Cardio - Cardiac Emergencies Treatment

identify the appropriate treatment for each arrhythmia and the circumstances described

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Last updated: December 25, 2023

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Arrhythmia	Treatment
asymptomatic bradycardia	nothing
symptomatic bradycardia	atropine
third degree heart block	transcutaneous pacing then permanent pacemaker
unstable supraventricular tachycardia	cardioversion
stable, wide complex supraventricular tachycardia	amiodarone
stable, regular, narrow complex supraventricular tachycardia	adenosine
stable ventricular tachycardia	amiodarone, lidocaine
unstable ventricular tachycardia with a pulse	cardioversion
pulseless ventricular tachycardia	shock
ventricular fibrillation	shock
pulseless electrical activity (PEA)	CPR + epi

Arrhythmia	Treatment
asystole	CPR + epi
wolf parkinson white	procainimide
refractory symptomatic bradycardia	dopamine, epinephrine
unstable atrial fibrillation rvr 48h+	anticoagulation x 3 weeks, cardioversion, anticoagulation x 4 weeks
unstable atrial fibrillation rv < 48h	cardioversion
stable atrial fibrillation rvr	metoprolol, diltiazem
hypertensive emergency	nitroprusside, nicardipine, labetalol
myocardial infarction	morphine, oxygen, nitrates, aspirin, BB, ACEi, statin, heparin
inferior myocardial infarction	oxygen, aspirin, BB, ACEi, statin, heparin
vasospastic angina (2)	CCB, nitrates, aspirin, heparin
cocaine induced myocardial infarction (2)	CCB, nitrates, aspirin, heparin, benzodiazepines