is suspected or cannot be excluded.

2. IV amiodarone, as long as there is no prolonged QT.

3. Urgent cath if ischemia is suspected.

4. Assess for torsades de pointes.

5. Never use verapamil with any wide complex tachycardias in the emergency setting. (30% of those with ventricular tachycardia rapidly deteriorate!)


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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