Non-Sustained Ventricular Tachycardia; What Would You Do?

A 74 year old man who has presented with seizure-like activity. He was not post ictal. Following this he had a cardiac arrest that was death with, with CPR and he quickly regained return of spontaneous circulation. He is now speaking and awake. His ECG is normal sinus rhythm, but you notice his rhythm strip when…

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Amiodarone vs Procainamide for Ventricular Tachycardia

The PROCAMIO Study(1) This was a randomised (non-blinded) open labelled study. 62 haemodynamically stable patients with sustained, monomorphic, Ventricular Tachycardia(VT), were assigned to receive either: (i) intravenous procainamide (single dose 10 mg/kg over 20 min) or (ii) intravenous amiodarone (single dose 5 mg/kg over 20 min). The study period was 40 min from infusion initiation…

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