Cardiovascular Emergencies: Cardiac Arrhythmias

Emergency Room · Clinical Specialties

How it begins

La comprensión del origen, la propagación y la interrupción de las arritmias cardiacas en el servicio de urgencias requiere un análisis riguroso de la fisiología celular miocárdica. El miocardio está constituido por dos tipos de poblaciones celulares funcionalmente distintas: las células de respuesta rápida (miocardio de trabajo auricular y ventricular, así como el sistema de Purkinje) y las células de respuesta…

What it covers

1. The Rapid Response Action Potential
2. The Slow Response Action Potential (Sinus Node and NAV)
3. 1. Impulse Formation Disorders
4. · A. Altered Automaticity
5. · B. Actividad Desencadenada (Triggered Activity)
6. 2. Impulse Conduction Disorders (Reentry)
7. The Four Classic Pillars of Hemodynamic Instability
8. Use of Bedside Ultrasound (POCUS - Point-of-Care Ultrasound)
9. Etiology and Pathophysiology
10. Specific Electrocardiographic Manifestations
11. Electrophysiological and Clinical Anatomy Classification
12. · 1. First Degree AV Block
13. · 2. Second Degree AV Block
14. · 3. Third Degree AV Block (Complete)
15. 1. Transcutaneous Cardiac Stimulation (External Pacemaker)
16. · A. Technical Procedure and Adjustments
17. · B. Mandatory Verification of Electromechanical Coupling
18. 2. Transvenous Cardiac Stimulation (Temporary Pacemaker)
19. Atrial Physiopathology and Remodeling
20. The Clinical Approach in Emergencies: Frequency Control vs. Rhythm Control
21. Stratification of Thromboembolic Risk and Bleeding
22. Atrial Flutter
23. 1. Intranodal Reentry Tachycardia (INRT)
24. 2. Atrioventricular Reentry Tachycardia (AVRT)
25. Pre-excited Atrial Fibrillation (Pre-excited AF or "FBI" Tachycardia)
26. 1. Sustained Monomorphic Ventricular Tachycardia
27. 2. Polymorphic Ventricular Tachycardia (Torsades de Pointes)
28. · Specific Management of Torsades de Pointes
29. 1. The Brugada Algorithm
30. 2. The Vereckei Algorithm (Exclusive use of the aVR lead)
31. 1. Brugada syndrome
32. 2. Long QT Syndromes (LQTS)
33. 1. Acute Coronary Syndrome (ACS)
34. 2. Digital poisoning
35. 3. Hydroelectrolyte disorders
36. The Vaughan-Williams Classification (Modified)
37. Detailed Analysis of Critical Drugs
38. · 1. Amiodarone (Class III with effects I, II and IV)
39. · 2. Adenosine
40. 1. Synchronized Electrical Cardioversion
41. 2. Defibrillation (Asynchronous Shock)
42. 1. Integrated Algorithm for the Management of Bradycardia
43. · Pharmacological Details of the Algorithm
44. 2. Integrated Algorithm for the Management of Pulse Tachycardia
45. · A. Wide QRS (≥ 120 ms) Regular and Stable
46. · B. QRS Estrecho ( 120 ms) Regular y Estable (TSVP sospechada)
47. Conclusions and Integrative Message for the Emergency Professional