AFib with RVR Made Easy (Atrial Fibrillation with Rapid Ventricular Response)
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- Опубліковано 7 сер 2024
- Atrial Fibrillation w/ Rapid Ventricular Response can be found in a variety of patients. Dr. Pruett takes us through a systematic approach to interpreting and treating this finding.
1. Rate
2. Rhythm
3. Axis
4. Intervals
5. ST Segments
Discussed Treatments:
O2
500cc NS Bolus
Cardioversion (Consider Stroke Risk)
#albuquerque #firerescue #ems #paramedic #ekg #cardiac
Thank you for always walking through the interpretation piece at the beginning of the video! The repetition is very helpful on building good habits!
Thank you for watching!
Very short and concise video. Gave me all the info I need without going too deep, awesome refresher. Thank you for the upload!
Glad it was helpful!
Though the justification for a fluid challenge makes sense, many Medics may be hesitant to give 500cc of fluid with BP of 150/114.
Beautiful and elegant video! Very helpful 🙌🏾
Glad it was helpful!
2 years ago when I was 24, I woke up at 5am with my heart pounding, racing, and also felt like it kept stopping them starting again. When I got the the hospital they initially weren't sure if it was SVT or AFIB. It turned out that it was AFIB with RVR, and at first I was also having PVC's mixed in (hence the feeling my heart kept stopping and then starting). I wasn't able to get it back to normal with valsalva manuever as I had in the past, cardioversion with adenosine didn't work, and 2 rounds of electrocardiogram on were unsuccessful. I was transferred to a Cardiac Care Unit. At some point the PVC's stopped, but I remained in AFIB for many hours.
I do have a question; how common is it that you would see AFIB with RVR, and PVC's happening at the same time?
Why would tachycardia cause a left axis deviation? Why would rate impact vector of depolarization? Thanks
What if there is no under lying causes
Why not Cardizem?
A question from Berlin, Germany : I suffer from AFib since 2021-with shortening periods of occurrence, n o w 2 days free of Afib and 3 to 5/6 days w i t h Afib, since last Oct. I am on 95mgMetoprolol, and bloodthinner Lixiana, had a TSH of 6.7 a month ago ( cold nodes) now taking 50mg L-Thyroxin which d i d n o t stop / influence 😞 the Afib. I am a bit (170 ponds/ 174cm) overweight, n e v e r took drugs, alcohole, cigarettes. Never needed any meds ( before Afib) - was healthy but am stressed - as a full- time teacher and having - untreated - ADS ( AD(H)S.
German doctors want to earn money and just say : A b l a t i o n ....
I d o think of nutraceuticals - Q10, Mg, D3, Iodine, B- complex, Natriumselenit, etc. to f e e d and e n e r g i s e my hardworking ( exhausted) organ ❤ .
From your video I got the impression that y o u dig deeper. You asked what the underlying c a u s e s are. Modern medicine deals with symptoms - how shallow.
Could you be so very kind to give an advice ?
Seems you are very well-informed and educated about your condition. We always recommend to discuss any concerns or issues with your cardiologist. Thanks for the comment!
@@ALBUQUERQUEFIRERESCUE
Thanks for your reply. In the meantime I got into the state of *persistant afib* and began to trust my cardiologist. He suggested a trustworthy clinic .... in the meantime since November I underwent 3 !!!!!! ablations plus 11 !!!! "heart shocks"- as they call it - because the afib set in after d a y s after every ablation....Amiodarone ( since Nov.) DID N O T help at all !! My hypothesis IS : In MY body Amiodarone c a u s e d*** afib.... which can be o n e sideeffect of A. ! The (operating !!) cardiologist agrred - it might be possible. (*** As soon as he put me on Dronedaron my heart beat in s i n u s rhythm - s o : no rocket science to conclude that. ... The higher he dosed Amiodarone the worse it become, the afib. Medicine is trial and error, often. We should take this into consideration....).
I immediately started following the medical data of studies ( afib studies) that reduced / stopped afib in quite a number of patients who were administered ARGININE, CITRULLINE, TAURINE.... I found patients' blogs with such positive results !!! But my very very likable , open - minded young(er) ~ 40 y.o.age operating cardiologist warned me to take taurine - as it "is in energy drinks" .... !! ( No knowledge of other micronutrients apart from magnesium and Kalium ... ! I told him about the studies and gave him a present - a book by Uwe Gröber 'Mikronährstoffe" - micronutrients. Dr.R. t o o k it. Good. But 7n my case Amiodarone was "stronger" than ^ argine and Co. 😉)
I am just saying.