Zulfiqar Ali, Adnan Hussain Shahid, Shahid Mahmood, Sohail Tufail, Hammad Rana, Abdul Basit Saeed.
Types and Outcome of Cardiac Tachyarrhythmias - a Single Cardiology Centre Experience.
Pak J Med Health Sci Jan ;7(1):7-11.

Objective: To determine the types, characteristics, treatment and outcome of cardiac tachyarrhythmias in a cardiology department of a private hospital. Study design: Prospective, cross-sectional study. Results: Cardiac tachyarrhythmias are very important cause of preventable death worldwide. Wide complex tachyarrhythmias occur in up to 20% of patients with acute coronary syndromes. In hospitalized patients with acute coronary syndromes, the most common WCT is primary VF, which occurs in 3-5% of patients within the first few hours following onset of infarction (75% of these within the first hour). Majority of tachyarrhythmias are treatment-responsive if identified and managed appropriately. Cardioversion is most effective therapy for VT with pulse and SVT irrespective of the clinical picture of the patient being stable or unstable. Defibrillation remains the therapy of choice for pulseless VT and VF. Verapamil is an effective antiarrhythmic drug to treat stable SVT and beta blockers are good choice as rate controlling drug for AF with fast ventricular rate. Conclusion: Wide complex tachyarrhythmias like ventricular tachyarrhytmias (VT) and ventricular fibrillation (VF) are common and serious dysrhythmias in adults irrespective of associated risk factor and sex distribution. Electrical therapy is never a wrong choice to treat any form of tachyarrhythmia. AF is the most treatment-resistant tachyarrhythmia.

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