MANAGEMENT OF VENTRICULAR TACHYCARDIA & VENTRICULAR

FIBRILLATION

Zainuddin KhanSMF Kardiologi & Kedokteran Vaskular

RSUD Tarakan, Jakarta

INTRODUCTION

• Wide Complex Tachycardia (WCT) : arrhythmia with a rate :

- faster than 100 bpm- QRS duration ≥ 120 ms- Originate from a ventricular focus or

Supraventricular mechanism with aberant ventricular conduction

CARDIAC CAUSES NON CARDIAC CAUSES

-ISCHEMIC HEART DISEASE- CARDIOMYOPATHY- VALVULAR HEART DISEASE- HYPERTENSIVE HEART DISEASE- CONGENITAL HEART DISEASE- HEREDITARY ION CHANNEL DEFECTS

-ELECTROLYTE IMBALANCE- DRUG OVERDOASAGE

• PRESENTATION- Pulselessness- Altered mental status- Cool clammy skin-Hypotension - Pulmonary edema -Hypoxia - Respiratory distress necessitating intubation

• EKG

CLASSIFICATIONS

• MONOMORPHIC VT

• POLYMORPHIC VT

• SUSTAINED VT

• NONSUSTAINED VT

• MANAGEMENT VT WITH PULSE

VENTRICULAR FIBRILLATION

• VF Chaotic , disorganized pattern of ventricular activation nonperfusing

• Most frequently responsible for SCD• Related to :

- coronary ischemia - R on T phenomenon- Electrolyte imbalance- Acidosis

• CLASSIFICATION

MANAGEMENT VF & PULSELESS VT

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