Читать книгу Practical Cardiovascular Medicine - Elias B. Hanna - Страница 137

 DC cardioversion and IV amiodarone (first choice), procainamide, or lidocaine for 6–24 hours. Use procainamide cautiously in HF, as it has a negative inotropic effect.

 Revascularization

 β-Blockers if possible

 Keep K levels >4.0–4.5 mEq/l and Mg >2 mg/dl

 Consider repeating the coronary angiogram in case of recurrent VT or VF despite earlier reperfusion therapy

 Primary VT prophylaxis with antiarrhythmic drugs (e.g., lidocaine) is not indicated and does not improve outcomes