Coda Change Treating recurrent ventricular tachycardia with Dr Sara Gray
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Jun 22, 2021 
Dr. Sara Gray, an emergency physician and intensivist from Toronto, discusses a compelling case of treating a 50-year-old male experiencing recurrent ventricular tachycardia. She highlights the urgency of emergency interventions like cardioversion when defibrillation fails. The conversation dives into treatment strategies, focusing on dual sequential defibrillation and the importance of identifying reversible causes. Gray also shares insights on using antiarrhythmic medications and the complexities of managing patient discomfort effectively.
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Recurrent VTAC Emergency Case
- A 50-year-old male with prior cardiac issues arrives with recurrent monomorphic VTAC and chest pain.
- Despite synchronized cardioversion multiple times, he quickly reverts into VTAC and becomes distressed.
Check Reversible Causes Early
- Always check for reversible causes like ischemia, electrolyte imbalance, and drug toxicities in recurrent VTAC.
- Obtain early ECG to differentiate monomorphic from polymorphic VT and guide management accordingly.
Use Antiarrhythmics for VTAC
- Use antiarrhythmic drugs like procainamide or amiodarone to treat recurrent VTAC beyond cardioversion.
- Choose the agent based on your institution's protocols and available medications.