Ventricular Tachycardia
A single irritable site within the ventricle fires too fast which override the higher control site of the heart.
Rate usually 150-250 beats/min, not preceded by P waves, no PR interval, QRS complex wide and bizarre, 0.12 sec or greater.
Treatment of ventricular tachycardia
1. Intravenous potassium infusion. 2. Lidocaine infusion. 3. Procainamide. 4. Cardioversion 0.5 to 2 J/kg |
Reentrant Ventricular Tachycardia:
Five modes of treatment are available 1. Maneuvers to change the vagal tone 2. Drug therapy 3. Pacing 4. Cardioversion 5. Ablation (Medical or Surgical) |