Best Clinical Practice: Emergency Medicine Management of Stable Monomorphic Ventricular Tachycardia

Long, Brit; Koyfman, Alexander

doi:10.1016/j.jemermed.2016.09.010

Cited by 11 publications

(4 citation statements)

References 40 publications

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“…It may also be the best available data well into the future, as evidenced by the researchers’ laudable, ultimately Herculean, 6‐year effort to generate even these data. While the results nominally favor the use of procainamide for pharmacologic conversion of stable VT and align with a recent review of the existing literature, a true answer will remain elusive until higher‐quality RCTs are performed. Electrical cardioversion likely remains the most effective therapy for VT .…”

Section: Caveatssupporting

confidence: 54%

Procainamide Versus Amiodarone for Stable Ventricular Tachycardia

Kelson

deSouza

2019

Academic Emergency Medicine

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Section: Caveatssupporting

confidence: 54%

Procainamide Versus Amiodarone for Stable Ventricular Tachycardia

Kelson

deSouza

2019

Academic Emergency Medicine

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“…VT is considered most common wide complex tachycardia with more than 120 bpm that originates in the distal bundle of his ventricular myocardium. A wide QRS interval of more than 120 ms was observed with no regularly occurring P wave to QRS association (Long & Koyfman, 2017). Polymorphic VT can result in a malignant tachyarrhythmia changing QRS pattern.…”

Section: Ventricular Tachycardiamentioning

confidence: 99%

Pharmacological Approach for Symptomatic Nonsustained Ventricular Tachycardia

Obeso-Martinez,

Raissi

2024

Advanced Emergency Nursing Journal

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Nonsustained ventricular tachycardia (NSVT) is a common arrhythmia associated with heart failure, cardiomyopathy, coronary artery disease, electrolyte imbalances, and congenital heart disorders (Foth et al., 2023). NSVT is often asymptomatic depending on its burden percentage. However, typical NSVT presentation in the emergency department (ED) includes palpitations, near-syncope, dizziness, skipped beats, chest pain, and/or dyspnea (Katritsis et al., 2012). In some instances, NSVT can present with elevated or slightly elevated troponin from demand ischemia. A definite diagnosis of NSVT is not of high complexity; nevertheless, it is not always identified on electrocardiogram (ECG) by the time the patient arrives to the ED. Identification of NSVT usually requires prolonged cardiac monitoring, mobile cardiac telemetry (MCT), and in some instances internal loop recorder placement. The purpose of this case is to discuss the typical presentation and pharmacological approach of patients with stable NSVT.

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“…Amiodarone is a class III antiarrhythmic medication commonly used in the emergency department (ED) and other critical care settings to treat several types of arrhythmias while also serving as a fixture of the Advanced Cardiac Life Support algorithm. [1] Its mechanism of action primarily involves blocking potassium channel currents during myocyte repolarization with additional effects on betaadrenergic receptors and both sodium and calcium channel blockade. [2] One of amiodarone's less known complications is the development of acute hepatotoxicity with intravenous (IV) administration.…”

Section: Dear Editormentioning

confidence: 99%