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Transcutaneous and transvenous pacing

…without current symptoms, alternating bundle branch block in acute anterior infarction, and before drugs or procedures with a known risk of bradycardia. Transvenous pacing is…

🟠 Antiarrhythmic drugs in acute ventricular arrhythmias (ventricular tachycardia, ventricular fibrillation)

…with twisting of the QRS complex around the isoelectric line. Most patients display QTc 500 ms during sinus rhythm. TdP is typically initiated by a…

Aberrant ventricular conduction (aberrancy, aberration)

…a left bundle branch block morphology. However, left bundle branch block morphology is more common (regardless of heart rate) among persons with heart disease. Alternating…

Antiarrhythmic drugs in ventricular tachyarrhythmias

…with twisting of the QRS complex around the isoelectric line. Most patients display QTc 500 ms during sinus rhythm. TdP is typically initiated by a…

Ventricular rhythm and accelerated ventricular rhythm (idioventricular rhythm)

…alternating with accelerated ventricular rhythm. As mentioned in the previous paragraph, idioventricular rhythm is very typical during reperfusion and in that scenario it is a…

Soft tissue corticosteroid injection

…at all at one year . The injection is therefore a tool to make rehabilitation possible, not an alternative to it. See the separate guide to…

Atrial Flutter: Mechanisms, ECG Recognition and Management

…exceeding 200 beats per minute. While ECG appearances with flutter like patterns are predominantly caused by macroreentrant circuits, microreentry remains a possible alternative mechanism. Conversely…

Acute stroke and thrombolysis: quick reference

…identify large vessel occlusion, dissection or other vascular pathology CT perfusion Used with an unclear time of onset, a late time window, or when thrombectomy…

Drugs in the emergency setting

…kg (maximum 6 mg), then 0.2 mg/kg (maximum 12 mg) Give into a large vein with a rapid flush. Warn the patient Amiodarone…

🟠 Inotropes and Vasopressors

…ER (emergency room). Careful electrocardiographic and hemodynamic monitoring with ECG, central vein catheter and intra arterial catheter (A line) is warranted. Overview of vasopressors and…

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