Ventricular tachycardia can be treated in a few different ways. Treatment depends on whether the patient still has a pulse. If the patient is in "pulseless ventricular tachycardia", their heart is beating so fast that it cannot squeeze out any blood.
If a person still has a pulse, ventricular tachycardia can usually be stopped through cardioversion. Cardioversion means using medication or an electric shock to make the heart start beating normally again.
If a person has pulseless ventricular tachycardia, they need to be shocked with a defibrillator.
Two different types of defibrillators can be used. An "external defibrillator" is a machine that delivers a shock through two sticky pads that are placed on the person's chest.
However, some people who have already been diagnosed with V-tach have surgery to put a defibrillator inside their chest. This is called an implantable cardioverter-defibrillator (ICD). This type of defibrillator shocks the heart automatically when it goes into V-tach.
If a person goes into pulseless ventricular tachycardia, first aid can be helpful. 9-1-1 or the local emergency telephone number should be called immediately. Then - like in any situation where a person suddenly becomes unconscious and has no pulse - cardiopulmonary resuscitation (CPR) should be started right away. An emergency medical dispatcher can help explain how to do CPR until an ambulance gets there.
Ventricular tachycardia can be caused by many different things. The most common cause is ischemic heart disease (heart disease that causes the heart to not get enough oxygen).
Ventricular tachycardia can also be caused by other problems, like:
Sometimes doctors cannot find a cause for ventricular tachycardia. This is called idiopathic ventricular tachycardia.
Ventricular tachycardia causes most of the sudden cardiac deaths in the United States. It causes about 300,000 deaths every year.
The chance of sudden death is highest for people who:
The chance of sudden death is lowest for people with idiopathic ventricular tachycardia.
Even for high-risk people, treatment with medications like beta blockers can help. So can implantable cardio-defibrillators.
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