The second edition adds five chapters on atrioventricular blocks and wide-complex tachycardia
. (Ringgold, Inc., Portland, OR)
A wide-complex tachycardia
was documented, and he did not respond to a trial of intravenous adenosine up to 12 mg.
For patients with symptomatic arrhythmias, the updates now recommend adenosine for diagnosing and treating stable undifferentiated wide-complex tachycardia
when the rhythm is regular and the QRS wave is monomorphic.
In the emergency department, the patient had a 6-beat run of a wide-complex tachycardia
concurrent with her symptomatic palpitations, but no hemodynamic instability.
was followed by bradycardia and asystole.
(2,3) If an irregular heartbeat or wide-complex tachycardia is detected, appropriate management (including possible urgent referrals) should begin immediately.
Wide-complex tachycardias and irregular heartbeats should be urgently managed
The Advanced Cardiac Life Support (ACLS) manual, warns all medical personnel to simply assume "wide-complex tachycardia
" and "wide-QRS" that is tachycardia that may be ventricular or supraventricular is, in fact, ventricular tachycardia.
* Adenosine may be used for the diagnosis and treatment of regular, monomorphic wide-complex tachycardia in patients who are not known to have Wolff-Parkinson-White (WPW) syndrome.
Recent evidence suggests that adenosine is relatively safe for both treatment and diagnosis of regular, monomorphic, wide-complex tachycardia (Table 1 Class IIb, LOE B).
The on-call team was already in the room--Teresa now had a wide-complex tachycardia
of uncertain type.
Lists include common causes of a regular wide-complex tachycardia
, QT prolongation, ST segment depression, and tall R wave in lead VI.