Cardiac Care and COVID-19: Perspectives in Medical Practice

Cardiac Care and COVID-19: Perspectives in Medical Practice

Cardiac Care and COVID-19: Perspectives in Medical Practice is an accessible reference on diagnoses and treatment modalities for cardiac diseases in general, and emergency cardiac conditions to be ...
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Agents Used in the Treatment of Arrhythmias and Advanced Cardiovascular Life Support

Pp. 215-238 (24)

DOI: 10.2174/9781681088204121010012

Author(s): Ozgur KARCIOGLU*

Abstract

Advanced Cardiovascular Life Support (ACLS) guidelines recommend certain drugs for hemodynamic stabilization, prevention of collapse, stabilization of a perfusing rhythm, improving peripheral resistance and cardiac output, and restoration of organ perfusion. It is known that no antiarrhythmic agent increases the percentage of patients discharged with good neurological status. For this reason, the commencement of medications and establishing vascular access should not delay high-quality CPR.

ACLS guidelines recommend drug adrenaline in the asystole algorithm and in those with cardiac arrest due to ventricular fibrillation (VF). For pulseless electrical activity (PEA)-related cardiac arrest, adrenaline and, in some cases, sodium bicarbonate is recommended. The drugs used in VF and pulseless VT (PVT) apart from adrenaline are vasopressin, amiodarone, lidocaine, esmolol, magnesium, and procainamide in selected situations. This chapter provides a brief outline of arrhythmias commonly encountered in routine clinical practice, together with principles of ACLS and indications and usage of resuscitative agents employed in these situations.

Keywords:

Adrenaline, Advanced Cardiovascular Life Support, Amiodarone, Antiarrhythmics, CPR, Lidocaine, Sodium bicarbonate, Ventricular fibrillation.