Деякі види лікування аритмій

Narrow complex tachycardias

Multifocal atrial extrasystoles

Reassurance, a non-dihydropyridine calcium channel blockers, or a beta-blocker

Atrial fibrillation

Anticoagulation

For rate control:

• Beta-blockers

• Verapamil

• Diltiazem, or

• Digoxin

For rhythm control:

• Antiarrhythmic drugs (eg, ibutilide, amiodarone, propafenone, dronedarone, sotalol, dofetilide)

• Cardioversion, or

• Radioablation

Sometimes a Maze procedure

Atrial flutter

Anticoagulation

Radioablation (often the best treatment)

Sometimes DC cardioversion, digoxin, beta blocker, and/or verapamil

Ectopic supraventricular tachycardia (eg, atrial tachycardia)

Sometimes, DC cardioversion, rate control drugs (excluding digoxin) , antiarrhythmics, overdrive pacing, and/or ablation

Reentrant supraventricular tachycardias eg atrioventricular nodal reentrant tachycardia

Vagotonic maneuvers

AV Nodal blocking drugs (eg, beta blockers, verapamil)

Ablation (often the best treatment)

Broad complex tachycardias

Ventricular tachycardia

Immediate drug therapy or DC cardioversion

Amiodarone, sotalol, propafenone, lidocaine, mexiletine, flecainide, radioablation

Sometimes an implanted defibrillator

Torsade de pointes

If unstable, immediate DC cardioversion, magnesium, and/or potassium; sometimes an implanted defibrillator

Ongoing treatment as needed with magnesium, potassium, a beta-blocker, isoproterenol, or overdrive cardiac pacing

Sometimes an implanted defibrillator

Ventricular fibrillation

Defibrillation

Sometimes drugs (eg, amiodarone)

Sometimes an implanted defibrillator

Brugada syndrome

Usually DC cardioversion or an implanted defibrillator