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Concept of the five ‘A's for treating emergency arrhythmias

Cardiac rhythm disturbances such as bradycardia (heart rate < 50/min) and tachycardia (heart rate > 100/min) require rapid therapeutic intervention. The supraventricular tachycardias (SVTs) are sinus tachycardia, atrial tachycardia, AV-nodal reentrant tachycardia, and tachycardia due to access...

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Detalles Bibliográficos
Autor principal: Trappe, Hans-Joachim
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2884443/
https://www.ncbi.nlm.nih.gov/pubmed/20606789
http://dx.doi.org/10.4103/0974-2700.62111
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author Trappe, Hans-Joachim
author_facet Trappe, Hans-Joachim
author_sort Trappe, Hans-Joachim
collection PubMed
description Cardiac rhythm disturbances such as bradycardia (heart rate < 50/min) and tachycardia (heart rate > 100/min) require rapid therapeutic intervention. The supraventricular tachycardias (SVTs) are sinus tachycardia, atrial tachycardia, AV-nodal reentrant tachycardia, and tachycardia due to accessory pathways. All SVTs are characterized by a ventricular heart rate > 100/min and small QRS complexes (QRS width < 0.12 ms) during the tachycardia. It is essential to evaluate the arrhythmia history, to perform a good physical examination, and to accurately analyze the 12-lead electrocardiogram. A precise diagnosis of the SVT is then possible in more than 90% of patients. In ventricular tachycardia (VT) there are broad QRS complexes (QRS width > 0.12 s). Ventricular flutter and ventricular fibrillation are associated with chaotic electrophysiologic findings. For acute therapy, we will present the new concept of the five ‘A's, which refers to adenosine, adrenaline, ajmaline, amiodarone, and atropine. Additionally, there are the ‘B,’ ‘C,’ and ‘D’ strategies, which refer to beta-blockers, cardioversion, and defibrillation, respectively. The five ‘A’ concept allows a safe and effective antiarrhythmic treatment of all bradycardias, tachycardias, SVTs, VT, ventricular flutter, and ventricular fibrillation, as well as of asystole.
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spelling pubmed-28844432010-07-02 Concept of the five ‘A's for treating emergency arrhythmias Trappe, Hans-Joachim J Emerg Trauma Shock Symposium Cardiac rhythm disturbances such as bradycardia (heart rate < 50/min) and tachycardia (heart rate > 100/min) require rapid therapeutic intervention. The supraventricular tachycardias (SVTs) are sinus tachycardia, atrial tachycardia, AV-nodal reentrant tachycardia, and tachycardia due to accessory pathways. All SVTs are characterized by a ventricular heart rate > 100/min and small QRS complexes (QRS width < 0.12 ms) during the tachycardia. It is essential to evaluate the arrhythmia history, to perform a good physical examination, and to accurately analyze the 12-lead electrocardiogram. A precise diagnosis of the SVT is then possible in more than 90% of patients. In ventricular tachycardia (VT) there are broad QRS complexes (QRS width > 0.12 s). Ventricular flutter and ventricular fibrillation are associated with chaotic electrophysiologic findings. For acute therapy, we will present the new concept of the five ‘A's, which refers to adenosine, adrenaline, ajmaline, amiodarone, and atropine. Additionally, there are the ‘B,’ ‘C,’ and ‘D’ strategies, which refer to beta-blockers, cardioversion, and defibrillation, respectively. The five ‘A’ concept allows a safe and effective antiarrhythmic treatment of all bradycardias, tachycardias, SVTs, VT, ventricular flutter, and ventricular fibrillation, as well as of asystole. Medknow Publications 2010 /pmc/articles/PMC2884443/ /pubmed/20606789 http://dx.doi.org/10.4103/0974-2700.62111 Text en © Journal of Emergencies Trauma and Shock http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Symposium
Trappe, Hans-Joachim
Concept of the five ‘A's for treating emergency arrhythmias
title Concept of the five ‘A's for treating emergency arrhythmias
title_full Concept of the five ‘A's for treating emergency arrhythmias
title_fullStr Concept of the five ‘A's for treating emergency arrhythmias
title_full_unstemmed Concept of the five ‘A's for treating emergency arrhythmias
title_short Concept of the five ‘A's for treating emergency arrhythmias
title_sort concept of the five ‘a's for treating emergency arrhythmias
topic Symposium
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2884443/
https://www.ncbi.nlm.nih.gov/pubmed/20606789
http://dx.doi.org/10.4103/0974-2700.62111
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