Junctional Ectopic Tachycardia: Recognition and Modern Management Strategies.
Junctional ectopic tachycardia is a common dysrhythmia after congenital heart surgery that is associated with increased perioperative morbidity and mortality. Risk factors for development of junctional ectopic tachycardia include young age (neonatal and infant age groups); hypomagnesemia; higher-com...
| Publicado en: | Critical Care Nurse Vol. 40; no. 1; pp. 46 - 56 |
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| Autores principales: | , |
| Formato: | CEU review Journal Article |
| Publicado: |
American Association of Critical-Care Nurses
Feb2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=143057223&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 143057223 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02795442 1GD jtl: Critical Care Nurse issn: 02795442 maglogo: N pubinfo: dt: Feb2020 vid: 40 iid: 1 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 143057223 143057223 143057223 10.4037/ccn2020793 143057223 ppf: 46 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Junctional Ectopic Tachycardia: Recognition and Modern Management Strategies. aug: au: Catton, Kirsti G. Peterson, Jennifer K. affil: Kirsti G. Catton is a CVICU pediatric nurse practitioner at Lucile Packard Children's Hospital, Palo Alto, California. sug: subj: Tachycardia, Supraventricular Physiopathology Tachycardia, Supraventricular Risk Factors Tachycardia, Supraventricular Drug Therapy Amiodarone Therapeutic Use Incidence Critical Care Nursing Education, Continuing (Credit) Imidazoles Therapeutic Use Postoperative Complications Cardiac Surgery Nursing Role Sedation Antiarrhythmia Agents Therapeutic Use ab: Junctional ectopic tachycardia is a common dysrhythmia after congenital heart surgery that is associated with increased perioperative morbidity and mortality. Risk factors for development of junctional ectopic tachycardia include young age (neonatal and infant age groups); hypomagnesemia; higher-complexity surgical procedure, especially near the atrioventricular node or His bundle; and use of exogenous catecholamines such as dopamine and epinephrine. Critical care nurses play a vital role in early recognition of dysrhythmias after congenital heart surgery, assessment of hemodynamics affecting cardiac output, and monitoring the effects of antiarrhythmic therapy. This article reviews the underlying mechanisms of junctional ectopic tachycardia, incidence and risk factors, and treatment options. Currently, amiodarone is the pharmacological treatment of choice, with dexmedetomidine increasingly used because of its anti-arrhythmic properties and sedative effect. pubtype: Academic Journal doctype: CEU review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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