Ventricular Tachycardia (VT)
- VT without pulse = asynchronized DC
- VT with pulse + hemodynamically stable = 1st line: amiodarone, 2nd line: lidocaine, still fails: Synchronized cardioversion
- VT with pulse + hemodynamically unstable = Synchronized cardioversion
- VT due to digoxin toxicity = 1st line: Phenytoin, 2nd line: lidocaine, still fails: dc cardioversion
- Cardiac arrest due to VT >> 72 hours post arrest - check pupillary response to explain prognosis
- VT on patient with severe LV impairement - avoid Lidocaine
- Do not use verapamil in VT patients