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What is hemodynamic monitoring? There are both invasive and
What is hemodynamic monitoring? There are both invasive and

... selected based on physician’s preference and size of the patient. The introducer should be selected. The pressure monitoring system should be set up. This is the same monitoring system as used for an arterial line. The bedside monitor should zeroed and calibrated. Before insertion, the integrity of ...
Fibrosis: a structural modulator of sinoatrial node physiology and
Fibrosis: a structural modulator of sinoatrial node physiology and

... FIGURE 1 | (A) Left: Drawing of the posterior human atrial anatomy from (Keith and Flack, 1907), with SAN outlined in red. Right: Histological cross section of the SAN (red outline) connected to the atria by a SACP (yellow outline). The SAN is seen to be isolated from the atria by sup-epicardial fat ...
Cardiac Tissue Structure, Properties, and Performance: A Materials
Cardiac Tissue Structure, Properties, and Performance: A Materials

... The intracellular protein titin and the ECM proteins provide support and load bearing and are also important contributors to sarcomere mechanics. Titin influences length dependent activation, and the underlying mechanism may involve titin exerting a radial force on myofilaments.10 The ECM is a scaffol ...
Physiology with elements of clinical physiology Physiology with
Physiology with elements of clinical physiology Physiology with

View Dhiraj Gupta`s Resume / CV
View Dhiraj Gupta`s Resume / CV

... 16. D Gupta, RK Al-Lamee, MJ Earley, PM Kistler, SJ Harris, AW Nathan, SC Sporton, RJ Schilling. Cryoablation compared with radiofrequency ablation for atrioventricular nodal reentrant tachycardia: analysis of factors contributing to acute and follow up outcome. Europace. 2006;8(12):1022-6 17. D Gup ...
background - Exploration Works
background - Exploration Works

... fingers and rinse out any dried blood with water. 10. Examine the left atrium. Find the openings of the pulmonary veins form the lungs. 11. Inside this chamber, look for the valve that controls blood flow between the upper left atrium and lower left ventricle. This valve is called the bicuspid or mi ...
Analysis of Left Ventricular Function
Analysis of Left Ventricular Function

... the single left anterior oblique was 55.8 i 13.0 (SD) while that for biplane cineangiography was 60 i 13.9, and the values with the scintiphotographic methods were 55.7 ± 16 with the standard method and 55.2 ± 13 with the semi-automatic technique. These values were not significantly different from e ...
Mobile left atrial mass-clot or left atrial myxoma.
Mobile left atrial mass-clot or left atrial myxoma.

... attached to the endocardial surface by a stalk, usually arising from the fossa ovalis. Cardiac thrombi, which appear more frequently than cardiac myxomas are typically located more often in the LA or LAA and generally occur in patients with organic heart disease. ...
Chapter 9 Circulation: The Cardiovascular and Lymphatic Systems
Chapter 9 Circulation: The Cardiovascular and Lymphatic Systems

... Electrocardiography (ECG) measures the heart’s electrical activity as it functions (Fig. 9-4). Electrodes (leads) placed on the body’s surface detect the electrical signals, which are then amplified and recorded as a tracing. A normal, or sinus rhythm, which originates at the SA node, is shown in Fi ...
diagnostic efficiency of serum creatine kinase and troponin i in
diagnostic efficiency of serum creatine kinase and troponin i in

... elevation of cardiac enzymes (7) together with evidence of myocardial ischaemia with at least one of the following: (a) symptoms of ischaemia; (b) history of characteristic chest pain, (c) evolutionary changes of the electrocardiogram (iv) imaging evidence of new loss of viable myocardium or new re ...
Systolic time intervals as simple
Systolic time intervals as simple

... Linear regression analyses were undertaken to search for a potential correlation between STI and heart rate or QRS width. Figure 4 illustrates that no correlation was observed between PEP and heart rate (Figure 4A), whereas a correlation was found between LVET and heart rate (r ¼ 0.61, P , 0.001) (F ...
High Arteriovenous (AV) Access Flow and Cardiac Complications
High Arteriovenous (AV) Access Flow and Cardiac Complications

... should absolutely have access flow measured. When unrecognized, many of these patients with recurring CHF will die from their access-induced heart disease, since the cause was not recognized, and only gets worse. The advent of accurate non-invasive measurement by ultrasound saline dilution has made ...
Transient Prolongation of QT Interval in a Neonate
Transient Prolongation of QT Interval in a Neonate

... There is limited information in the literature about sudden infant death syndrome (SIDS) and apparent lifethreatening events (ALTEs) in mature neonates during the first 2 weeks of life. Lethal arrhythmias may occur in infants with QT interval prolongation due to temporary cardiac sympathetic innerva ...
Cardiac Stress Testing for Diagnosis of Coronary Artery Disease in
Cardiac Stress Testing for Diagnosis of Coronary Artery Disease in

... Patients referred for EST must be able to walk briskly on a treadmill to achieve a goal heart rate of 85% to 100% of the age-predicted maximum calculated from the formula: 220 – age.10 Obstacles to the use of exercise include musculoskeletal problems, lung disease, vascular disease, or lack of motiv ...
Atrial fibrillation - Giornale Italiano di Cardiologia
Atrial fibrillation - Giornale Italiano di Cardiologia

