Template:ACLS Narrow Irregular Tachycardia

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)
  • Rate control with:
    • Diltiazem
    • Metoprolol
    • MTP (good in setting of ACS)
    • Amiodarone (good in setting of hypotension, CHF)
    • Digoxin (good in setting of CHF)
  • Synchronized Cardioversion (120-200 J)