Stable or unstable? Assessment and management of ventricular tachycardia with pulses.
Ventricular tachycardia represents ectopic cells within the ventricles stimulating the heart to contract. Many conditions cause ventricular tachycardia, including myocardial muscle deterioration and drug stimulation. The symptom most suggestive of unstable ventricular tachycardia is a change in mental status or loss of consciousness. Stable ventricular tachycardia is managed with antiarrhythmic medications, while unstable ventricular tachycardia requires immediate cardioversion. After converting ventricular tachycardia to a sinus rhythm, administer an antiarrhythmic infusion.
Collopy
Kevin T
KT
Spirit Medical Transportation Service, WI, USA. kcollopy@colgatealumni.org
D004632:Emergency Medical Services / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011674:Pulse; D017180:Tachycardia, Ventricular / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*