Management of tachyarrythmia - 2021

Tachyarrytmias are disorders of heart rhytm with heart rate more than 100 bpm. The algorithm is focused on supraventricular tachyarythmia according to ERC guidelines from 2021. The situation progresses from SVT with narrow QRS complex and regular rhytm to deblocking atrial flutter with the transfer to ventricle 1:1. It will help us to clarify recommended therapeutic procedures in this situation.

atrial fibrilation
Published at: 18.9.2023


Martin Doleček, MD, PhD
Head of Emergency Department, Department of Anaesthesiology and Intensive Care Medicine, University Hospital Brno, Medical Faculty of Masaryk University, Brno, Czech Republic

The presented ALS algorithm captures the treatment of tachyarrhythmias according to the 2021 CPR recommendations. What I particularly appreciate about the presented algorithm is that the situation is complicated by a number of circumstances and is therefore not simplistically resolved. Furthermore, we learn a lot of useful information in the justifications in the answers about the pharmacodynamics and pharmacokinetics of the applicable drugs. I also really like the review of the patient's current vital signs and laboratory values, which have a major impact on the correct choice of management.


SOAR, Jasmeet, et al. European Resuscitation Council Guidelines 2021: Adult advanced life support. Resuscitation. 2021, 161:115-151.

KŘIVAN, Lubomír. Diagnostika a léčba supraventrikulárních tachykardií. Interní medicína pro praxi. 2008, 10(7-8), 366-367. ISSN 1212-7299

TRUHLÁŘ, Anatolij. Urgentní medicína: časopis pro neodkladnou lékařskou péči. České Budějovice: Mediprax CB, 2015, mimořádné vydání. ISSN 1212-1924

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