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apch20.ppt
apch20.ppt

... • Signal reaches AV node causing it to fire an impulse down the… • AV bundle (left & right branches) • Signal reaches heart apex and travels back up walls of ventricles causing them to contract ...
Right atrial dyssynchrony and atrial fibrillation after
Right atrial dyssynchrony and atrial fibrillation after

... Atrial fibrillation (AF) is one of the most frequent complications of coronary artery bypass grafting (CABG).1 It occurs up to 40% of patients, primarily within 2-3 days. In the early postoperative period, rapid ventricular rates and loss of atrial transport may compromise systemic hemodynamics, inc ...
Electrophysiologic backround for ECG evaluation
Electrophysiologic backround for ECG evaluation

... 7) Each abnormality should be taken into accont ...
Cardiac Arrhythmias and Their Electrocardiographic Interpretation
Cardiac Arrhythmias and Their Electrocardiographic Interpretation

... The only means by which impulses ordinarily can pass from the atria into the ventricles is through the A-V bundle. 1.Ischemia of the A-V node or A-V bundle fibers often delays or blocks conduction from the atria to the ventricle. 2.Compression of the A-V bundle by scar tissue or by calcified portion ...
Outcome of Patients Discharged after their First Detected
Outcome of Patients Discharged after their First Detected

... implanted device (pace-maker or internal defibrillator) asymptomatic atrial tachyarrhythmias, without clinical atrial fibrillation, were associated with a significantly increased risk of ischemic stroke or systemic embolism.17 This has important implications for management of therapies aimed at prev ...
Learn cardiac rhythm strips
Learn cardiac rhythm strips

... adobe flash player app for xbox 360 rom jpg4 pleasure models SITEMAP Slammer columbus oh newspaper Abnormal Heart Rhythms (Arrhythmias) - Learn about heart rhythm disorder causes, symptoms, diagnosis, treatment, and more from the nation's top ranked heart center. This FREE ECG simulator will help yo ...
EMS Cardiac Confusion By Lynn Wallis EMT
EMS Cardiac Confusion By Lynn Wallis EMT

... will correlate with the QRS complexes. The onset will usually be sudden. Signs and symptoms could possibly include: Sudden onset Palpitations Lightheadedness Dizziness Loss of consciousness Chest pain Shortness of breath Typically the patient will have symptoms, but occasionally, they may have no sy ...
Heart Dysrhythmias Cheat Sheet Arrhythmias Description Causes
Heart Dysrhythmias Cheat Sheet Arrhythmias Description Causes

... Premature, abnormallooking P waves that differ in configuration from normal P waves. QRS complexes after P waves except in very early or blocked PACs. P wave often buried in the preceding T wave or identified in the preceding ...
Heart Dysrhythmias Cheat Sheet
Heart Dysrhythmias Cheat Sheet

... Premature, abnormallooking P waves that differ in configuration from normal P waves. QRS complexes after P waves except in very early or blocked PACs. P wave often buried in the preceding T wave or identified in the preceding ...
Neonatal Cardiac Arrhythmias
Neonatal Cardiac Arrhythmias

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A-Fib - MultiCultural IPA
A-Fib - MultiCultural IPA

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Arrhythmia During STEMI: Recognition and What to Do
Arrhythmia During STEMI: Recognition and What to Do

... Idioventricular Rhythm, ST and/or T wave abnormalities suggesting electrolyte disturbances consider ...
Flecainide - The Heart of AF
Flecainide - The Heart of AF

... patients with coronary disease, stem from this study. If your specialist decides to use Flecainide as a treatment for your arrhythmia it will be because (s)he does not think you are suffering from heart failure (weakened pumping of the heart) or significant hardening of the coronary arteries which co ...
Classes of Drugs Used to Treat Myocardial Infarction
Classes of Drugs Used to Treat Myocardial Infarction

... very long half-life (25-60 days); Class I, II, III & IV actions and therefore decreases phase 4 slope and conduction velocity; potentially serious side effects (e.g., pulmonary fibrosis; hypothyroidism) structurally related to amiodarone, but has a much smaller volume of distribution and shorter eli ...
Stable Tachycardias
Stable Tachycardias

... Obtain 12-lead ECG Obtain portable chest x-ray in hospital setting ...
Case 9
Case 9

... 3. Stable Wide-Complex Tachycardia, Unknown Type  Attempt to establish a specific diagnosis: ...
Proarrhythmic Effects Of Antiarrhythmic Drugs: Case Study
Proarrhythmic Effects Of Antiarrhythmic Drugs: Case Study

... comparable to quinidine, but with fewer side effects.12 In contrast, propafenone is more effective for maintenance of sinus rhythm than quinidine. It is as effective as sotalol.13, 14 Generally, however, class IC drugs are preferred to class IA drugs in view of their better safety profile.12, 13 The ...
PowerPoint Presentation - Weber State University
PowerPoint Presentation - Weber State University

