While initially a so-called "selective" treatment strategy prevailed, in which lidocaine was administered only after the onset of certain "warning arrhythmias," the prophylactic use of lidocaine in acute myocardial infarction has been gaining wider usage in intravenous and intramuscular application in recent years. Non-sustained VT in the early-phase post-MI does not contribute to . have been conflicting reports concerning the class Ib drug lidocaine of Abstract - Identifying those at Risk of - Therapeutic Options. Intramuscular lidocaine for prevention of lethal arrhythmias in the prehospitalization phase of acute myocardial infarction. Prevention of primary ventricular fibrillation in acute myocardial infarction with prophylactic lidocaine.
Ventricular arrhythmia after myocardial infarction is associated with high risk of mortality. The evidence is out of date, and considerable uncertainty remains about the effects of prophylactic lidocaine use on all-cause mortality, in particular, in patients with suspected myocardial infarction. Summary: In acute myocardial infarction, lidocaine is considered the drug of caine was administered only after the onset of certain. “warning arrhythmias,” the . Medscape - Indication-specific dosing for Lidocaine CV, Lidopen (lidocaine), frequency-based adverse Continuous infusion: mg/min IV after return of perfusion Acute management of ventricular arrhythmias (cardiac surgery, acute MI).
The value of intravenous lignocaine ('Xylocaine') in the management of arrhythmias after acute myocardial infarction has been assessed. Of twenty- seven. Lidocaine is an IV antiarrhythmic agent that has moderate efficacy against ventricular arrhythmias. It is particularly useful in the setting of myocardial infarction or ischemia. After the first 24 hours, a maintenance infusion of mg /min may be. lidocaine prophylactic antiarrhythmics primary ventricular fibrillation treatment of acute myocardial infarction. Download to read the full article text. Cite article. Lidocaine and its use as an antiarrhythmic in ACLS protocol has recently changed. Routine prophylactic use is contraindicated for acute myocardial infarction.