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Atrial Fibrillation
Chest discomfort
Palpitations
Tachycardia,
Hypotension + syncope
Treatment:
Treatment:
If patient is stable, slow the ventricular rate with CCBs or b-blockers (avoid procainamide because it can result in increased ventricular
rate as the atrial rate slows down)
If cardioversion is going to take place be sure to anticoagulate for 3 weeks
If patient is unstable must cardiovert start at only 50J because is easier to convert to normal sinus rhythm than atrial brillation
Multifocal Atrial Tachycardia (MFAT)
An irregularly irregular rhythm where there are multiple concurrent pacemakers in the atria.
Commonly found in pts with COPD
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25/03/2017 EKG Findings and Arrhythmias - USMLE Step 2 CK exam
Treatment:
Verapamil
Treat any underlying condition
Supraventricular Tachycardia
Treatment:
Ventricular Tachycardia
Treatment:
If hypotensive or no pulse existent do emergency debrillation (200, then 300, then 360J)
If patient is asymptomatic and not hypotensive, the rst line treatment is amiodarone or lidocaine because it can convert rhythm back to
normal
Ventricular Fibrillation
Signs and Symptoms:
Syncope
Severe hypotension
Sudden death
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