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... A. sequential contraction of atria and ventricles B. slow conduction of electric impulses in the ventricles C. slow conduction of electric impulses in AV node D. simultaneous contraction of ventricular muscles 41. Which of the following statements about diastole is false? A. Diastole is absolutely n ...
New concepts for old drugs to maintain sinus rhythm in patients with
New concepts for old drugs to maintain sinus rhythm in patients with

... drug therapy duration was reduced by 99.4% compared with standard long-term therapy, from 450 day-doses per patient (follow-up 15 months) to 2.7 day-doses per patient (569 treated episodes in 210 patients). In patients who meet the inclusion criteria for the study, “pill-in-the-pocket” treatment may ...
Atrial fibrillation basics - Christiana Care Health System
Atrial fibrillation basics - Christiana Care Health System

... 2.2 million Americans have atrial fibrillation.  Median age is 75 years  Lifetime risk of developing atrial fibrillation is 1:6, and increases to 1:4 in men and women older than 40 years  The mortality rate of patients with atrial fibrillation is about double that of patients in normal rhythm, an ...
SYSTEMATIC APPROACH FOR ANALYZING CARDIAC RHYTHMS
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... 6. Adenosine by Cheryl Bock Sing to “O Christmas Tree” Adenosine for SVT, a naturally occurring amino acid Adenosine for SVT, a naturally occurring amino acid A rapid bolus is the key, 1st 6 milligrams, then 12 you see A sinus pause, then RSR, we’ll get an ECG, then let you be 7. Atropine Sing to “Y ...
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presentation source

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Cardiac Cycle and Intrinsic Beat - Mr. Lesiuk

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L2-Cardiac electrical activity

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Understanding Basic EKG - Understanding EKG Basics

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Slide 1
Slide 1

... 3. Are all normal waves present and recognizable? – See examples in fig. 14-23, p. 495 4. Does a QRS complex follow each P wave; is the PR segment constant in length? – If not, then a problem with signal conduction through the AV node may be present 5. Look for subtle changes: – For example: Altera ...
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Impact of Pregnancy in Women after Atrial Repair for Transposition

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NUR202-ModuleB
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Atrial Fibrillation: Upstream Therapies
Atrial Fibrillation: Upstream Therapies

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Control of heart rate

... sinoatrial node (SAN), which can initiate an action potential to travel along the atrial walls as a wave of excitation, causing them to contract. This is where one heartbeat originates. The signal then spreads through the atrioventricular node (AVN) and down the Purkyne tissue to the ventricular ape ...
Chronic Atrial Fibrillation - American Academy of Family Physicians
Chronic Atrial Fibrillation - American Academy of Family Physicians

... In most cases of suspected atrial fibrillation, a 12-lead ECG is sufficient for diagnosis confirmation. However, if diagnostic uncertainty remains, such as in chronic permanent atrial fibrillation, the use of 24-hour (or even seven-day) Holter monitoring or an event recorder (e.g., Cardiomemo) may a ...
Editor – Dean F. Connors, MD, PhD
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... once an atrial event has occurred (whether paced or native) the device will ensure that an atrial event follows. I - (inhibited): The device will pulse to the appropriate chamber unless it detects intrinsic electrical activity. In the DDI program, AV synchrony is provided only when the atrial chambe ...
FOR APPROVAL ONLY, Draft No
FOR APPROVAL ONLY, Draft No

... allow targeted cardiac rhythm-related problems to be quickly identified, quantified, and communicated to the prescribing physician. The physician selects patient-specific monitoring thresholds and response parameters. CardioNet’s MCOT system is comprised of a sensor, monitor, and base:  Patients we ...
Civic/Riverside Units - S. McCarter, September 2015
Civic/Riverside Units - S. McCarter, September 2015

...  ECG findings: peaked T waves (symmetrical), – P wave widens, PR segment lengthens  P waves eventually disappear – QRS prolonged, sinus bradycardia, conduction blocks – Sine wave (LATE) ...
Figure ll-4 Superior vena cava Left atrium 7. z. 4.
Figure ll-4 Superior vena cava Left atrium 7. z. 4.

... are repolarizing ...
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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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