ventricular tychardia

[raj377]

hi, i had this papatation problem my pulse use to go above 250 per minute so to control it sometimes the medicenis dint work and the doctor had to give multiple number of shocks .  I  wanted to know weather is it necessary for a ventricular tycharchia patient to give anasthesia which makes the patient unconsious befor giving shocks.
my id is raj377 so could u please mail me the answer on my id cause i haved mailed this question 1 time before also and havent got a answer.

thanhs very much
waiting for your reply
thank you

[grendslori]

Hello, most all cardioversions are given with the patient being sedated with a short acting sedative. You are having atrial tachycardias not ventricular tachycadias. The ventricles beat at a slower rate, around 140-150 and those rates can lead to a sudden death event. Rates that you are describing of 250 per minute are origionating in the upper chambers of the heart, not the lower. You might try having an ablation done.

[huddu]

It should be supraventricular tachycardia because venricular tachycardia is really serious cardiac problem and usually develops in paitent with undelying cardiac disorder (ischemic or dialted cardiomyopathy etc)  and it is unusual to be concious in Ventricular tahycardia. We usually sedate the patients with midazolam (short acting which cause retrograde amnesia) otherwise this procedure is not ethic or humanistic.  this treatment is valid for supraventricular tachycardia.

[outtarhythm]

raj377: Patients who require defibrillation, if not already unconcious, will be given sedation before the shock(s) are delivered.

grendslori: I am curious how you are able to determine with certainty that he was having an Atrial Tach vs. V-Tach? It is quite possible to have V-Tach with rates as high as 250...I know this to be true because I had it happen to me on more than 1 occasion that required shocks.

[outtarhythm]

raj377: Patients who require defibrillation, if not already unconcious, will be given sedation before the shock(s) are delivered.

grendslori: I am curious how you are able to determine with certainty that he was having an Atrial Tach vs. V-Tach? It is quite possible to have V-Tach with rates as high as 250...I know this to be true because I had it happen to me on more than 1 occasion that required shocks.

[outtarhythm]

raj377: Patients who require defibrillation, if not already unconcious, will be given sedation before the shock(s) are delivered.

grendslori: I am curious how you are able to determine with certainty that he was having an Atrial Tach vs. V-Tach? It is quite possible to have V-Tach with rates as high as 250...I know this to be true because I had it happen to me on more than 1 occasion that required shocks.

[twinbee]

I have had several episodes of V-tach and my heart rate went above 300. All of my episodes were captured on monitors. So I am proof that when in V-tach your heart rate can go high.

[sukumar794]

It is but natural for the cardiologist to administer electric shock in order to revert recurrent VT.