What is VTVT with loss of consciousness?
Our Providers. Contact Us. At Central Vermont Medical Center Rehabilitation Therapy, our team of trained rehabilitation professionals recognizes that the process of recovering from and/or coping with a neurological disorder can be very demanding for both patients and their support system. Through skilled therapeutic intervention, we can help patients through the recovery …
What is the initial treatment for unstable ventricular tachycardia (VT)?
Vestibular rehabilitation therapy (VRT) is a specialized form of therapy intended to alleviate problems caused by vestibular disorders, primarily vertigo and dizziness, gaze instability, …
What is vestibular therapy (VRT)?
Vision therapy (VT), or behavioral optometry, is an umbrella term for alternative medicine treatments using eye exercises, based around the pseudoscientific claim that vision problems …
What type of cardiologist treats ventricular tachycardia (VT)?
· But sometimes, a fast heartbeat can signal an underlying medical issue called ventricular tachycardia, also called “VT” or “V-tach.”. V-tach occurs when your pulse rate is …
How is VT treated?
Sometimes ventricular tachycardia can cause the heart to stop (sudden cardiac arrest). Treatment for ventricular tachycardia may include medication, a shock to the heart (cardioversion), catheter procedures or surgery to slow the fast heart rate and reset the heart rhythm.
Is V-tach life threatening?
Ventricular tachycardia (VT) is a fast, abnormal heart rate. It starts in your heart's lower chambers, called the ventricles. VT is defined as 3 or more heartbeats in a row, at a rate of more than 100 beats a minute. If VT lasts for more than a few seconds at a time, it can become life-threatening.
Can VT be cured?
Ventricular Tachycardia (VT) in patients without structural heart disease. Ventricular tachycardia can also occur in patients with structurally normal hearts, unrelated to any history of coronary artery disease. It can occur in both the young and the old, and can be a benign, potentially treatable and curable condition ...
What is cardiac VT?
Ventricular tachycardia (VT or V-tach) is a type of abnormal heart rhythm, or arrhythmia. It occurs when the lower chamber of the heart beats too fast to pump well and the body doesn't receive enough oxygenated blood.
Can V-tach be caused by stress?
Emotional stressors can lead to ventricular ectopic beats and ventricular tachycardia.
Does a pacemaker help ventricular tachycardia?
Overdrive pacing may prevent certain cases of ventricular arrhythmias, and antitachycardia devices may be useful in terminating paroxysmal ventricular tachycardia. In certain circumstances, internal cardioversion or defibrillation may be an alternative.
How long can you live with VT?
In patients with ischemic cardiomyopathy and nonsustained VT, sudden-death mortality approaches 30% in 2 years. In patients with idiopathic VT, the prognosis is excellent, with the major risk being injury incurred during syncopal spells.
How successful is VT ablation?
The procedure is most effective in patients with otherwise normal hearts, in whom the success rate exceeds 90%. In patients with structural heart disease resulting from scar or cardiomyopathy, success rates range between 50% and 75% at 6 to 12 months.
How long does a VT ablation take?
VT ablation takes about three to six hours.
What is the difference between SVT and VT?
Tachycardia can be categorized by the location from which it originates in the heart. Two types of tachycardia we commonly treat are: Supraventricular tachycardia (SVT) begins in the upper portion of the heart, usually the atria. Ventricular tachycardia (VT) begins in the heart's lower chambers, the ventricles.
Can you exercise with ventricular tachycardia?
"Most people who experience erratic heart rhythms during exercise and who have no underlying heart condition can be left alone, they do not need to be treated, and they can continue to exercise," says Gerstenblith, a professor at Johns Hopkins School of Medicine.
What causes ventricular bradycardia?
Bradycardia can be caused by: Heart tissue damage related to aging. Damage to heart tissues from heart disease or heart attack. A heart condition present at birth (congenital heart defect)
What is the most common cause of ventricular tachycardia?
Sometimes it is not known what causes ventricular tachycardia, especially when it occurs in young people. But in most cases ventricular tachycardia is caused by heart disease, such as a previous heart attack, a congenital heart defect, hypertrophic cardiomyopathy, dilated cardiomyopathy, or myocarditis.
Is V-tach a shockable rhythm?
