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17/04/2020

What is AFIB with Aberrancy?

What is AFIB with Aberrancy?

Atrial tachycardia with aberrant conduction When atrial fibrillation occurs with aberrant conduction and a rapid ventricular response, a totally irregular broad complex tachycardia is produced.

What is the difference between fibrillation and tachycardia?

Atrial fibrillation is another type of atrial tachycardia that is closely related to atrial flutter. However, the arrhythmia that occurs in AFib is much more chaotic and results in a fast and usually very irregular heart rhythm or a atypical and irregular ventricular rate that can effect heart health.

What is the difference between tachycardia and ventricular tachycardia?

Tachycardia is a very fast heart rate of more than 100 beats per minute. The many forms of tachycardia depend on where the fast heart rate begins. If it begins in the ventricles, it is called ventricular tachycardia. If it begins above the ventricles, it is called supraventricular tachycardia.

What aberrant conduction means?

A term of art referring to the transmission of electromechanical impulses through variant pathways. Aberrant conduction during supraventricular tachycardia results in a wide-complex tachycardia, and occurs in persons of all age groups.

Is supraventricular tachycardia and ventricular tachycardia the same?

The many forms of tachycardia depend on where the fast heart rate begins. If it begins in the ventricles, it is called ventricular tachycardia. If it begins above the ventricles, it is called supraventricular tachycardia.

What is meant by SVT with Aberrancy?

Any tachycardic rhythm with a left or right bundle branch block that is NOT ventricular tachycardia is considered “supraventricular tachycardia with aberrancy”.

What are interpolated PVCs?

An interpolated PVC is one that occurs between two sinus beats without a compensatory pause, where the P-P interval remains approximately constant.

What to do for V tach?

If v-tach has not become emergent, treatment options include having an implantable cardiac defibrillator (ICD) placed, or undergoing radiofrequency catheter ablation (RCA). With an ICD, the cardiologist inserts a device about the size of a pager in a pocket under the skin of the left upper chest wall.

What does V tach look like?

V tach is more uniform, regular in nature and is wide complex. V fib looks like little squiggly lines some complexes larger than others. Look at several pictures of rhythm strips in books. Also, don’t forget about Torsades de pointes as the treatment is a little different that vtach/ vfib !

What is the best medication for tachycardia?

Fever-related tachycardia can be treated with fever-reducing medications, such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin and others). If the fever is caused by a bacterial infection, antibiotics also may be needed.

What is the prognosis of ventricular tachycardia (VT)?

The prognosis in patients with ventricular tachycardia (VT) varies with the specific cardiac process, but it is predicted best by left ventricular function . Patients with VT may suffer heart failure and its attendant morbidity as a result of hemodynamic compromise. Nov 10 2019