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Intravenously administered amiodarone is being used with increasing frequency in the acute treatment of atrial fibrillation.

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Several scoring systems have been developed to estimate risk-benefit for warfarin use in AF (summarized below).

Long-term management of atrial fibrillation is focused on reducing the likelihood of AF recurrence, reducing AF-related symptoms, control of ventricular rate, and reducing stroke risk.

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You might be asked to rate your pain on a scale of zero to 10 or point to one of a series of cartoon faces on a chart, ranging from a smiley face to a bright red face with tears streaming down.

In ICD recipients amiodarone and ablation therapy may play an important role in the reduction of device therapy.

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If an accessory pathway has a short anterograde refractory period, then rapid repetitive conduction to the ventricles during AF can result in a rapid ventricular response with subsequent degeneration to VF.

Urine tests confirm that iodine at these doses removes the toxic halogens fluoride and bromide from the body.

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VF were dose related, as was the prolongation of QT (QTc) interval, as shown in Table 1 below.

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That ability to test and treat in one visit is critical to providing the convenience patients seek and, in this flu season, to ensuring patients receive therapy during the initial 48 hours of the disease when it is most effective.

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Asymptomatic patients with only the ECG findings of preexcitation should be seen at frequent intervals and should consider prophylactic RF ablation; recent studies show a significant drop in dysrhythmia onset after RF ablation (5% vs 60% in a control group).

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Patients received long-term treatment with the first antiarrhythmic drug that was predicted to be effective on the basis of drug testing.

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Of the studies discussed above in our review, OPTIC involved patients with dual-chamber ICDs only.

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Hidden sinus beats can be observed by using calipers to march backwards from final 2 QRS complexes.

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In our trial, patients with recurrent ventricular tachycardia constituted a high-risk group, with more than half the patients continuing to have ventricular tachycardia and more than a quarter dying during the course of the trial despite being well treated for ischemic heart disease and ventricular dysfunction.

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Another area of concern is the finding of atrial stunning after conversion of atrial flutter, which appears to persist for several weeks.

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These analyses indicate that the accuracy of predictions of drug efficacy was similar with electrophysiologic study and Holter monitoring for each drug and each drug class in the Vaughan-Williams classification (i.

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Inappropriate sinus tachycardia is a persistent increase in resting heart rate or sinus rate unrelated to, or out of proportion with, the level of physical, emotional, pathological, or pharmacologic stress.

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This review will focus on the role of both the oral and intravenous preparation in the treatment and prevention of ventricular tachyarrhythmia.

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Acute therapy for patients with atrial flutter depends on clinical presentation.

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Using the Holter monitoring endpoint (complete suppression of sustained VT, 90% suppression of NSVT, 80% suppression of VPC pairs, and at least 70% suppression of VPCs), sotalol yielded 41% response vs.

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The authors postulated that β-blockers themselves may have some antiarrhythmic effects, and that in some of the studies, the variable percentages of patients on β-blockers may have confounded the results.

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Sotalol hydrochloride tablets (AF) can cause serious ventricular arrhythmias, primarily torsade de pointes (tdp) type ventricular tachycardia, a polymorphic ventricular tachycardia associated with QT interval prolongation.

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Atrial fibrillation can be changed back (converted) to normal heart rhythm by an electric shock or by using certain medicines.

Catheter ablation is the first treatment provided for treatment of atrial fibrillation occurring intermittently (two separate episodes ending spontaneously).

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In a study of systemic hemodynamic function measured invasively in 12 patients with a mean LV ejection fraction of 37% and ventricular tachycardia (9 sustained and 3 non-sustained), a median dose of 160 mg twice daily of Sotalol hydrochloride produced a 28% reduction in heart rate and a 24% decrease in cardiac index at 2 hours post dosing at steady-state.

Adverse effects of low dose amiodarone: a meta-analysis.

Other long term (current) drug therapy should be linked to Source: CODING CHEAT SHEET.

However, the author does comment that the use of β-blockers had no significant effect on the primary endpoint of risk of death or delivery of first shock for any reason.

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In contrast, this arrhythmia may also present with more insidious symptoms or conditions, such as exercise-induced fatigue, worsening heart failure, or pulmonary disease.

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