... Q wave is first downward deflection after P wave; signals start of ventricular depolarization R wave is positive deflection after Q wave S wave is negative deflection preceded by Q or R waves T wave follows QRS ...
SUPRAVENTRICULAR TACHYCARDIA (SVT) TOOLKIT: Diagnosis
SUPRAVENTRICULAR TACHYCARDIA (SVT) TOOLKIT: Diagnosis

... Typical atrial flutter is caused by reentry around the tricuspid annulus , characterized by a “sawtooth pattern” on the ECG produced by the atrial flutter waves; often there is 2:1 conduction to the ventricle, giving a ventricular heart rate of approximately 150 BPM (as in this ECG). Typical atrial ...
valvular heart disease - New Cardiovascular Horizons
valvular heart disease - New Cardiovascular Horizons

... Do not attempt to alleviate tachycardia with beta-blockers. Mild-tomoderate tachycardia is beneficial in these patients because it allows less time for the heart to have backfill, which lowers ...
VALVULAR HEART DISEASE
VALVULAR HEART DISEASE

... • Discuss the common etiologies of valvular stenosis and regurgitation. • Recognize the signs and symptoms of severe valvular stenosis and regurgitation • Be able to quickly identify and treat acute mitral and aortic regurgitation • Identify patients who should be referred for surgical replacement o ...
Arrhythmia induced cardiomyopathy secondary to atrial fibrillation
Arrhythmia induced cardiomyopathy secondary to atrial fibrillation

... ablation from first episode of AF and diagnosis of heart failure both result in a statistically lower recurrence rates, suggesting timing of rhythm control in AIC is important to prevent irreversible LV remodelling. An alternative explanation is that AIC is more likely when there is a clear deterior ...
Thioredoxin Catalysis and Inflammasome Regulation
Thioredoxin Catalysis and Inflammasome Regulation

... contract and pump blood. AF is characterized by a rapid and irregular activation of the atrium, for example, 400-600 pulses of chaotic contractions of the atrium per minute. The ventricular rate during AF is thus, no longer under the physiological control of the sinus node. An electrocardiogram (ECG ...
QRS Interval: narrow complexes - Texas Tech University Health
QRS Interval: narrow complexes - Texas Tech University Health

... • If less than 48 hours: – convert back to sinus rhythm (SR) – consider: digitalis, calcium channel blockers, beta blockers, amiodarone, or cardioversion • If greater than 48 hours: control heart rate (HR) and give anticoagulant to prevent blood clots • If unstable: cardioversion ...
CHADS2 AND CHA2DS2-VASc FOR ASSESSING - Med-IQ
CHADS2 AND CHA2DS2-VASc FOR ASSESSING - Med-IQ

... (outlined below) has been the most widely used scoring system. The CHADS2 score has limitations, however, as it does not include several additional known risk factors for stroke in the setting of AF. The CHA2DS2-VASc score (outlined below) was developed to incorporate additionally recognized risk fa ...
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Atrial fibrillation



Atrial fibrillation (AF or A-fib) is an abnormal heart rhythm characterized by rapid and irregular beating. Often it starts as brief periods of abnormal beating which become longer and possibly constant over time. Most episodes have no symptoms. Occasionally there may be heart palpitations, fainting, shortness of breath, or chest pain. The disease increases the risk of heart failure, dementia, and stroke.Hypertension and valvular heart disease are the most common alterable risk factors for AF. Other heart-related risk factors include heart failure, coronary artery disease, cardiomyopathy, and congenital heart disease. In the developing world valvular heart disease often occurs as a result of rheumatic fever. Lung-related risk factors include COPD, obesity, and sleep apnea. Other factors include excess alcohol intake, diabetes mellitus, and thyrotoxicosis. However, half of cases are not associated with one of these risks. A diagnosis is made by feeling the pulse and may be confirmed using an electrocardiogram (ECG). The typical ECG shows no P waves and an irregular ventricular rate.AF is often treated with medications to slow the heart rate to a near normal range (known as rate control) or to convert the rhythm to normal sinus rhythm (known as rhythm control). Electrical cardioversion can also be used to convert AF to a normal sinus rhythm and is often used emergently if the person is unstable. Ablation may prevent recurrence in some people. Depending on the risk of stroke either aspirin or anti-clotting medications such as warfarin or a novel oral anticoagulant may be recommended. While these medications reduce this risk, they increase rates of major bleeding.Atrial fibrillation is the most common serious abnormal heart rhythm. In Europe and North America, as of 2014, it affects about 2% to 3% of the population. This is an increase from 0.4 to 1% of the population around 2005. In the developing world about 0.6% of males and 0.4% of females are affected. The percentage of people with AF increases with age with 0.14% under 50 years old, 4% between 60 and 70 years old, and 14% over 80 years old being affected. A-fib and atrial flutter resulted in 112,000 deaths in 2013, up from 29,000 in 1990. The first known report of an irregular pulse was by John Baptist Senac in 1749. This was first documented by ECG in 1909 by Thomas Lewis.
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