Opened database successfully add two inverted commas for every one Medicine for Physicians

MEDICAL DISCLAIMER:The contents are under continuing development and improvements and despite all efforts may contain errors of omission or fact. This is not to be used for the assessment, diagnosis or management of patients. It should not be regarded as medical advice by healthcare workers or laypeople. It is for educational purposes only. Please adhere to your local protocols. Use the BNF for drug information. If you are unwell please seek urgent healthcare advice. If you do not accept this then please do not use the website. Makindo Ltd

Non *sustained Ventricular tachycardia

NSVT can be recorded in a wide range of conditions from healthy to those with significant heart disease. Prognosis varies and management is aimed at treating the underlying heart disease rather than the arrhythmia itself unless serious symptoms occur.

About

Seen 3-6% of the normal population with normal hearts so common
Main factors are LV function and setting e.g. post-MI

Characteristics

It is defined as 3 (sometimes 5) or more consecutive beats arising below the AVN with an RR interval of <600 ms (>100 beats/min) and lasting <30 s
Lasts for five or more consecutive beats up to 30 seconds

Aetiology

Ischaemic heart disease
Cardiomyopathy
Heart valve disease
Long QT syndrome
ARVC: usually Arise form RV and LBBB
HCM: seen but no distinctive characteristics

Clinical

Is it a setting of IHD or other heart diseases
Is it symptomatic

Investigations

U&E - hyperkalaemia.
12 lead ECG or holter or other devices to capture
Echo as LV function is key
Troponin if chest pain

Management

Exclude ischaemic heart disease
Key is to avoid unnecessary antiarrhythmic and overreaction
Beta blockers may be suggested
Where LV function (EF<30%) is poor Implantable cardioverter defibrillators have benefits

PLEASE NOTE LEGAL ADVICE: The contents are under continuing development and improvements and may contain errors of omission or fact. The official launch will be at the end of 2018. Feedback vital and always welcome at drokane at gmail.com. This is not to be used for the assessment, diagnosis or management of patients. It should not be regarded as medical advice. It is only for educational purposes. Please adhere to your local protocols. If you are unwell please seek healthcare advice from your doctor. This does not replace senior or specialist advice. If you do not accept this then please do not use the website. If you need medical advice, please consult a doctor or other appropriate medical professional. If you are a medical professional and you need advice then speak to your senior or colleagues.

Hits