[Anti-arrhythmia therapy in emergencies--lidocaine versus ajmaline].
Up to now lidocain was regarded as remedy of first choice in life-threatening ventricular arrhythmias. According to more recent investigations in the emergency situation ajmalin showed itself superior to lidocain in the treatment of ventricular tachycardias. For the prophylaxis of primary ventricular fibrillation lidocain is still recommended, though despite numerous studies an effectiveness is not verified. The treatment of the primary ventricular fibrillation should always be performed by defibrillation as far as possible. The earlier it is performed the more successful is the measure. If a defibrillator is not at disposal an attempt with lidocain or ajmalin can bie made.
Löllgen
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H
Medizinische Klinik, Krankenhauses Remscheid.
Bausch
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R
D000404:Ajmaline / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D004554:Electric Countershock; D004562:Electrocardiography / Q000187:drug effects; D004630:Emergencies; D006352:Heart Ventricles / Q000187:drug effects; D006801:Humans; D008012:Lidocaine / Q000627:therapeutic use*; D009203:Myocardial Infarction / Q000188:drug therapy; D013610:Tachycardia / Q000188:drug therapy*; D014693:Ventricular Fibrillation / Q000188:drug therapy*
D000404:Ajmaline; D008012:Lidocaine
Zur antiarrhythmischen Therapie im Notfall--Lidocain versus Ajmalin.