Why the study?
What is the appropriate pharmacological treatment for ventricular tachycardia?
What is the appropriate pharmacological treatment for ventricular tachycardia?
This review highlights intravenous procaine amide as the primary treatment for ventricular tachycardia and NaEDTA for digitalis-induced cases.
Supports historical procainamide use in VT and NaEDTA for digitalis-induced cases; challenges digitalis contraindication but leaves open relevance today.
Ventricular tachycardia most often is a manifestation of intrinsic heart disease or digitalis intoxication. Differential diagnosis is of utmost importance in planning treatment.Intravenous administration of procaine amide hydrochloride is the treatment of choice. However, if the arrhythmia occurs without underlying heart disease and is well tolerated, orally administered therapy is preferable to that given intravenously. Digitalis is no longer contraindicated in ventricular tachycardia unless intoxication with this drug is suspected.NaEDTA has proved effective in digitalis-induced ventricular tachycardia.
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Glenn D. Lubash (1960) studied this question.
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