Safety and efficacy of paramedic treatment of regular supraventricular tachycardia

Para-SVT Safety and efficacy of paramedic treatment of regular supraventricular tachycardia Para-SVT Victoria Baker, Mark Whitbread, Laura Richmond, ...
Author: Darleen Gaines
2 downloads 0 Views 973KB Size
Para-SVT

Safety and efficacy of paramedic treatment of regular supraventricular tachycardia Para-SVT Victoria Baker, Mark Whitbread, Laura Richmond, Claire Kirkby, Gemma Robinson, Sotiris Antoniou, Richard Schilling

Secondary information

Para-SVT Introduction

Atrio-Ventricular Re-entry Tachycardia Atrio Ventricular Nodal Re-entry Tachycardia   

caused by an electrical reentry circuit which uses the AV node as part of the circuit quite common with a prevalence of 2.29/1000 persons can be stopped by injecting Adenosine a drug which temporarily blocks electrical induction in the AV node

Secondary information

Para-SVT Introduction Paramedic treatment of supraventricular tachycardia In the UK  

Perform valsalva Transfer to nearest accident & emergency department

In the USA  

Adenosine can be administered by Paramedic at the scene Patient is then transferred to nearest emergency department

Secondary information

Para-SVT Introduction Aim 

To compare current UK practice with Paramedic treatment and discharge of patients with regular supraventricular tachycardia without transfer to an accident and emergency department

Primary end-point  The cumulative time from 999 call to discharge from care for each episode of arrhythmia at 6 month follow-up Secondary end-points  Complications of treatment  Accuracy of ECG diagnosis of supraventricular tachycardia by Paramedic  Number of patients refusing or unable to complete Paramedic treatment arm  At 6 months number of antiarrhythmic medications being taken  At 6 months number of patients who have seen a heart rhythm specialist  At 6 months number of patients with continuing symptoms

Secondary information

Para-SVT Methods

All patients presenting with a regular narrow complex tachycardia as their primary complaint are screened by the attending paramedic

Secondary information

Para-SVT Inclusion / Exclusion criteria Inclusion criteria Regular narrow complex tachycardia on 12 lead ECG Exclusion criteria Age < 16 years Syncope or blackout Inability or unwillingness to give consent ECG evidence of myocardial infarction Pregnancy Failure to obtain intravenous access Contraindications to Adenosine injection Heart transplant patients Patients on Dipyridamole Patients on regular asthma inhalers

Secondary information

Already enrolled in the study or another research study A history of illicit drug use within the previous 24 hours Sinus tachycardia Broad Complex tachycardia Hypotension (

Suggest Documents