There are two shockable rhythms and two non-shockable rhythms. The two shockable rhythms are: Ventricular Fibrillation, or VFib. Pulseless ventricular tachycardia, or V-tach.
What is Central Vermont Medical Center?
At Central Vermont Medical Center Rehabilitation Therapy, our team of trained rehabilitation professionals recognizes that the process of recovering from and/or coping with a neurological disorder can be very demanding for both patients and their support system. Through skilled therapeutic intervention, we can help patients through the recovery process by improving their physical, cognitive and communicative abilities.
What is the nervous system?
The nervous system is a complex system of cells, tissues, and organs that acts to regulate the body's response to both internal and external stimuli. Though our body has established ways to protect this system, it still remains vulnerable. Infection, trauma, degeneration, vascular insults, structural defects and tumors are among some of the ways in which the neurological system can be damaged. The result is a loss of function that, to various degrees, impairs a person’s quality of life.
What is CVMC referral?
A referral from a qualified practitioner is all that is necessary to begin the rehabilitative process. Once referred to CVMC rehabilitation services, each person is assessed by our trained interdisciplinary team. The team then develops an individualized plan specific to that patient’s condition, abilities and goals. Our main objective is to help each individual attain as high a level of functional independence possible given their specific abilities and neurological condition. Our ultimate goal is to improve upon the person’s quality of life.
What is VT in medical terms?
The acute emphasis in patients with ventricular tachycardia (VT) is on achieving an accurate diagnosis and conversion to sinus rhythm. VT associated with loss of consciousness or hypotension is a medical emergency necessitating immediate cardioversion. In a normal-sized adult, this is typically accomplished with a 100- to 200-J biphasic cardioversion shock administered according to standard Advanced cardiovascular life support (ACLS) protocols. [ 60, 61, 62] Please refer to the most current ACLS guidelines, which are subject to periodic revision.
What is the current technique for a left ventricular wall?
Current techniques include three-dimensional scar, late potential, and activation mapping, followed by high-energy RFA with irrigated-tip catheters capable of creating deeper lesions in the thicker left ventricular wall. In some patients, percutaneous epicardial ablation can be used successfully when endocardial lesions fail. [ 67, 68]
What is the starting energy dose for unstable polymorphic VT?
Unstable patients with monomorphic VT should be immediately treated with synchronized direct current (DC) cardioversion, usually at a starting energy dose of 100 J (monophasic; comparable biphasic recommendations are not currently available). Unstable polymorphic VT is treated with immediate defibrillation. The defibrillator may have difficulty recognizing the varying QRS complexes; therefore, synchronization of shocks may not occur.
Can a left ventricular assist device be used for scar ablation?
[ 71] Whether this effect will translate into clinical benefits is unclear. At the least, however, this study demonstrates the benefit of pLVADs in patients with scar-related unstable VT.
What is VR therapy?
Vestibular rehabilitation (VR), or vestibular rehabilitation therapy (VRT) is a specialized form of therapy intended to alleviate both the primary and secondary problems caused by vestibular disorders. It is an exercise-based program primarily designed to reduce vertigo and dizziness, gaze instability, and/or imbalance and falls.
How does VRT help recovery?
For many, compensation occurs naturally over time, but for people whose symptoms do not reduce and who continue to have difficulty returning to daily activities, VRT can help with recovery by promoting compensation. 3. The goal of VRT is to use a problem-oriented approach to promote compensation.
Is it hard to learn VRT?
VRT exercises are not difficult to learn, but to achieve maximum success patients must be committed to doing them. Since the exercises can sometimes be tedious, setting up a regular schedule so that the exercises can be incorporated into daily life is very important. Exercises may, at first, make symptoms seem worse.
Why is exercise important in a VRT?
An important part of the VRT is to establish an exercise program that can be performed regularly at home. Compliance with the home exercise program is essential to help achieve rehabilitation and patient goals . Along with exercise, patient and caregiver education is an integral part of VRT.
Is vestibular dysfunction permanent?
For most people with a vestibular disorder the deficit is permanent because the amount of restoration of vestibular function is very small. However, after vestibular system damage, people can feel better and function can return through compensation.
Is vestibular rehabilitation effective?
