Cardiac arrhythmias are well-recognised complications of myocardial infarction. They may precede ventricular fibrillation (VF) or follow successful defibrillation. The treatment algorithms described in this section have been designed to enable the non-specialist advanced life support (ALS) provider to treat the patient effectively and safely in an emergency; for this reason they have been kept as simple as possible. If patients are not acutely ill there may be several other treatment options, including the use of drugs (oral or parenteral) that will be less familiar to the non-expert. In this situation there will be time to seek advice from cardiologists or other senior doctors with the appropriate expertise.
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