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Arrhythmia in Pediatric
Arrhythmia in Pediatric

... Treatment: If atrial fibrillation has been present for more than 48hr. One should use anticoagulation with warfarin for 3 wks to prevent systemic embolization of atrial thrombus if the conversion can be delayed. Anticoagulation is continued for 4 wks after the restoration of sinus rhythm. If cardio ...
Cardiology Fact Sheet ACVIM Fact Sheet: Cardiac Arrythmias
Cardiology Fact Sheet ACVIM Fact Sheet: Cardiac Arrythmias

... fashion. The heart has an electrical conduction system that is responsible for controlling the heart rate. This electrical conduction system generates electrical impulses (waves), which travel throughout the heart, stimulating the heart's muscles to contract and push blood through the interior arter ...
Physiologic Basis and Mechanism of Cardiac Arrhythmias by Dr
Physiologic Basis and Mechanism of Cardiac Arrhythmias by Dr

... b. generation of impulses in normally non-automatic cells - development of phase 4 depolarization in normally non-automatic cells - ‘triggered activity’ due to afterdepolarizations - early afterdepolarization ...
Lead V6 - UBC Critical Care Medicine
Lead V6 - UBC Critical Care Medicine

... …With 1st-degree bock and left atrial enlargement  Why? It’s a regular rhythm at about 100 bpm, with a narrow QRS, prolonged PRI (driven by wide P wave, but that’s the way it goes), normal axis, and no evidence of intraventricular conduction delay. There are no ST or T-wave abnormalities, nor Q wav ...
Managing Atrial Fibrillation in Primary care
Managing Atrial Fibrillation in Primary care

... Loss of coordinated atrial activation and atrial mechanical function ...
Slide 1
Slide 1

... (irregular heartbeat)—mostly painless, some discomfort Uses mild sedation and local anesthesia—so patient is awake most of the time Only takes about 2-4 hours to complete, sometimes up to 8 hours Specifically for treatment of different types of TACHYCARDIAS (rapid heartbeat) Other names for cardiac ...
Diagnosis and effective management of atrial
Diagnosis and effective management of atrial

... the pulse rate. Only a minority of patients cannot be anticoagulated because of the risk of bleeding. However, studies have found that just less than half (47 per cent) of patients identified with AF are prescribed anticoagulants. This obviously does not include the large number of patients whose AF ...
Atrial Fibrillation: Beyond Primary Care
Atrial Fibrillation: Beyond Primary Care

... with uncoordinated atrial activation resulting in deterioration of atrial mechanical function ♥ On ECG, P wave is replaced by irregular fibrillatory waves with varying shape & timing ♥ Irregular ventricular response, depends on AV node, vagal & sympathetic tone, or drugs ♥ May occur with atrial flut ...
Atrial Fibrillation and Sudden Cardiac Death
Atrial Fibrillation and Sudden Cardiac Death

... (13–15). Furthermore, digoxin is also associated with increased risks of implantable cardioverter-defibrillator shocks, even after adjustment for AF (16). This finding represents yet another association that requires further investigation, particularly given the known safety concerns surrounding digox ...
The Heart
The Heart

... As an analogy, imagine a picture made up of dominoes. One domino is pushed over causing a wave of collapsing dominoes spreading out across the picture until all dominoes are down. The heart is made up of around half a billion cells, In the picture above you can see the difference in muscle mass of t ...
Surgery in Wolff-Parkinson-White Syndrome
Surgery in Wolff-Parkinson-White Syndrome

... may occur first during childhood or during adult life. Often the rate is fast enough to cause disabling symptoms from the resulting low cardiac output or relative coronary insufficiency, especially in later years when myocardial function and the coronary circulation have become impaired by concomita ...
HERAT PHYSIOLOGY & CONDUTION SYSTEM
HERAT PHYSIOLOGY & CONDUTION SYSTEM

... wave of depolarization that spreads from the SA node throughout the atria P-R interval -represents the time between the onset of atrial depolarization and the onset of ventricular depolarization QRS complex - ventricular depolarization ...
Other Heart Surgeries
Other Heart Surgeries