Evidence has shown that vestibular rehabilitation can be effective in improving symptoms related to many vestibular (inner ear/balance) disorders. 1,2 People with vestibular disorders often experience problems with vertigo, dizziness, visual disturbance, and/or imbalance. These are the problems that rehabilitation aims to address.
What is vestibular rehabilitation?
Vestibular rehabilitation therapy (VRT) is a specialized form of therapy intended to alleviate problems caused by vestibular disorders, primarily vertigo and dizziness, gaze instability, and/or imbalance and falls. A customized exercise plan is developed from the findings of the clinical assessment, laboratory testing and imaging studies, and input from patients. Different factors can impact the potential for recovery including activity level, pain, other medical conditions, medications, and emotional concerns.
What is needed to diagnose ventricular tachycardia?
A thorough physical exam, medical history and testing are required to diagnose ventricular tachycardia.
How does a nuclear stress test work?
In an exercise stress test, electrodes are taped to your chest to detect your heart's rhythm. A nurse or technician will watch your heartbeat on a monitor while you exercise. If your doctor orders a nuclear stress test, you'll also receive a shot of radioactive dye that shows the blood flow to your heart muscle.
How long does ventricular tachycardia last?
Ventricular tachycardia may go away on its own within 30 seconds (nonsustained V-tach) or last more than 30 seconds (sustained V-tach or VT ).
Is ventricular tachycardia a medical emergency?
In some cases, ventricular tachycardia may be a medical emergency that requires urgent diagnosis and treatment. Several tests may be done to diagnose ventricular tachycardia.
Where is the S-ICD device implanted?
Using a special insertion tool, your doctor implants the S-ICD device under the skin at the side of the chest below the armpit and connects it to an electrode that runs along the breastbone. With treatment, it may be possible to prevent or manage episodes of ventricular tachycardia. Catheter ablation.
Can ventricular tachycardia be prevented?
With treatment, it may be possible to prevent or manage episode s of ventricular tachycardia.
What is VT in medical terms?
e. Vision therapy ( VT) is an umbrella term for a variety of alternative medicine treatments based around eye exercises, which have not been shown to be effective using scientific studies. The treatments claim to cure convergence insufficiency and a range of neurological, educational, and spatial difficulties, but lack supporting evidence ...
What is the specific program of therapy?
The specific program of therapy is based on the results of standardized tests and the person's signs and symptoms. Programs typically involve eye exercises and the use of lenses, prisms, filters, occluders, specialized instruments, and computer programs.
What is near point stress?
Near point stress and low-plus – the use of special lenses to adjust near-field vision, even for people who would not normally need glasses. This is claimed to bring about postural benefits and relieve visual stress. Some research has been carried out in this area and its effectiveness remains "unproven".
What is behavioral optometry?
Behavioral optometry is a branch of optometry that explores how visual function influences a patient's day-to-day activities. Vision therapy is a subset of behavioral optometry. In general, vision therapists attempt to improve the vision, and therefore day-to-day well-being, of patients using "eye exercises," prism, and lenses, with more emphasis on the patient's visual function. Among schools of medicine, ophthalmology does not see merit in the procedures surrounding many of behavioral optometry's practices, arguing that there have not been enough studies of high enough merit to warrant practicing vision therapy.
Does behavioral vision therapy work?
Behavioral Vision Therapy is practiced primarily by optometrists who specialize in the area. Historically, there has been some difference in philosophy among optometry and medicine regarding the efficacy and relevance of vision therapy, although none support its use in treating learning disorders. Major organizations, including the International Orthoptic Association and the American Academy of Ophthalmology have concluded that there is no validity for clinically significant improvements in vision with Behavioral Vision Therapy, and therefore do not practice it. However, major optometric organizations, including the American Optometric Association, the American Academy of Optometry, the College of Optometrists in Vision Development, and the Optometric Extension Program, support the assertion that non-strabismic visual therapy does address underlying visual problems which are claimed to affect learning potential. These optometric organizations are careful to distinguish, though, that vision therapy does not directly treat learning disorders.
What is orthoptic vision?
Orthoptics is a field pertaining to the evaluation and treatment of patients with disorders of the visual system with an emphasis on binocular vision and eye movements.
What is the treatment philosophy of vision?
