11 Antidysrhythmics Upd

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Nurse Uragon

Pharmacology

Gesundheit & Medizin

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Antiarrythmics

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Atrial fibrillation is the commonest cardiovascular rhythm disorder with a worldwide prevalence. ESC and AHA releases guidelines on anti-coagulation and is followed world over. This lecture is intended to help junior medical colleagues, budding cardiologists, internal medicine and family medicine colleagues, those work in coronary care and intensive care units, emergency room physicians, those involved in cardiovascular medical and nursing care and support staff.

Guidelines on anticoagulation in Atrial Fibrillation

Dr Raja Mohammed

Cardiac arrhythmias occur frequently in ICU patients. 12% incidence of ventricular plus supra ventricular arrhythmias for a general icu population. The most common arrhythmia is sinus tachycardia. Atrial arrhythmias also occur with some frequency , where as ventricular arrhythmias are less common but usually more ominous. Not all arrhythmias seen in the ICU are of new onset , some patients have preexisting arrhythmias that can be exacerbated by their critical illness

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When is an arrhythmia important? Can you tell, or should you always refer to a cardiologist? What are the best management strategies for common arrhythmias and are there any potential problems to be aware of? What about the “do not miss” diagnoses? Arrhythmias are common in critically unwell patients, and may represent primary cardiac pathology, or the cardiac response to underlying pathology. Estimates for the incidence of arrhythmias in patients in the intensive care unit (ICU) vary widely. Atrial fibrillation is the most common arrhythmia in the ICU, and management varies according to patient instability, underlying comorbidities and conditions, with important features that may favour a rate-control strategy over cardioversion, or a pharmacologic cardioversion over an electrical cardioversion. Atrial tachycardias are less common, but may have important consequences, and be difficult to manage in the intensive care patient. Ventricular arrhythmias are often immediately life threatening, and may require more than an advanced life support (ALS) algorithm to effectively treat and suppress. The mainstay of therapy for our patients in ICU is pharmacotherapy, usually with amiodarone or diltiazem, however specific circumstances may dictate the use of other antiarrhythmic drugs. Ablation therapies may offer effective treatment for ICU patients, however have risks specific to ICU patients, associated with transport, procedural risk, delay of ongoing therapies, requirement for personnel, and isolated location. This session will outline a practical approach to diagnosis and management of common and important arrhythmias in the ICU, and will include case and ECG discussions.

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Was ist angesagt? (19)

Antiarrythmics

Guidelines on anticoagulation in Atrial Fibrillation

Arrythmias in ICCU

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Arrhythmia management

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Arrhythmia

Management of symptomatic bradycardia

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Welcome to Indian Dental Academy The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats. Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients State of the art comprehensive training-Faculty of world wide repute &Very affordable.

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