ventricular tachycardia of 10 sec run..best management ? with explanation - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 06-25-2012
tyagee's Avatar
USMLE Forums Master
 
Steps History: ---
Posts: 1,365
Threads: 648
Thanked 588 Times in 354 Posts
Reputation: 598
Default ventricular tachycardia of 10 sec run..best management ? with explanation

A 65-year-old obese man is transferred to the telemetry unit
because he experienced an episode of atrial fibrillation with a
rapid ventricular response while undergoing dialysis. The nurse
calls you to the bedside because she was alerted that he had an
episode of ventricular tachycardia for about 10 seconds. The
telemetry reading shows multiple episodes of premature
ventricular complexes over the last 24 hours. His past medical
history is significant for diabetes mellitus, hypertension, and
chronic renal failure. He feels well. His physical examination
reveals a pulse of 93/min, a blood pressure of 110/83 mm Hg,
and a normal respiratory rate. There are chronic venous
changes and pitting edema on the lower extremities with a glove
and stocking-like distribution of sensory deficit. Laboratory
studies show: potassium 3.9 mEq/L, BUN 30 mg/dL, creatinine
3.6 mg/dL, and glucose 30 mg/dL. Echocardiography performed
a month ago shows an ejection fraction of 54% and normal left
ventricular function. What is the best management for this
patient?
(A) Temporary transcutaneous pacing
(B) Mapping with ablation therapy
(C) Implantable cardiac defibrillator (ICD) placement
(D) Electrophysiologic studies are required as soon as possible
(E) No further intervention
Reply With Quote Quick reply to this message



  #2  
Old 06-25-2012
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,175
Threads: 38
Thanked 852 Times in 478 Posts
Reputation: 862
Default

E?

Patient is stable, so dont need to do anything.

Also PVC's are meaningless according to conrad..
__________________
PGY-3
To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.
Reply With Quote Quick reply to this message
  #3  
Old 06-25-2012
Hitman's Avatar
USMLE Forums Master
 
Steps History: Not yet
Posts: 928
Threads: 17
Thanked 539 Times in 375 Posts
Reputation: 549
Default

yup looks to be ..E..
Reply With Quote Quick reply to this message
 
  #4  
Old 06-25-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 646
Threads: 52
Thanked 761 Times in 256 Posts
Reputation: 772
Default

no intervention
Reply With Quote Quick reply to this message
  #5  
Old 06-25-2012
tyagee's Avatar
USMLE Forums Master
 
Steps History: ---
Posts: 1,365
Threads: 648
Thanked 588 Times in 354 Posts
Reputation: 598
Default

ans is E.

patient is having VT of less than 30 sec [ that means non sustained VT]. there are no structural heart defect either.

non sustained VT with no structural heart defect means no intervention.

may i know "non sustained VT" and "PVC" same ?
Reply With Quote Quick reply to this message



Reply

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Multifocal atrial tachycardia vs AF kemoo USMLE Step 2 CK Forum 2 10-12-2012 01:17 PM
Which Atrial Tachycardia is this? tyagee USMLE Step 2 CK Forum 10 05-26-2012 06:46 PM
Ventricular tachycardia & AF simultaneously? struggle USMLE Step 2 CK Forum 0 04-11-2012 01:57 PM
Quinidine and paradoxical tachycardia? sparkle_asp USMLE Step 1 Forum 2 09-07-2011 07:28 AM
Need explanation for management of acetaminophen toxicity kemoo USMLE Step 2 CK Forum 2 06-06-2011 11:47 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)