Template:ACLS Narrow Irregular Tachycardia: Difference between revisions

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===[[Narrow complex tachycardia|Narrow ''Irregular'' Tachycardia]]===
===[[Narrow complex tachycardia|Narrow ''Irregular'' Tachycardia]]===
*MAT
*Multi-focal atrial tachycardia (MAT)
**Treat underlying cause (hypoK, hypomag)
**Treat underlying cause (hypokalemia, hypomagnesemia)
**If not symptomatic and rate < 110/120 bpm, may not require treatment (e.g., patient with MAT secondary to COPD)
*Sinus Tachycardia with frequent PACs
*Sinus Tachycardia with frequent PACs
*[[A fib]] / A Flutter with variable conduction (see also [[Atrial Fibrillation with RVR]])
*[[A fib]] / A Flutter with variable conduction (see also [[Atrial Fibrillation with RVR]])
**Rate control with:
**Rate control with:
***[[Diltiazem]]
***[[Diltiazem]]
***[[Metoprolol]]
***MTP (good in setting of ACS)
***MTP (good in setting of ACS)
***[[Amiodarone]] (good in setting of hypotension, CHF)
***[[Amiodarone]] (good in setting of hypotension, CHF)
***[[Digoxin]] (good in setting of CHF)
***[[Digoxin]] (good in setting of CHF)
**Synchronized [[Cardioversion]] (120-200 J)
**Synchronized [[Cardioversion]] (120-200 J)

Revision as of 20:57, 11 March 2019

Narrow Irregular Tachycardia

  • Multi-focal atrial tachycardia (MAT)
    • Treat underlying cause (hypokalemia, hypomagnesemia)
    • If not symptomatic and rate < 110/120 bpm, may not require treatment (e.g., patient with MAT secondary to COPD)
  • Sinus Tachycardia with frequent PACs
  • A fib / A Flutter with variable conduction (see also Atrial Fibrillation with RVR)