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Epidemiological aspects of cardiac arrest

…of survival. This is because cardiac arrest presenting with ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT) can be defibrillated to restore an organized rhythm…

Perioperative Management of Patients with Cardiac Implantable Electronic Devices

…absence of malfunction, a pacemaker should have been checked within the preceding 12 months and an ICD within the preceding 6 months. Remote monitoring may…

Arrhythmias before and during cardiac arrest

…ECG monitoring (telemetry), which allows instantaneous identification of the initial rhythm ( Thorén et al ). The initial rhythm has immense significance for survival in cardiac arrest…

Sotalol: Initiation, QT Monitoring and Renal Dosing

Arrhythmias and arrhythmology Pharmacology & dosing Definition and Pathophysiology Sotalol is a nonselective beta adrenoceptor blocker devoid of intrinsic sympathomimetic activity that also prolongs cardiac repolarization…

Management of bradycardia (bradyarrhythmia)

…disability, exposure (ABCDE) approach is applicable in bradycardia (Figure 1). Cardiac output and blood pressure, rather than ECG, are the strongest predictors of adverse outcomes…

Targeted temperature management after cardiac arrest

…an arterial line, a central venous catheter, ECG monitoring, blood gases. Drugs for sedation, analgesia and control of shivering. Procedure 1. Start temperature management early…

What is the difference between cardioversion and defibrillation for arrhythmias?

…energy shocks outperform low escalating energy protocols. Note that while cardioversion restores sinus rhythm in up to 95% of patients, long term maintenance (particularly in…

Noradrenaline, Dobutamine and Levosimendan: Practical Infusion Use

…is warranted. Diagnostics Hemodynamic and functional monitoring is central to the safe administration of these agents. Continuous blood pressure and rhythm monitoring are mandatory, particularly…

Torsades de Pointes: Definition, Characteristics, and Management

…of triggers, and reduction of sympathetic drive [4]. Rhythm Stabilization In addition to defibrillation , several pharmacological and interventional alternatives exist to stabilize the cardiac rhythm…

Transcutaneous and transvenous pacing

…while awaiting the antidote and specific treatment. Bradyasystole during and after cardiac arrest with persisting electrical activity. Overdrive pacing in bradycardia dependent torsades de pointes…

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