
The Curbsiders Internal Medicine Podcast
#473 Rapid Response Series: Narrow Complex Tachyarrhythmias with Dr. Noble Maleque
Mar 3, 2025
In this engaging discussion, Dr. Noble Maleque, an associate professor at Emory University, dives into the complexities of narrow complex tachyarrhythmias. He emphasizes the importance of timely interventions and effective collaboration with cardiology. Listeners will learn about EKG interpretation, physical maneuvers like the modified Valsalva, and medication strategies involving adenosine and beta blockers. The conversation also touches on personal anecdotes, including Dr. Maleque's fascination with watches, blending medical insights with a touch of personal charm.
01:02:36
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Quick takeaways
- Differentiating between stable and unstable narrow complex tachyarrhythmias is vital for determining the urgency and treatment approach.
- Effective first-line management techniques like vagal maneuvers and adenosine administration are crucial in tachyarrhythmia care.
Deep dives
Introduction to Tachyarrhythmias
The episode focuses on the management of acute narrow complex tachyarrhythmias, emphasizing the importance of recognizing symptoms and patient stability. Key initial questions for a clinician when assessing a patient include current vital signs and any relevant historical details of the episode. The discussion highlights the necessity of differentiating between stable and unstable patients, as this affects the urgency and approach to treatment. Gathering adequate information prior to intervention can streamline the management process and enhance patient care.
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