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Torsade de pointes is a type of ventricular arrhythmia that is classically accompanied by certain characteristics including QT prolongation. The initiation of the tachycardia is pause-dependent with a late coupled PVC long-short initiating sequence. The with history of syncope. On the resting ECG long QTc and abnormally shaped T waves are characteristic. QT prolonging drugs bradycardia hypokalaemia and hypomagnesaemia are usually the precipitating factors Fig. 3. Sustained polymorphic VT is...
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01
Start by obtaining a standard 12-lead ECG (electrocardiogram) to confirm the diagnosis of ventricular tachycardia.
02
Assess the patient's stability: if the patient is hemodynamically unstable (experiencing symptoms such as chest pain, dizziness, palpitations, or difficulty breathing), immediate synchronized cardioversion should be performed.
03
Administer oxygen to the patient if their oxygen saturation is below normal.
04
Establish intravenous access for medication administration and fluid resuscitation if necessary.
05
Determine the underlying cause of ventricular tachycardia and address it if possible (e.g., correcting electrolyte imbalances or discontinuing any medications that may be contributing).
06
If the patient remains stable or becomes stable after cardioversion, consider initiating antiarrhythmic drug therapy.
07
Monitor the patient's vital signs closely and continue ECG monitoring to assess for any recurrence or complications.
08
Discuss the need for further interventions with a cardiac electrophysiologist or specialist, especially in cases of recurrent or persistent ventricular tachycardia.
09
Provide education to the patient regarding lifestyle modifications (e.g., avoiding triggers such as excessive stress or certain substances) and the importance of adhering to prescribed medications.
10
Regular follow-up appointments should be scheduled to monitor the patient's condition and adjust treatment as necessary.

Who needs ventricular tachycardia?

01
Ventricular tachycardia is a serious cardiac arrhythmia that typically affects individuals with underlying heart disease or structural abnormalities of the heart.
02
Patients who have experienced a heart attack (myocardial infarction), heart failure, or cardiomyopathy are at higher risk of developing ventricular tachycardia.
03
Certain genetic conditions, such as long QT syndrome or Brugada syndrome, may also predispose individuals to ventricular tachycardia.
04
Additionally, individuals with electrolyte imbalances (e.g., low potassium or magnesium levels) or those taking certain medications that can prolong the QT interval are susceptible to ventricular tachycardia.
05
It is crucial to consult with a healthcare professional, such as a cardiologist, to determine the specific underlying cause and appropriate management for individuals suspected of having or diagnosed with ventricular tachycardia.
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Ventricular tachycardia is a type of abnormal heart rhythm that originates in the lower chambers of the heart.
Healthcare providers or facilities are required to report and document cases of ventricular tachycardia.
When documenting ventricular tachycardia, healthcare providers should include relevant medical history, symptoms, diagnostic tests, and treatment provided.
The purpose of documenting ventricular tachycardia is to track and monitor abnormal heart rhythms, assess the effectiveness of treatment, and ensure proper care for the patient.
Information reported on ventricular tachycardia includes patient demographics, medical history, symptoms, diagnostic test results, treatment provided, and follow-up care.
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