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ACLS (Ventricular Arrhythmias)

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Ventricular fibrillation. Ventricular fibrillation is a chaotic electrical activity with no discernible QRS complex. Immediate defibrillation is necessary to restore normal rhythm.

Ventricular tachycardia (VT). VT can be classified as sustained or nonsustained, with a generally accepted cutoff of 30 seconds. The rhythm may arise from the ventricular myocardium, the distal conduction system, or both. Causes of VT include ischemic heart disease, cardiomyopathy or heart failure, myocarditis, heart valve disease, and idiopathic VTStable patients are treated with amiodarone; patients with unstable VT are treated with synchronized cardioversion; and patients with pulseless VT need immediate defibrillation.

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