Circulation. 2010 Nov 2;122(18 Suppl 3):S640-56. doi: 10.1161/CIRCULATIONAHA.110.970889.
The goal of therapy for bradycardia or tachycardia is to rapidly identify and treat patients who are hemodynamically unstable or symptomatic due to the arrhythmia. Drugs or, when appropriate, pacing may be used to control unstable or symptomatic bradycardia. Cardioversion or drugs or both may be used to control unstable or symptomatic tachycardia. ACLS providers should closely monitor stable patients pending expert consultation and should be prepared to aggressively treat those with evidence of decompensation.
心动过缓或心动过速的治疗目标是快速识别和治疗因心律失常而出现血流动力学不稳定或有症状的患者。药物或适当的起搏治疗可用于控制不稳定或有症状的心动过缓。电复律或药物或两者联合可用于控制不稳定或有症状的心动过速。ACLS 提供者应密切监测稳定患者,等待专家咨询,并应准备好积极治疗那些有失代偿证据的患者。