ECG

Normal
60 100 BMP
Bradycardia Tachycardia
<60 >100
NARROW COMPLEX

SINUS BRADYCARDIA
ALL waves PRESENT
No PR interval prolongation
Atrial Fibrillation
BROAD COMPLEX
HEART BLOCK Atrial Flutter
VF
TYPE 1 NO DROP BEATS Supra Ventricular tachycardia
PR interval prolonged but CONSTANT
TYPE 2 a) progressive
prolongation of PR interval followed
by DROPBEAT

b) fixed prolongation of PR
interval followed by DROPBEAT

TYPE 3 NO DROP BEATS and PR VT

interval NOT CONSTANT
Supra ventricular Tachycardia

Tx = Atropine *YOU LOOK AT THE HEIGHT

*LOOK AT THE RYTHM

AB
 ECG
BROAD COMPLEX
VT DC CARDIOVERSION SEMI CONCIOUS --- if conscious then O2 Unstable = DC then AMIADARONE, Stable (regular) = AMIADARONE
VF UNCONCIOUS = DC CARDIOVERSION

NARROW COMPLEX
Irregular Atrial Fibrillation -> stable? Unstable?
Unstable = DC SHOCK
Stable = Control rate = BB, CCB, DIGOXIN + WARFARIN if HF
Rhythm = SOTALOL / CCB
Paroxysmal SOTALOL / FLECANIDE

Regular SVT or WPW

- Carotid Massage = if response = WPW
- Adenosine 6mg bolus (alternative verapamil)

UNSTABLE
- Adverse signs? -> DC CARDIOVERSION -> AMIADARONE

STABLE
- Choose from BB/DIGOXIN/AMIADARONE

AB