Podcast #164: Procainamide

a7b19288-e022-4f6f-acf1-4d65e48292d2Run Time: 2 minutes

Author: Aaron Lessen M.D.

Educational Pearls:

  • There are patients that present to the ER with ugly wide complex tachycardias, but are stable and talking – It is possible to try and use medications before immediately running to shock the patient back into a normal sinus rhythm.
  • Possible medications for cardioversion of stable Ventricular Tachycardia are Amiodarone (used most frequently), Procainamide, and Lidocaine.
  • A recent study showed that procainamide was a significantly better medication when compared with amiodarone.
  • The percentage of adverse effects: Procainamide 10% vs. Amiodarone 40%.
  • Procainamide was also shown to be more successful at cardioversion than amiodarone or lidocaine. This suggest Procainamide should be our first line stable V-Tach medication.

Link to Podcast: http://medicalminute.madewithopinion.com/procainamide/

References: http://www.ncbi.nlm.nih.gov/pubmed/24042252

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