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

Video Transcription

Video Summary

The lecture addresses the management of ventricular arrhythmias, highlighting their severity and similarities to supraventricular tachycardias (SVTs) in treatment approach, especially in emergent situations where immediate intervention is crucial. Common ICU causes include electrolyte abnormalities, myocardial infarction, cardiomyopathy, mechanical irritation, and toxin effects. The speaker explains distinguishing between ventricular tachycardia (VT) and supraventricular tachycardia with a wide QRS complex using electrocardiogram criteria, emphasizing the importance of treating VT presumptively given its high prevalence among those with heart disease.<br /><br />Diagnosis involves scanning for AV dissociation, capture, and fusion beats, and zooming on precordial leads for concordance and various QRS characteristics. In stable patients, detailed analysis follows, but immediate defibrillation is advised for unstable patients. Medical treatment includes antiarrhythmics like amiodarone and lidocaine, with beta blockers for prevention and magnesium specifically for torsades de pointes.

Keywords

ventricular arrhythmias

supraventricular tachycardias

electrocardiogram

antiarrhythmics

defibrillation

	Society of Critical Care Medicine 500 Midway Drive Mount Prospect, IL 60056 USA Phone: +1 847 827-6888 Fax: +1 847 439-7226 Email: support@sccm.org	Contact Us About SCCM Newsroom Advertising & Sponsorship DONATE	MySCCM LearnICU Patients & Families Surviving Sepsis Campaign Critical Care Societies Collaborative	GET OUR NEWSLETTER
© Society of Critical Care Medicine. All rights reserved. \| Privacy Statement \| Terms & Conditions The Society of Critical Care Medicine, SCCM, and Critical Care Congress are registered trademarks of the Society of Critical Care Medicine.