Ventricular flutter
Classification according to ICD-10 | |
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I49.0 | Ventricular flutter and ventricular fibrillation |
ICD-10 online (WHO version 2019) |
Ventricular flutter is the rapid result of relatively regular ventricular actions (a high-frequency ventricular tachycardia ) with a heart rate of 200 to 350 / min. Structures outside of the sinus node trigger disturbances of the regression of excitation (heterotopic). The transition to ventricular fibrillation is fluid. Ventricular flutter is a medical emergency .
therapy
In patients with a palpable pulse and without loss of consciousness, ventricular flutter is treated by intravenous medication with amiodarone (evidence-based) or, if amiodarone is not available, lidocaine (no evidence).
Individual evidence
- ^ Herbert Reindell , Helmut Klepzig: Diseases of the heart and the vessels. In: Ludwig Heilmeyer (ed.): Textbook of internal medicine. Springer-Verlag, Berlin / Göttingen / Heidelberg 1955; 2nd edition ibid 1961, pp. 450-598, here: pp. 570 f. ( Ventricular flutter and ventricular fibrillation ).