Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-Analysis and Therapy of Supraventricular Arrhythmias

Video Transcription

Video Summary

The video discusses supraventricular arrhythmias (SVTs) in ICU, emphasizing their epidemiology, differentiation, and treatment. SVTs are common in ICU due to increased adrenergic drive and associated higher mortality and length of stay. To manage SVT, assess patient stability, perform Advanced Cardiac Life Support (ACLS) if unstable, and identify rhythm type. Differentiate rhythms by evaluating heart rate as wide/narrow and regular/irregular.<br /><br />The speaker explains pharmacological therapies for SVTs, highlighting adenosine for narrow, regular rhythms, beta-blockers, calcium channel blockers, and antiarrhythmics like amiodarone for persistent cases. For patients with atrial flutter, anticoagulation is important due to stroke risk. Also discussed are treatment challenges with multifocal atrial tachycardia (mostly in pulmonary disease patients) using beta-blockers or calcium channel blockers.<br /><br />Bradyarrhythmias are considered, emphasizing symptomatic treatment with atropine, epinephrine, or dopamine. The talk concludes with emphasizing the importance of recognizing when SVT requires immediate intervention and managing associated complications.

Keywords

supraventricular arrhythmias

ICU treatment

pharmacological therapies

Advanced Cardiac Life Support

atrial flutter

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