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 CauseMainly 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 Beta-

adrenergic 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