Immediate Questions

A. What are the vital signs? Heart rate and BP are important factors in determining management strategy and differential diagnosis. Significant hypotension from tachydysrhythmia is an indication for immediate cardioversion, especially when related to ventricular tachycardia or fibrillation. Hypotension and tachypnea in infants can result from prolonged tachycardia and congestive heart failure (tachycardia-induced cardiomyopathy). Hypertension and tachycardia can be associated with pheochromocytoma, thy-rotoxicosis, drugs, pain, or anxiety.

B. What is past medical history? Family history? Cardiac abnormalities or previous cardiac surgery predispose individuals to various rhythm disorders. Additionally, noncardiac disease (eg, hyperthy-roidism), tuberous sclerosis (rhabdomyomas), pheochromocy-toma, and renal disease may produce various tachycardias. Some tachycardias are the result of genetic syndromes (long QT, Brugada, arrhythmogenic right ventricular dysplasia) or are familial (atrial fibrillation).

C. Has patient previously experienced rhythm abnormality? Patients with frequent premature atrial beats can develop atrial tachycardia; frequent premature ventricular beats can develop into ventricular tachycardia.

D. Has patient received any medications? Stimulant medications (cold preparations, therapies for attention-deficit/hyperactivity

Reducing Blood Pressure Naturally

Reducing Blood Pressure Naturally

Do You Suffer From High Blood Pressure? Do You Feel Like This Silent Killer Might Be Stalking You? Have you been diagnosed or pre-hypertension and hypertension? Then JOIN THE CROWD Nearly 1 in 3 adults in the United States suffer from High Blood Pressure and only 1 in 3 adults are actually aware that they have it.

Get My Free Ebook


Post a comment