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Management of tachyarrythmia

Author: MUDr. Hana Harazim, MUDr. Tomáš Korbička, Petra Honková, Tereza Prokopová

Institution: Faculty of Medicine at Masaryk University in Brno

Medical discipline: Emergency Medicine

Keywords: flutter | atrial fibrilation | tachyarrythmia

Educational evel: Undergraduate level | Graduate

Tachyarrytmias are disorders of heart rhytm with heart rate more than 100 bpm. The algorithm is focused on supraventricular tachyarythmia nad goes through the situation of SVT with narrow QRS complex and regular rhytm to deblocking atrial flutter with the transfer to ventricle 1:1. It will help us to clarify recommended therapeutic procedures in this situation.


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Review

This interactive algorithm didactically introduces process of tachyarrhythmia therapy. The case caused by tachyarrhythmia starts at General Practitioner, continues during EMS intervention, at internal ambulance in hospital and consequently at the cardiology department. It is clearly explained when indicate and how to perform the Valsalva maneuver, administration of antiarrhythmic drugs and the prevention of thromboembolism. Therapeutic procedure including cardioversion is presented clearly and uses instructional video. A comprehensive view of tachyarrhythmia therapy involves among other things the possibility of using radiofrequency ablation. This case report can increase student´s interest in cardiac patients by use of graphic video accompanied by a logical extension of diagnostic and therapeutic procedure discretion.

publikováno: 2. 6. 2015 | last modified on: 13. 9. 2019