1. ARRHYTHMIAS INICU MSN Pavan ,DM. NIMSHYDERABAD,AP.

2. Cardiac arrhythmias occur frequently in ICU patients. 12% incidence of ventricular plus supra ventriculararrhythmias for a general icu population. The most common arrhythmia is sinus tachycardia.Atrial arrhythmias also occur with some frequency ,where as ventricular arrhythmias are less commonbut usually more ominous. Not all arrhythmias seen in the ICU are of new onset ,some patients have preexisting arrhythmias that canbe exacerbated by their critical illness . 3. Arrhythmias are most likely (90%) to occur in patientswith structural heart disease, the inciting factor for anarrhythmia in a given patient may be a transientimbalance. Management includes correction of these imbalancesas well as medical therapy directed at the arrhythmiaitself. The urgency and type of treatment is determined bythe physiologic impact of the arrhythmia as well as byunderlying cardiac status. Arrhythmias in the ICU represent a major source ofmorbidity and increased length of stay. 4. ARRHYTHMIASBrady (HR < 60/mt) Tachy (HR> 100/mt) SND AVND Narrow QRS(