The most common cause of a lethal dysrhythmia is by a PVC hitting the peak of the T wave (known as R-on-T Phenomenon). This causes a pulseless shockable or non-shockable rhythm in at risk patients. 90% of cardiac arrests in adults are shockable (Pulseless VTach/Ventricular Fibrillation). This rhythm started with multifocal PVCs to a wide complex tachycardia (Pulseless VTach). This can only last from a few seconds to a few minutes before it becomes Coarse Ventricular Fibrillation (if no CPR and D
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The most common cause of a lethal dysrhythmia is by a PVC hitting th…
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FacebookThe Operating Room Global - TORG
This is sinus rhythm with ventricular ectopy (PVCs) 👀 Ectopy means early beats coming from outside the SA node — not every PVC is an emergency. What to assess FIRST: Is the patient symptomatic? Chest pain, hypotension, dizziness, SOB? Is the ectopy frequent or new? Electrolytes, hypoxia, ischemia, stimulants? Most isolated PVCs in a stable patient = observe and correct the cause. PVCs become concerning when they are: • Frequent • Multifocal • Runs of VT • Associated with symptoms Context is eve
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