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Clinical Differentiation Between Physiological Remodeling and
Clinical Differentiation Between Physiological Remodeling and

... echocardiography, cardiac magnetic resonance imaging (CMRI), Holter monitoring, and exercise testing. RESULTS There were no electrical, structural, or functional cardiac differences between athletes exhibiting TWI and athletes without TWI. When athletes were compared with ARVC patients, markers of p ...
1 A case report on Ebstein anomaly
1 A case report on Ebstein anomaly

... By Mayo Clinic Staff Print Coping and support If you or your child has mild Ebstein's anomaly, here are some steps that may help you cope:  Follow up on medical care: Be sure to follow up with your cardiologist trained in congenital heart disease for regular evaluations. Be an active participant in ...
Ch19.Heart
Ch19.Heart

... • Not all cardiac cells are innervated – Will contract in rhythmic manner without innervation – Inherent rhythmicity • Is the basis of the rhythmic heartbeat – heart can beat on its own! ...
BRS Physiology
BRS Physiology

... 43. The answer is E [IX B]. In anticipation of exercise, the central command increases sympathetic outflow to the heart and blood vessels, causing an increase in heart rate and contractility. Venous return is increased by muscular activity and contributes to an increase in cardiac output by the Fran ...
No Slide Title
No Slide Title

... accompanied by a decrease in LV wall tension with a secondary reduction in myocardial oxygen, also a specific coronary arterial vasodilator and spasmolytic.  Adenosine can be used for its vasodilatory effects. Because of its short plasma half life (< 5 seconds), the drug has a particular role as a ...
Have a Healthier Heart and Live Better with `Life`s
Have a Healthier Heart and Live Better with `Life`s

... and stretching exercises are best for overall stamina and flexibility. Making small choices throughout the day like taking the stairs instead of the elevator or choosing the furthest parking spot will get you on the right track to heart healthy living. 2. CONTROL CHOLESTEROL Cholesterol is an import ...
The prolonged QT interval - Postgraduate Medical Journal
The prolonged QT interval - Postgraduate Medical Journal

... Myocardial repolarization is complex, poorly understood and even more difficult to study than depolarization. It is also, possibly because of its slower time course, more obviously affected by disease, drugs, and biochemical abnormalities. It is normally a well coordinated but non-uniform process, a ...
Heart Failure - Dartmouth
Heart Failure - Dartmouth

... All patients with heart failure due to left ventricular systolic dysfunction should receive an ACE inhibitor unless they have a contraindication to its use or cannot tolerate treatment with the drug. Treatment with an ACE inhibitor should not be delayed until the patient is found to be resistant to ...
AANA Journal Course - American Association of Nurse Anesthetists
AANA Journal Course - American Association of Nurse Anesthetists

... has become a routine procedure in many hospitals. Approximately 325,800 pacemakers and 127,300 defibrillators were implanted in the United States in 2003 (J. Roberts, Medtronic, Inc, written communica- ...
circulation-respiration [Compatibility Mode]
circulation-respiration [Compatibility Mode]

... principal pacemaker: sinoatrial node 2x8 mm, built up by modified muscle cells AP is followed by slow hypopolarization – hyperpolarization activated mixed channels (Na+, Ca++) and K+ inactivation NA and ACh changes the pacemaker potential in different directions through cAMP effecting the hyperpolar ...
Human Physiology Lab
Human Physiology Lab

... (AV node) where transmission of the action potentials is delayed briefly to allow ventricular filling (of ventricular diastole). From the AV node the action potentials spread down the interventricular septum through the Bundle of His, before finally radiating through left and right ventricle walls v ...
ANS - Mosaiced.org
ANS - Mosaiced.org

... Sympathetic outflow to the heart causes positive chronotropy, ionotropy, lusotropy and dromotropy (increased AVN conduction). As a result there is slow onset tachycardia, an increased gradient and size of AP and an increased if current. The parasympathetic system induces the opposite effects; howeve ...
PDF file - Via Medica Journals
PDF file - Via Medica Journals

