SVT (Supraventricular tachycardia)

SVT is a common presentation to the ED. The most common form is an AV-nodal re-entrant tachycardia (AVNRT). ECG features that suggest this include: narrow complex tachycardia regular (as opposed to atrial fibrillation or multifocal atrial ectopy) P-waves are rarely visible – either retrograde (pseudo R) or buried in QRS rate relatively fixed somewhere between…

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Atrial Fibrillation

Emergency Management of Atrial Fibrillation is complex and depends on many factors.  Discussion with a Cardiologist is recommended to tailor care to the individual patient. WA HealthNetworks  Atrial Fibrillation Guidelines

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Heart block / Bradyarrythmia

Bradyarrythmias and heart blocks resulting in haemodynamic compromise require early intervention and Cardiology advice. Patients with suspected bradyarrythmia should be moved to a monitored bed and have access to defibrillator / pacing device. Intravenous access and emergency resuscitation drugs such as atropine, adrenaline or isoprenaline available. Capture a good ECG and discuss with a Cardiologist…

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