Ventricular Tachycardia (VT)


#1

Ventricular Tachycardia (VT)

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