... Background: The coronary slow flow (CSF) phenomenon is a delayed antegrade progression of contrast agent to the distal branch of a coronary artery in the absence of obstructive coronary artery disease (CAD). A narrow fragmented QRS (fQRS) has been reported as a significant predictor of sudden cardia ...
Evia HF (-T): the world`s first magnetic resonance approved pace
Evia HF (-T): the world`s first magnetic resonance approved pace

Learning outcomes
Learning outcomes

... Using surface anatomy listen to the heart sounds in a colleague. 1. Familiarization with stethoscope The traditional stethoscope has a bell and a diaphragm  The bell is designed as a resonation chamber and is better for listening to low pitched sounds.  The diaphragm is used for listening to highe ...
Heart Block and Prolonged Q-Tc Interval Following Muscle Relaxant
Heart Block and Prolonged Q-Tc Interval Following Muscle Relaxant

... previously, reversal of muscle relaxation may be associated with rhythm disturbances ranging from mild bradycardia to asystole.20 In addition, reversal of the muscle relaxant may be associated with cardiac conduction changes ranging from Q-Tc interval changes to heart block.1 Although the patient de ...
Treating Three Types of Heart Failure
Treating Three Types of Heart Failure

... across the gradient during systole. The pumping effectiveness of the heart is also effectively controlled by the autonomic nervous system by both the sympathetic and parasympathetic components of this system. Cardiovascular function is also modulated through reflex mechanisms that involve barorecept ...
Fatal cardiac arrhythmias in patients with heart failure: Risk
Fatal cardiac arrhythmias in patients with heart failure: Risk

... sensitivity(BRS) <3ms/mmHg and depressed heart rate variability(HRV) SDNN<70ms had been shown to have higher total mortality (17% vs 2% with both tests normal). But neither of these tests had been shown useful in predicting arrhythmic death • Heart rate turbulence (HRT) show mixed results in trials. ...
Heart Rate, Body Temperature and Physical Activity Are Variously
Heart Rate, Body Temperature and Physical Activity Are Variously

... implanted in 6 male Wistar rats (445.7±29.2 g) under general anaesthesia (sodium pentobarbitone, 45 mg/kg, intraperitoneal). The devices were inserted into the peritoneal cavity and electrodes from the transmitter were arranged in Einthoven bipolar – Lead II configuration with one electrode connecte ...
Should rhythm control be preferred in younger atrial fibrillation
Should rhythm control be preferred in younger atrial fibrillation

... compared the strategy of maintenance of sinus rhythm, called rhythm control, with the strategy of heart rate control during AF and found that the rhythm control strategy was not superior to rate control in terms of mortality [6–15], although some subsequent analysis identified the presence of sinus ...
RELATIONSHIP BETWEEN HEART RATE VARIABILITY AND
RELATIONSHIP BETWEEN HEART RATE VARIABILITY AND

... reflected those changes and proved to be a reliable body marker in this respect. The significant correlations between serum lipids and HRV parameters which were found in the experimental group (on one side) and the distress indicating values of HR V measurements in the same group (as compared with c ...
study of ecg and echocardiographic findings in copd patients in a
study of ecg and echocardiographic findings in copd patients in a

... A standard 12-lead electrocardiography obtained for each using a portable ECG machine. The following criteria are used to detect right ventricular involvement: a. P-pulmonale pattern (P wave >2.5 mm) in leads II, III, avF; b. Right axis deviation of QRS complex; c. R/S amplitude ratio in V6 is less ...
Treatment of Atrial Fibrillation in 2017
Treatment of Atrial Fibrillation in 2017

... Heart rate may be too slow or too fast; may stay steady or become chaotic ¡ Some arrhythmias are very dangerous and cause sudden cardiac death, while others may be bothersome but not life threatening. ...
Quality of care
Quality of care

... normal ejection fraction but wall motion abnormalities (BNP = 177  20 pg/mL) impaired ejection fraction (BNP = 523  50 pg/mL, p<0.001) Koon and colleagues, 49th Annual Scientific Session of the American College of Cardiology ...
Temporary Pacemakers-2hr
Temporary Pacemakers-2hr

... Pacemaker not sensitive enough to patient’s intrinsic electrical activity (mV)  Insufficient myocardial voltage  Dislodged, loose, fibrotic, or fractured electrode  Electrolyte abnormalities  Low battery  Malfunction of pacemaker or bridging cable ...
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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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