Marouane Jidal, Reda Amahroq, Youssef Halhoul, Nassima El Karroumi, Kenza Alami, Hamza Elhamzaoui, Ibtissam Fellat, Mustapha Bensghir, Mohammed Drissi
Journal: Medpeer Publisher
ISSN: 3066-2737
Volume: 3
Issue: 2
Date of Publication: 2026/02/13
Background: Tachyarrhythmias managed in the resuscitation room are common and may rapidly become life-threatening. We aimed to describe the clinical profile, electrocardiographic diagnoses, first-line treatments, and immediate outcomes of adults treated for an arrhythmia.
Methods: Single-center retrospective study conducted in the resuscitation room of Ibn Sina University Hospital (Rabat, Morocco) over a 2-month period (July-August 2022). Adults (>=18 years) with an ECG-confirmed arrhythmia were included; arrhythmias occurring during acute coronary syndrome were excluded. Demographic, clinical, ECG and treatment data, as well as immediate outcomes, were analyzed descriptively.
Results: Twenty patients were included (mean age 61.4 years; 60% female). Atrial fibrillation was the most frequent arrhythmia (80%), followed by ventricular tachycardia (10%). Hemodynamic instability at presentation was observed in 15%. Electrical synchronized cardioversion was performed as first-line therapy in 10%. Pharmacological management predominated (90%), with amiodarone used in 60%. Rhythm conversion was achieved in 75% and rate control in 10%; 15% required treatment escalation. In-hospital mortality in the resuscitation room pathway was 10%.
Conclusion: Emergency management relies on rapid tolerance assessment, correction of reversible causes, and immediate access to synchronized cardioversion and monitoring. Protocol reinforcement and improved access to cardioversion equipment may further optimize care.
Arrhythmia, Atrial fibrillation, Ventricular tachycardia, Electrical Cardioversion, Amiodarone, Emergency Medicine.
Download PDF