Wide Complex Tachycardia... and Overthinking
If it is a Wide Complex Tachycardia... DON'T OVERTHINK IT!! Treat it as VTACH!
> Wide complex tachycardia
- vtach 80% of the time; but also consider SVT with aberrancy or preexcitation, toxic metabolic (hypomag, hyperk, TCAs IC antiarrythmics) or pacemaker related
> Regular wide complex tachycardia
- Unstable - synchronized cardioversion
> Cardioversion may be resistant if tox/metabolic
> Consider bicarb if resistant
> If recurrent start amio, procainimaide or lidocaine
- If stable - procainamide; amio/lido
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Charlotte, NC 28203