학술논문
Treatment of patients with supraventricular tachyarrhythmias in a medical intensive care unit.
Document Type
Academic Journal
Author
Sekhri A; Department of Medicine, Division of Pulmonary, New York Medical College, Valhalla, NY 10595, USA.; Aronow WS; Sekhri V; Palaniswamy C; Chandy D
Source
Publisher: Humana Press Country of Publication: United States NLM ID: 7605837 Publication Model: Print Cited Medium: Print ISSN: 0098-8243 (Print) Linking ISSN: 00988243 NLM ISO Abbreviation: Compr Ther Subsets: MEDLINE
Subject
Language
English
ISSN
0098-8243
Abstract
Direct-current cardioversion has a higher success rate than does medical therapy in converting supraventricular tachyarrhythmias to sinus rhythm and should be performed immediately in patients with hemodynamic instability. Hemodynamically stable patients with atrial fibrillation or atrial flutter, a rapid ventricular rate and without preexcitation syndrome should be treated with intravenous beta-adrenergic blocking drugs, amiodarone, verapamil, or diltiazem. In hemodynamically unstable patients with supraventricular tachycardia, intravenous adenosine is the drug of choice.