... Circumferential mapping catheters have enabled the evaluation of the perimetric distribution and activation sequence of PV activity12. Such mapping has demonstrated that PV potentials reflecting local striated muscle were present over a variable extent (varying also from one vein to the next) of the ...
The endurance athletes heart: acute stress and chronic adaptation
The endurance athletes heart: acute stress and chronic adaptation

... Like cardiac morphology, there are some ECG patterns that have been reported in both the endurance athlete’s heart and cardiac pathologies and these can overlap in the ‘grey zone’. Common ECG findings in the endurance athlete’s heart, related to training, include sinus bradycardia, sinus arrhythmia, ...
for patients chronic heart failure
for patients chronic heart failure

... blocker. It is important that you monitor your health during this time and if it gets worse tell your doctor, for example, tiredness, fatigue, breathlessness. These symptoms can usually be managed by adjusting your medication. You should not stop taking your beta blocker without speaking to your doc ...
Arrhythmic Mitral Valve Prolapse and Sudden Cardiac Death
Arrhythmic Mitral Valve Prolapse and Sudden Cardiac Death

... performed using an Image-Pro Plus program (Version 4.0. Media Cybernetics, MD, USA) to quantify the fibrous tissue percent area of LV myocardium on Heidenhain trichrome stained sections at 25x magnification. Mean cardiomyocytes diameter was calculated on Haematoxylineosin stained sections at 400x ma ...
Adverse effect of increased left ventricular wall thickness on five year
Adverse effect of increased left ventricular wall thickness on five year

... if the null hypothesis of no contribution could be rejected at a probability value of <0.05. The probability of the presence or absence of hard events as a function of follow-up duration was estimated by the Kaplan-Meier method and compared between groups by use of the log-rank test. Unadjusted, Fra ...
sinus node paces
sinus node paces

... 1. Basic Concepts • The heart is a pump with an electrical conduction system • 2 basic types of cardiac cells in the heart • Myocardial cells or “muscle” cells • Specialized cells of the conduction system or “pacemaker” cells May 13, 2006 ...
Preview the material
Preview the material

... membrane potential that results from a combination of ionic currents, primarily the slow inward sodium current.3 Normal Cardiac Conduction The electrical system of the heart consists of intrinsic pacemakers and conduction tissues. It is convenient to conceptualize the progression of normal cardiac r ...
Adverse effect of increased left ventricular wall thickness on five year
Adverse effect of increased left ventricular wall thickness on five year

... if the null hypothesis of no contribution could be rejected at a probability value of <0.05. The probability of the presence or absence of hard events as a function of follow-up duration was estimated by the Kaplan-Meier method and compared between groups by use of the log-rank test. Unadjusted, Fra ...
Pharmacology Review - Madison County Emergency Medical District
Pharmacology Review - Madison County Emergency Medical District

... rate may cause myocardial ischemia, angina, and increased myocardial oxygen demand – Higher doses have not improved outcome & may cause myocardial dysfunction ...
The invention of the stethoscope: A milestone in cardiology
The invention of the stethoscope: A milestone in cardiology

... Figure 7: On the left, the standard modern stethoscope (image from WikiCommons, author Luna04). It was the German American doctor David Littmann (1906–1981) who would develop the standard design for the instrument in the 1960s. The stopper, or chest-piece (Figure 4 above, on Plate 1) is similar, tho ...
atrial fibrillation - Heart and Stroke Foundation
atrial fibrillation - Heart and Stroke Foundation

... Medicine is used to slow the conduction of electrical impulses from the top chambers (atria) to the bottom chambers (ventricles) of the heart and prevent the ventricles from beating too fast. A slower heart beat gives the ventricles more time to relax and fill with blood. The rate control medicine o ...
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Electrocardiography



Electrocardiography (ECG or EKG*) is the process of recording the electrical activity of the heart over a period of time using electrodes placed on a patient's body. These electrodes detect the tiny electrical changes on the skin that arise from the heart muscle depolarizing during each heartbeat.In a conventional 12 lead ECG, ten electrodes are placed on the patient's limbs and on the surface of the chest. The overall magnitude of the heart's electrical potential is then measured from twelve different angles (""leads"") and is recorded over a period of time (usually 10 seconds). In this way, the overall magnitude and direction of the heart's electrical depolarization is captured at each moment throughout the cardiac cycle. The graph of voltage versus time produced by this noninvasive medical procedure is referred to as an electrocardiogram (abbreviated ECG or EKG).During each heartbeat, a healthy heart will have an orderly progression of depolarization that starts with pacemaker cells in the sinoatrial node, spreads out through the atrium, passes through the atrioventricular node down into the bundle of His and into the Purkinje fibers spreading down and to the left throughout the ventricles. This orderly pattern of depolarization gives rise to the characteristic ECG tracing. To the trained clinician, an ECG conveys a large amount of information about the structure of the heart and the function of its electrical conduction system. Among other things, an ECG can be used to measure the rate and rhythm of heartbeats, the size and position of the heart chambers, the presence of any damage to the heart's muscle cells or conduction system, the effects of cardiac drugs, and the function of implanted pacemakers.
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