Drug of Choice for stable wide complex tachycardia (Class IIa recommendation)
100 mg IV x 2 min q5min as needed to max dose 17 mg/kg
Give until:
Arrhythmia is suppressed<unk> tient develops hypotension
QRS segment prolongs by >50% of baseline
Total of 17 mg/kg given
If effective, start continuous infusion at 1-4 mg/min
Continuous infusion has fewer adverse effects than bolus
Arrhythmia is suppressed<unk> tient develops hypotension
QRS segment prolongs by >50% of baseline
Total of 17 mg/kg given
Continuous infusion has fewer adverse effects than bolus
Procainamide
Flecainide
Propafenone
Verapamil
Ibutilide
Lofexidine
Amiodarone
Lidocaine