Arrhythmias - tachycardia

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Published: 09th January 2013
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Arrhythmias - tachycardia
Frequency of 100/min is tachycardia. Immediate scenario if it has essential effect on the veins circulation.
A better middle without damage withstands tachycardia long-lasting several time over 160/min. Each tachycardia over 200/min. is a medical care urgent. Ventricular tachycardia is usually a medical care urgent. Ventricular fibrillation is a swings.

Differential Diagnosis
For recognize of tachycardia ECG notice is necessary. Among the many defeat circumstances is mainly from the perspective of genuine action on the ground appropriate to distinguish particular:
1. Tachycardia with narrow QRS complexes
Supraventricular tachycardia (SVT), regular, usually with regularity from 140 to over 200/min.
Sinus tachycardia (ST), regular, usually with regularity up to 140/min, is attribute tachycardia. Treat the cause and not the rhythm!
Absolute tachyarrhythmias with atrial fibrillation. Irregular, with a regularity usually around 150 / min. Presently, program department avoid are QRS can also wider.
2. Tachycardia with comprehensive QRS structures (> 0.12 ms)
Ventricular fibrillation (VF). We're discussing swings with a absolutely crazy elektri
nno action.
Ventricular tachycardia (VT). The regularity is from 100 to more than 200 / min., Usually about 170 / min.).
Supraventricular tachycardia with transmitting issues (bundle department avoid or WPW issue also).

It is not necessary that the cause of the person's scenario tachyarrhythmias. Follow-up was made the decision to be identified. if you recognize tachyarrhythmia, we have to cope with defeat issue, not its consequences! Especially dangerous are the defeat within the AMI. In nose tachycardia are common possible causes contamination, sepsis, hypoxemia, warm, vegetative verdict.

Analyze essential signs (consciousness, breathing, pulse).
Assess great pressure.
To determine the possible causes (past illnesses, drugs, poisoning).
Comfortable the affected personal.
Set the venous path.
Get the need (awareness, great pressure, defeat, breathing, pain, skin, jugular vein).
if the affected personal is not harmed and has a narrow QRS tachycardia, or SVT has probably ST.
o If the affected personal is affected and has tachycardia with comprehensive QRS, has probably VT or WPW.
In the scenario of recognizable hypotension, shock, bronchi hydropsy, act-as in cardiogenic shock.
In the scenario of VF act-as in swings.
In the scenario of VT therapy: lidocaine (xylocain) 100 mg i. in., persistent in 10 minutes. to 3 mg / kgTT. The omission is the VT type Torsade des pointes, where nutrient mineral magnesium treatment i. in. (Not xylocain!)
In the scenario of SVT assessments with vagal methods (sinus massage-a caroticus on the other hand staying and right, with before auscultation of the carotid blood vessels veins, the affected personal is recommended breath-holding and worrying, it is recommended fast wetting your encounter with cold water).
In a well-known personal with pre-confirmed research and treatment verified, give this treatment, if you have the option of immediate control on the notice.
In the scenario of nose tachycardia look for the cause (bleeding, hypoxia, inebriation, metabolic circumstances, condition, pressure state).
Get in touch with NMP job, if it does not fix, or if the cause tachycardia with comprehensive QRS.

Always cure the affected personal and not middle frequency! Most antiarrhythmics have a bad inotropic effect. If a personal with continuous activity needs hospital remain, tachycardia usually is not managed before arriving into the hospital.
Some dangerous (potentially dangerous) defeat circumstances challenging hospital remain in any scenario, regardless of the person's incapacity. These are: R on T pattern, ventricular extrasystoles in the salvo politopne ventricular extrasystoles.
Fresh atrial fibrillation itself is not a medical care urgent, challenging hospital remain. Also, nose tachycardia by itself is not actually the scenario.

And finally, if you are interested in ventricular tachycardia treatmentm symptoms and diagnostic, please check out ventricular tachycardia treatment at

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