Arrhythmias
Definition
Cardiac
dysrhythmia
(also
known
as
arrhythmia) is a term for any of a large and
heterogeneous group of conditions in which there
is abnormal electrical activity in the heart. The
heart beat may be too fast or too slow, and may
be regular or irregular.
Normal Sinus Rhythm
Sinus Bradycardia


Treatment :- Adminstration of Atropine
(An Anticholinergic drug) pacemaker
therapy may require
Sinus Tachycardia
Treatment :- Treat the underlying Cause
Mainly Beta adrenergic blockers (Metaprolol
atenolol ) are used to reduce the HR and
decrease the myocardial oxygen consumptions
Premature atrial contraction
Treatment :- Depends on the patient symptoms
Withdrawal of sources like caffeine, and Betaadrenergic Blockers may be used

Atrial Fibrillation


Treatment :- Digoxin, Beta adrenergic blockers,
Calcium channel Blockers and antiarrythmic drug
such as cordarone some time cardioversion also
may be used
Junctional Arrhythmias


Treatment :- Digoxin is Withheld in the absence of
digitalis. Beta adrenergic blockers, Calcium
channel Blockers and antiarrythmic drug such as
cordarone some time cardioversion also may be
used
Atrial Flutter


Treatment :- Cardioversion, Digoxin, Beta
adrenergic blockers, Calcium channel Blockers
and antiarrythmic drug such as cordarone
First Degree A V Block


Treatment :- There is no treatment for first degree
A V Block
Second Degree A V Block type I
Treatment :- Atropin e is used to increase the HR
Temporary Pace maker may used, close observation
is very important
Second Degree A V Block type II


Treatment :- Both temporary and permanent pace
maker are used depends upon the situation.
Atropine and Dopamine can be used initially
Ventricular tachycardia


Treatment :- Cordorone, pacemaker, defibrillation,
thrombolysis, angioplasty
Ventricular fibrillation


Treatment :- CPR with ACLS measures, which
includes intubation, pacing, IV therapy,
defibrillation,
Asystole


Treatment :- CPR with ACLS measures, which
includes intubation, pacing, IV therapy,
defibrillation,
Thank you

Arrythmias 2003