World Journal of Environmental Biosciences
World Journal of Environmental Biosciences
2022 Volume 11 Issue 1

Tachycardia Evaluation and its Management Approach, Literature Review


Mohammed Ahmed Almuhanna, Mohammed Helal Alanazi, Razan Nasser Al Ghamdi, Njoud Saad Alwayli, Ibrahim Saeed G Alghamdi, Abdulaziz Abdulbasit Qari, Albandari Ali Alzahid, Faisal Fahad Alharbi, Naif Mohammed Abdullah Alwagdani, Shada Abdulrahman Alharthi
Abstract

Tachycardia is a term used to describe any abnormally elevated heart rate exceeding or equal to 100 beats per minute (bpm), it can occur as the result of a wide array of pathologies. The majority of patients are symptomatic and typically present complaining of palpitations or chest discomfort. Patients may also have more dreadful presentations such as shock, hypotension, dyspnea, altered conscious level, myocardial infarction, and heart failure. Tachycardias are classically classified into narrow complex tachycardia (NCT) and wide complex tachycardia (WCT) based on the width of the QRS complex on Electrocardiography (ECG). Our objective was to look into the literature concerning the different types of tachycardia and their diagnosis along with their management. PubMed database was used for articles selection, papers afterward were obtained and reviewed accordingly. Clinical presentations of tachycardia can vary from simple palpitations or lightheadedness to severe shock or even sudden death. Diagnosis is mainly through the use of ECG or Holter monitor. The first step in the management of any type of tachycardia is assessing the hemodynamic stability of the patient, where if they were found to be unstable prompt use of cardioversion is warranted to prevent progression into cardiac arrest. In cases of stable NCT vagal maneuvers and IV, adenosine is considered to be the initial line of the therapy, other treatment options include radiofrequency or catheter ablation.


How to cite this article
Vancouver
Almuhanna M A, Alanazi M H, Al Ghamdi R N, Alwayli N S, Alghamdi I S G, Qari A A, et al. Tachycardia Evaluation and its Management Approach, Literature Review. World Journal of Environmental Biosciences. 2022;11(1):4-8. https://doi.org/10.51847/7maH6sWjQy
APA
Almuhanna, M. A., Alanazi, M. H., Al Ghamdi, R. N., Alwayli, N. S., Alghamdi, I. S. G., Qari, A. A., & et al (2022). Tachycardia Evaluation and its Management Approach, Literature Review. World Journal of Environmental Biosciences, 11(1),4-8. https://doi.org/10.51847/7maH6sWjQy
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