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12-Lead EKG Interpretation - Mississippi Nurses Association
12-Lead EKG Interpretation - Mississippi Nurses Association

... Junctional rhythms: Escape rhythms occur when SA node fails to initiate the electrical impulse and another pacemaker assumes the function – AV nodal escape rhythm: rate between 40-60bpm; may or may not see negative P wave before the QRS in Lead II; QRS will be narrow unless there is other underlying ...
disorder - WordPress.com
disorder - WordPress.com

... a genetic link that causes heart problems to occur more often in certain families. ...
Cardiac Transplantation for Congenitally Corrected Transposition of
Cardiac Transplantation for Congenitally Corrected Transposition of

... great arteries in L-TGA, the transplantation required technical modifications. Reitz et al at Stanford University Medical Center first reported a successful HTx for corrected TGA in 1982.6 Since then, only a few cases have been reported in the literature.1–3 During removal of the donor heart, the ar ...
Images and Case Reports in Heart Failure
Images and Case Reports in Heart Failure

... various image planes with the movement of the C arm. A and B, How the overlaid coronary venous anatomy and scar relate to the occlusive venogram. C and D, The LV leads within an area of scar. This was not the final LV lead position but shows how the overlay can be used to depict the relationship of ...
Why Choose Perfusion Index With Trend
Why Choose Perfusion Index With Trend

... “normal” perfusion index for a given location and use this for monitoring purposes. In neonatal acute care, a low PI is an objective and accurate measure of acute illness. It is superior to qualitative approach such as foot warmth. Perfusion index is also used as an early warning of anesthetic failu ...
2.04 cardiac arrest - San Francisco Department of Emergency
2.04 cardiac arrest - San Francisco Department of Emergency

... 1. Attempt to locate a POLST form. Many patients have made end-of-life care decisions. 2. Provide pre-hospital care to the patient in a manner consistent with ALS and BLS treatment protocols for the patient’s condition with the following exceptions: • Do NOT perform chest compressions, as it will di ...
PowerPoint 演示文稿 - Shandong University
PowerPoint 演示文稿 - Shandong University

... Sympathetic nerve (norepinephrine) or the epinephrine and norepinephrine (adrenal gland) enhance the strength and the velocity of the cardiac contraction. The change of myocardial property is independent of the preload. We call it the contractility. Importance: exert a long – time influence on the c ...
Dynamic Coupling between Ventricular Repolarization Duration and
Dynamic Coupling between Ventricular Repolarization Duration and

... head-up tilt table test under ECG recording. ChD group underwent MIBG scintigraphy and confirmed sympathetic denervation. Histogram of RR-interval series was calculated, with 100 ms class, ranging from 500 ms to 1200 ms. For each class, mean of normal RR-intervals (MRR) and mean of the peak-to-peak ...
Northwest Community EMS System VENTRICULAR
Northwest Community EMS System VENTRICULAR

... focus somewhere in one of the ventricles. It is usually caused by enhanced automaticity. The impulse depolarizes the ventricles abnormally creating a premature QRS complex occurring before the next expected sinus or junctional beat. ...
Preload
Preload

... Factors determining the preload (LVEDP) 1) Period of the ventricle diastole (filling) – heart rate 2) Speed of the venous return (difference between the venous pressure and atrial pressure) Importance of the heterometeric regulation • In general, heterometric regulation plays only a short-time role ...
One Leaflet or Two?
One Leaflet or Two?

... tissue, and cleft mitral valve are more common. Descriptions of functionally uni-leaflet mitral valves, either partial or complete leaflet agenesis/hypoplasia are extremely rare and largely limited to a few case reports. In the most severe form (complete leaflet absence,) cases are usually considered t ...
Heart structure and function
Heart structure and function

... • The cardiac cycle is about 0.8 seconds in duration. • Heart rate is variable - related especially to age and fitness. ...
Supraventricular Tachycardia and Artial Fibrillation
Supraventricular Tachycardia and Artial Fibrillation

...  Diltiazem 10-20 mg IV bolus and run a drip in at 515 mg/hour. Can repeat the bolus if needed.  Amiodarone 150mg IV over 1 minute then 1 mg/minute for 6 hours then 0.5 mg/min for 18 ...
NURSING PROCESS FOCUS Clients Receiving Beta
NURSING PROCESS FOCUS Clients Receiving Beta

