• Z Kardiol · Jan 2000

    Review

    [Drug therapy of ventricular tachycardia].

    • B D Gonska.
    • Med. Klinik III, St. Vincentiuskrankenhäuser, Edgar-von-Gierke-Str. 2, D-76135 Karlsruhe.
    • Z Kardiol. 2000 Jan 1; 89 Suppl 10: 51-7; discussion 57-8.

    AbstractFor the emergency treatment of sustained, hemodynamically stable ventricular tachycardia, antiarrhythmic drugs are the therapy of choice. Mostly class I antiarrhythmic drugs, such as lidocaine or ajmaline, are preferred. In hemodynamically unstable ventricular tachycardia, electrical cardioversion should be applied, in case of recurrences, followed by pharmacological treatment with class I antiarrhythmic drugs or amiodarone. For the primary prevention of sudden cardiac death, beta-blockers and/or amiodarone are the only effective drugs. In the secondary prevention, only the implantable cardioverter/defibrillator has proved to improve the prognosis of the patients.

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