ATP: antitachycardia pacing; CV: cardioversion; ICD: implantable cardioverter-defibrillator; SMVT: sustained monomorphic ventricular tachycardia.
* Hemodynamically unstable patients have evidence of hemodynamic compromise, such as hypotension, altered mental status, chest pain, or heart failure. Hemodynamically stable patients should have none of these findings.
¶ Initial choice of pharmacologic agents includes:Δ Electrical cardioversion should be synchronized if possible, using a 200-joule shock with subsequent shocks at 360 joules or the maximum energy of the device.
◊ Conditions associated with SMVT include myocardial ischemia, electrolyte disturbances (eg, hypokalemia, hypomagnesemia), drug-related proarrhythmia, and heart failure.