Adenosine (Adenocard)
- Slows AV Conduction
- Supraventricular Tachycardia (Paroxysmal)
- Bradycardia
- Flushing
- Dyspnea
- Rapid IV Push
- Caffeine and Theophylline Decrease Effectiveness
- Dipyridamole May Intensify Effects
Torsades de Pointes
- Polymorphic Ventricular Tachycardia
- Prolonged QT Interval
- QRS Twist Around Isoelectric Line
- Congenital
- Antibiotics
- Antiarrhythmics
- Antipsychotics
- Antidepressants
- Electrolyte Deficiencies
- Ventricular Fibrillation
- Stable: Magnesium Sulfate
- Unstable: Defibrillation
Brugada Syndrome
- Defective Myocardial Sodium Channels
- Predominance in Asian Males
- Autosomal Dominant
- Pseudo-Right Bundle Branch Block Pattern
- Persistent ST Elevations in Leads V1-V2
- Risk of VTACH and Sudden Cardiac Death
- Syncope
- ICD
- Antiarrhythmics
Congenital Long QT Syndrome
- Inherited Disorder of Myocardial Repolarization
- Potassium (K+) Channel Mutations
- Prolonged QT Interval
- Torsades de Pointes
- Increased Risk of Sudden Cardiac Death (SCD)
- Romano-Ward Syndrome
- Autosomal Dominant
- Pure Cardiac Phenotype (No Deafness)
- Jervell and Lange-Nielsen Syndrome
- Autosomal Recessive
- Sensorineural Deafness
Wolff-Parkinson-White Syndrome
- WPW Pattern vs. WPW Syndrome
- Ventricular Pre-excitation Syndrome
- Accessory Conduction Pathway
- Supraventricular Tachycardia
- Atrial Fibrillation
- Shortened PR Interval
- Delta Wave
- Widened QRS
- No Treatment if Asymptomatic
- Treat Arrhythmia
Atrioventricular Reciprocating Tachycardia
- 150-250 bpm
- Regular
- Orthodromic
- P Waves After QRS
- RP Interval >70 ms
- Narrow QRS
- Antidromic
- No P Wave or P Wave Retrograde After QRS
- Shortened PR Interval
- Wide QRS
- Catheter Ablation