There exist a few different broad classifications of vision treatment philosophies, which have been traditionally divided between Optometrists, Ophthalmologists, and practitioners of alternative medicine: Orthoptic Vision Therapy, also known as orthoptics. Orthoptics is a field pertaining to the evaluation and treatment ...
What is the first step in ventricular tachycardia treatment?
“The first step in ventricular tachycardia treatment is to figure out why someone has VT in the first place, ” says Gregory E. Supple, MD, an electrophysiologist at Penn Medicine. “It’s a spectrum of diseases.”
What is the procedure called when you have a V-tach?
Since long-term medication use can have side effects, many patients opt for a minimally invasive procedure called cardiac ablation. In this procedure, physicians use catheters to find and trigger V-tach episodes. This helps them locate the “spot” in the ventricle where they’re originating.
Can Penn treat V-tach?
Not sure ablation or medication are the best options for you? Penn also can treat V-tach patients with implantable cardioverter defibrillators. These devices are attached to your heart with wires that will give an electric shock to restore a normal heartbeat if it detects V-tach.
How does radiofrequency energy help with V-tach?
The physicians then use radiofrequency energy to heat up the abnormal heart tissue. This destroys the cells that are generating the abnormal electrical energy that’s causing V-tach episodes.
Is V-tach idiopathic?
While rare, V-tach can be idiopathic, meaning there is nothing else wrong with the heart. But most of the time, V-tach is a result of other heart problems, such as: Dr. Supple also sees many cases of V-tach that have developed as a result of scar tissue on the heart from a heart attack or heart surgery.
What does V-tach mean?
V-tach occurs when your pulse rate is more than 100 beats per minute, and you have at least three irregular heartbeats, or arrhythmias, in a row. Besides palpitations, V-tach can cause symptoms like: Chest pain. Lightheadedness. Fainting. Untreated V-tach can be dangerous: It’s a major cause of sudden cardiac death.
What are the symptoms of V-tach?
V-tach occurs when your pulse rate is more than 100 beats per minute, and you have at least three irregular heartbeats, or arrhythmias, in a row. Besides palpitations, V-tach can cause symptoms like: 1 Chest pain 2 Lightheadedness 3 Fainting
When was neurological rehabilitation developed?
These are key concepts that form the basic principles of neurological rehabilitation. The concepts were developed by the World Health Organization in 1980 (table 1). Although the terms have recently been modernised (and the new definitions are discussed below) the three original terms—impairment, disability, and handicap—are so well known and so ingrained in the philosophy of neurological rehabilitation that it is worthwhile discussing the older terms in the first instance.
What is neurology rehabilitation?
Rehabilitation is a process of education of the disabled person with the ultimate aim of assisting that individual to cope with family, friends, work, and leisure as independently as possible. It is a process that centrally involves the disabled person in making plans and setting goals that are important and relevant to their own particular circumstances. In other words it is a process that is not done to the disabled person but a process that is done by the disabled person themselves, but with the guidance, support, and help of a wide range of professionals. Rehabilitation has to go beyond the rather narrow confines of physical disease and needs to deal with the psychological consequences of disability as well as the social milieu in which the disabled person has to function. Thus, a key factor that differentiates rehabilitation from much of neurology is that it is not a process that can be carried out by neurologists alone, but necessarily requires an active partnership with a whole range of health and social service professionals. The key characteristics of the rehabilitation process are summarised in box 1.
What is impairment in neurology?
Impairment is just a descriptive term. It implies nothing about consequence. Examples are a right hemiparesis, left sided sensory loss, or an homonymous hemianopia. However, a right hemiparesis can obviously be relatively mild and lead to virtually no functional consequence, or can be severe and lead to a complete inability to walk. The functional consequence of impairment is the disability. Investigative and diagnostic neurology clearly needs to identify the impairment in order to lead to appropriate investigations and eventual diagnosis. However, neurological rehabilitation goes beyond the impairment and looks at the functional consequence and tries to minimise the impact of the disability on the individual.
What differentiates rehabilitation from neurology?
Thus, a key factor that differentiates rehabilitation from much of neurology is that it is not a process that can be carried out by neurologists alone, but necessarily requires an active partnership with a whole range of health and social service professionals.
Is neurological rehabilitation a handicap?
