WebPostural hypotension, also known as orthostatic hypotension, is defined as a sustained reduction in systolic BP of at least 20mmHg, or diastolic BP of 10mmHg, that occurs within three minutes of standing. 1 It is a significant contributor to morbidity and adverse events in older adults. In the community, the prevalence of postural hypotension ... WebBeta-blockers act as anti-arrhythmic drugs principally by attenuating the effects of the sympathetic system on automaticity and conductivity within the heart. They can be used in conjunction with digoxin to control the ventricular response in atrial fibrillation, especially in patients with thyrotoxicosis. Beta-blockers are also useful in the ...
Atrial flutter - Symptoms, diagnosis and treatment - BMJ
WebJan 26, 2024 · Summary. Atrial flutter is typically characterised on the ECG by flutter waves, which are a saw-tooth pattern of atrial activation, most prominent in leads II, III, aVF, and V1. Atrial rates are typically above 250 bpm and up to 320 bpm. Ventricular rates range from 120 to 160 bpm, and most characteristically 150 bpm, because an associated 2:1 ... WebJan 26, 2024 · A classification of atrial flutter and regular atrial tachycardia according to electrophysiological mechanisms and anatomical bases; a statement from a joint expert … phfw mp
Arrhythmias Treatment summaries BNF NICE
WebAtrial Fibrillation (AF) – Persistent Objectives Therapeutic: Relieve symptoms – often only rate control required; diuretic may also be needed (often only on temporary basis). Target ventricular (apex or ECG) rate <110bpm. If still symptomatic, aim for lower rate, <80bpm. ... Bisoprolol oral 2.5mg daily (consider 1.25mg in frail, ... WebImportant aspects of prescribing information relevant to primary healthcare are covered in this section specifically for the drugs recommended in this CKS topic. For further information on contraindications, cautions, drug interactions, and adverse effects, see the electronic Medicines Compendium (eMC), or the British National Formulary (BNF). WebPercutaneous coronary intervention (PCI). For people with ACS who are undergoing PCI, aspirin (75–100 mg) in combination with one of the following antiplatelets is initiated in secondary care: Prasugrel 10 mg daily (or 5 mg daily if the person weighs less than 60 kg, or if the person is 75 years of age or older). phfwa