Life-Threatening Arrhythmias for the Small Animal Practitioner by McMichael Maureen; Fries Ryan;
Author:McMichael, Maureen; Fries, Ryan; [McMichael, Maureen]
Language: eng
Format: epub
ISBN: 9781119042082
Publisher: John Wiley & Sons, Incorporated
Published: 2016-05-13T00:00:00+00:00
Treatment
Vagal maneuver may break the cycle by slowing AV conduction. Drugs that can be used to treat OAVRT include:
Diltiazem
To slow conduction through AV node and break rhythm @ 0.25 mg/kg IV over 10 min through a peripheral vein, followed by a CRI @ 1–5 μg/kg/min.
Procainamide @ 15 mg/kg IV over 10 min, to effect, follow with a CRI @ 25–50 μg/kg/min.
Esmolol @ 0.5 mg/kg IV over 1 min
Definitive treatment is intracardiac catheter radiofrequency ablation of the re-entry pathway.
Prognosis
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