... During surgery, the damaged valve is removed, and a new valve is sewn in its place. Valve surgery is similar to bypass surgery. • The breast bone is opened to access the heart. • Medicines are given to stop the heart. • A heart-lung bypass machine keeps blood and oxygen moving throughout the body d ...
Electrocardiogram (ECG)
Electrocardiogram (ECG)

... same time. This irregular pattern of impulse travel causes many circuitous routes for the impulses to travel, greatly lengthening the conductive pathway . In ventricular fibrillation, the electrocardiogram shows no tendency toward a regular rhythm of any type. ...
EP Fact Sheet 1 The Three Ps of the Heart The heart has three main
EP Fact Sheet 1 The Three Ps of the Heart The heart has three main

... happen in healthy people free of heart disease. However, some abnormal heart rhythms can be serious or even deadly. Having other types of heart disease can also increase the risk of arrhythmias. ...
05_Instrumental methods of examination of cardiovascular system
05_Instrumental methods of examination of cardiovascular system

... 2) The same shape of all cardiac complexes; 3) Sudden start and stop; 4) Equal R-R intervals. ...
Pseudo-Nodal Rhythm Caused by Cigar Smoking
Pseudo-Nodal Rhythm Caused by Cigar Smoking

... The past history revealed that he had been refused life insurance three years previously because of a rapid rhythm. Peculiarly, he had noted frequent episodes of flutteringr of the heart during the past ten years, usually caused by cigar smokjng. On admission, the blood pressure was 160/106 mm.Hg. S ...
A patient new to my practice has atrial fibrillation. How should I
A patient new to my practice has atrial fibrillation. How should I

... patients with medically managed AF will present to general dentists for routine care. AF is characterized by rapid uncoordinated contraction of the atria, usually between 350 and 600 beats per minute (normal range 60 to 100). This abnormality adversely affects cardiac output, and “atrial kick” accou ...
The Heart Beat The heart beat is caused by impulses arising from
The Heart Beat The heart beat is caused by impulses arising from

... signals produced when viewing the heart beat via an ECG (Electrocardiogram). This traces the electrical activity of the heart. The wave shape produced is called the QRS wave, with each part of the wave being labelled to help describe what is happening at each stage. ...
rhytmcen
rhytmcen

... has highest success rate and quickest action, but can cause dysrhythmias after single dose)  Chronic AF usually with cardiomyopathy: rate control, anticoagulation for 3 weeks (or TEE) followed by electrical cardioversion ...
Clinical Use of Antiarrhythmic Agents
Clinical Use of Antiarrhythmic Agents

... 65 years of age to 10% in individuals older than 80. Diagnosis is usually straightforward by means of an ECG. Hyperthyroidism is an important treatable cause of atrial fibrillation, and a thyroid panel should be obtained at the time of diagnosis to exclude this possibility. With the clinical history ...
Control of Heart Contractions
Control of Heart Contractions

... ARRHYTHMIA – any change from normal heart rate or rhythm Normal pulse range 60-100 ...
Skill Lab #1: Abnormal ECG Interpretation and
Skill Lab #1: Abnormal ECG Interpretation and

... cure for A fib. Rate Control: Digoxin, Beta blockers. Antiarrhythmics: Corvert, Cardizem, Procainimide, Quinidine, ...
The Second Heart Sound (S2) Chapter 8
The Second Heart Sound (S2) Chapter 8

... • Normal vs. Abnormal S3 or S4 • Right vs. Left Ventricular S3 – Right Ventricular S3 is louder during inspiration because of increased venous return to the RV and a larger stroke volume ...
patient information - AF Ablation Clinic
patient information - AF Ablation Clinic

... Atrial Flutter is an abnormal heart rhythm within the upper pumping chambers of the heart (left and right atria) and falls into the category of supra ventricular tachycardia (fast rhythms in the upper chambers of the heart). This rhythm may occur in individuals with or without other forms of cardiov ...
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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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