VT algorithm

Question 1

How does VT presents on an ECG

Answer 1

Regular broad complex tachycardia

Question 2

What is the management for unstable VT with a pulse?

Answer 2

1. Immediate synchronized DC cardioversion up to 3 shocks
2. Amiodarone 300 mg IV over 10–20 minutes, then repeat synchronized cardioversion.

Question 3

What is the management approach for stable VT with a pulse?

Answer 3

1. Amiodarone 300 mg IV over 10–60 minutes
   If ineffective
2. synchronized DC cardioversion up to 3 shocks

Question 4

What treatment is recommended for polymorphic VT (e.g., torsades de pointes)?

Answer 4

Magnesium sulfate 2 g IV over 10 minutes.

Question 5

What is the role of implantable cardioverter defibrillators (ICDs) in VT?

Answer 5

A: Recommended for patients with previous serious ventricular arrhythmias or sustained VT with significant left ventricular dysfunction.