However, neurological rehabilitation goes beyond the impairment and looks at the functional consequence and tries to minimise the impact of the disability on the individual. Thus, neurological rehabilitation mainly deals with disability. However, the concept of handicap is equally important. Handicap is the description of the social context ...
What is ECT therapy?
Treatment Overview. Electroconvulsive therapy (ECT) is a procedure used to treat severe depression. It may be used in people who have symptoms such as delusions, hallucinations, or suicidal thoughts. It's also used when other treatments such as psychotherapy and antidepressant medicines have not worked. And it can be used for other psychiatric and ...
How does ECT work?
It's not known exactly how this brain stimulation helps treat depression. ECT probably works by altering brain chemicals (like medicines do).
Can you use ECT for depression?
And sometimes ECT is used for people who cannot tolerate the side effects of the medicines for depression. Studies have shown that ECT is an effective short-term treatment for severe depression. ECT may be used after other treatments have not worked.
Can you lose memory after ECT?
It's possible to have long-term memory loss after ECT. For some people, memory returns. But for others, there are lasting gaps in memory.
How long does ECT last?
They may continue for several months to a year. This will reduce the risk of relapse. For mental health conditions, ECT is usually given along with medicine, counseling, or both. Ask your doctor when you can drive after having an ECT treatment.
How does an electrical current work before ECT?
Before ECT, you will get anesthesia to make you sleepy , and you'll get medicines to relax your muscles. Then an electrical current is briefly sent to the brain through electrodes. They are placed on the temples or elsewhere on the head, depending on the condition being treated and the type of ECT.
Can ECT cause seizures?
In rare cases, ECT may increase blood pressure, cause changes in heart rhythm, or produce seizures that last longer than expected. These physiologic changes typically occur right away after the ECT treatment and can be managed by the health professionals doing the procedure, if needed.
Symptoms
Treatment
- Unstable patients with monomorphic VT should be immediately treated with synchronized direct current (DC) cardioversion, usually at a starting energy dose of 100 J (monophasic; comparable biphasic recommendations are not currently available). Unstable polymorphic VT is treated with immediate defibrillation. The defibrillator may have difficulty rec...
Medical uses
- If LV function is impaired, amiodarone (or lidocaine) is preferred to procainamide for pharmacologic conversion because of the latter drugs potential for exacerbating heart failure. However, mounting evidence indicates that amiodarone should not be the first-line antiarrhythmic for stable VT, because its effects on myocardial conduction and refractoriness are gradual in on…
Prognosis
- Polymorphic VT in stable patients typically terminates on its own. However, it tends to recur. After sinus rhythm returns, the ECG should be analyzed to determine whether the QT interval is normal or prolonged. Polymorphic VT in patients with a normal QT interval is treated in the same manner as monomorphic VT.
Management
- Congenital long QT syndrome and catecholamine polymorphic VT have been linked to sudden cardiac death. Patients with these disorders are managed with a combination of genetic typing, beta blockers, lifestyle modification and, in selected cases, ICD placement. [59]
Research
- In the 1980s, several centers explored ventricular arrhythmia surgery, using excision and cryoablation of infarct zones to prevent recurrent VT. This strategy has been essentially abandoned as a consequence of its high mortality and the advent of ICDs and ablative therapies.
Diagnosis
Treatment
- The goals of ventricular tachycardia treatment are: 1. Restore a normal heart rhythm 2. Control the fast heart rate when it occurs 3. Prevent future episodes of tachycardia The specific treatment you receive depends on what is causing the arrhythmia and the type or severity of your ventricular tachycardia. Ventricular tachycardia may go away on its...
Clinical Trials
- Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
Coping and Support
- If you have a plan in place to deal with an episode of a fast heartbeat, you may feel calmer and more in control when one occurs. Talk to your doctor about: 1. How to take your pulse and what a normal pulse rate is for you 2. When and how to use a variety of maneuvers or take additional medications if they are appropriate for you 3. When to call your doctor 4. When to seek emergen…
Preparing For Your Appointment
- Whether you first see your family doctor or get emergency care, you'll likely be referred to a doctor trained in heart conditions (cardiologist) for one or more appointments for a complete evaluation. If possible, bring along a family member or friend who can give some moral support and help you keep track of new information. Because there may be a lot to discuss, it will be helpful to prepar…