Common Arrhythmia during Perioperative Periods, Diagnosis and Management : Narrow QRS Tachycardia

DOI 1 Citations 11 References
  • TAKAHASHI Shinji
    Department of Anesthesiology, Faculty of Medicine, University of Tsukuba

Bibliographic Information

Other Title
  • 周術期によく遭遇する不整脈と抗不整脈薬の使い方 （3）頻脈　　①narrow QRSの頻脈

Description

  Tachycardia often develops into tachyarrhythmia in perioperative periods. It is important to maintain adequate anesthetic depth, analgesia, and fluid balance. If fatal tachyarrhythmia occurs, immediate electrical cardioversion is indicated. If the patient is hemodynamically stable, we should evaluate the ECG, then determine whether the narrow QRS tachycardia is regular or irregular. Regular tachycardia is usually paroxysmal supraventricular tachycardia (PSVT), which should be treated with vagal maneuver, ATP, or both. If the ATP fails to convert PSVT, it is reasonable to use beta-blocker or calcium channel blocker. Irregular tachycardia is most likely atrial fibrillation (AF). The management of AF should focus on rate control (beta-blocker or calcium channel blocker) or rhythm control (electrical cardioversion, amiodarone, procainamide). If the new-onset AF does not convert to sinus rhythm within 48 hours, anticoagulation therapy is recommended.

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Details 詳細情報について

  • CRID
    1390001204759196032
  • NII Article ID
    130004450088
  • DOI
    10.2199/jjsca.32.590
  • ISSN
    13499149
    02854945
  • Text Lang
    ja
  • Data Source
    • JaLC
    • Crossref
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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