... effects, thus these drugs are usually reserved to treat hypertension uncontrolled by other drugs. Assess for the presence of common adverse effects such as orthostatic hypotension, sedation, decreased libido, impotence, sodium/water retention, and dry mouth. Alpha2-agonists are pregnancy category C; ...
Cook Children`s Cardiac Magnetic Resonance Imaging program
Cook Children`s Cardiac Magnetic Resonance Imaging program

... When should you order a CMRI? CMR has useful applications in patients of all ages. CMR is especially useful in diagnosing and managing patients with complex congenital heart disease. The images can be used to further define anatomy that is not well seen by other modalities, monitoring specific cardi ...
The Heart - El Camino College
The Heart - El Camino College

... G. Disorders (________________) of the Conduction System include: 1. _______________ – faster than normal heart rate (100 bpm or more) 2. _______________ – slower than normal heart rate (60 bpm or less) 3. __________ – rapid heart rate (250-350 bpm), with controlled contractions 4. Heart ________ – ...
AF - Sheba Hungary Student
AF - Sheba Hungary Student

... inappropriately rapid heart rate Myocardial – persistently rapid rate can lead to: atrial cardiomyopathy dilated ventricular cardiomyopathy Thromboembolism ischemic stroke and systemic arterial occlusion attributed to LA and LAA thrombus ...
Heart sounds
Heart sounds

... Murmurs or bruits:They are abnormal sounds heard in vascular system due to turbulent blood flow in the heart. Normally blood flow is laminar and non-turbulent so it is silent. Murmurs are caused either by abnormal heart valve function or arise from increased volume, or velocity of blood flowing thro ...
NUR3069C Learning Objectives Heart and Neck Vessels and
NUR3069C Learning Objectives Heart and Neck Vessels and

... This handout is a bit different as it is quite comprehensive. It provides you with an in-depth outline of this chapter for your learning. It does not match up slide to slide with the You Tube video. However, it can be used quite effectively in conjunction with the You Tube lecture provided.  Chapte ...
MY EXPERIENCE IN THE ANAESTHETIC MANAGEMENT OF
MY EXPERIENCE IN THE ANAESTHETIC MANAGEMENT OF

... Aseptic technique is very important Monitoring: Noninvasive monitoring-standard 5 lead ECG,NIBP, Pulse oximetry, capnography, nasopharyngeal temperature, urine output. Invasive monitoring – Large bore central venous access , IBP, . TEE -, PA catheter – helpful. – C.O., systemic vascular resistance a ...
AOA Cardiology Review
AOA Cardiology Review

... Strep viradans most common Staph aureus most common in drug users Strep bovis most common in UC or colon cancer Tricuspid valve endocarditis ...
Red Blood Cells
Red Blood Cells

... (+ .30 mV) – (- .20 mV) = + .50 mV – Lead II = left leg – right wing (+ 1.00 mV) – (- .20 mV) = + 1.20 mV – Lead III = left leg – left wing (+ 1.00 mV) – (+.30 mV) = + .70 mV ...
Session 10: The Stethoscope and Beyond: Cardiac Diagnoses Not
Session 10: The Stethoscope and Beyond: Cardiac Diagnoses Not

... – Wt 165 lbs, Height 69” – BP 139/60 mmHg; pulse regular, 73/min – III/VI harsh systolic murmur over the precordium, radiating to neck… increases with bearing down ...
Seeing the Human Heart
Seeing the Human Heart

... Outstanding Achievement Award by the European Society of Cardiology, in recognition of his team’s discovery that activated epicardial cells can regenerate the adult mammalian heart. Jevon Thistlewood is an accredited member of the Institute of Conservation. He graduated from the University of Leeds ...
I. Auscultatory Valve Area
I. Auscultatory Valve Area

... • 1. MV: apex, fifth left intercostal space, medial to the midclavicular line • 2. PV: second left intercostal space • 3. AV: second right intercostal space • 4. AV2: left third intercostal space • 5. TV: lower part of sternal • 6. Other part ...
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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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