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the normal ecg in childhood and adolescence
the normal ecg in childhood and adolescence

... centile. These invaluable tables and charts are quoted in many major paediatric cardiology texts currently available, but some limitations must be recognised in the application of the data in practice today. Normal values for males and females were not separated. It may inappropriate to apply these ...
The Effects of Nitroglycerin on the Heart Rate of the 120
The Effects of Nitroglycerin on the Heart Rate of the 120

... significantly, however, the in vitro heart rate increased, but was still lower than the control. This increase may be due to the observed constant fibrillation that occurred after the administration of Etoh, which also supports our hypothesis. ...
Rhythm Control Versus Rate Control and€Clinical Outcomes in
Rhythm Control Versus Rate Control and€Clinical Outcomes in

... METHODS Patients managed with a rhythm control strategy targeting maintenance of sinus rhythm were retrospectively compared with a strategy of rate control alone in a AF registry across various U.S. practice settings. Unadjusted and adjusted (inverse-propensity weighted) outcomes were estimated. RES ...
ECG Accurate Pulse® Strapless Heart Rate Monitor Sportswatches
ECG Accurate Pulse® Strapless Heart Rate Monitor Sportswatches

... contractions over a given time period, usually defined in beats per minute. How Does Pulse Differ from Heart Rate? The Heart rate is usually measured by sensing devices such as electrodes that pick up the electrical activity of the heart, which regulates contractions. The pulse rate is commonly meas ...
Understanding cardiac “echo” reports
Understanding cardiac “echo” reports

... Date of procedure. Before studying a TTE report, check its date (Table 1). Even recent studies can convey outdated impressions. Change is expected when a patient’s clinical status changes as a result of worsening disease or in response to treatment. Reason for the test. Explaining why echocardiograp ...
Final Protocol - Medical Services Advisory Committee
Final Protocol - Medical Services Advisory Committee

... functional measures. Patients with asymptomatic AF have lower global life satisfaction compared with healthy subjects3. Costs of AF to the Australian economy are at least $1.25 billion per annum through medical costs, costs of long-term care for those with a disability, and lost productivity 4. Peop ...
Interaction between systolic and diastolic time intervals in atrial
Interaction between systolic and diastolic time intervals in atrial

... ends with the onset of the succeeding ventricular systole. Nevertheless, we find considerable beat to beat variation in the exact time that it did so with respect to the onset of the QRS complex of the succeeding beat. When the RR interval was greater than 1000 ms the interval Q2 to mitral valve clo ...
Hospitalisation-leading cardiac arrhythmias in Portugal
Hospitalisation-leading cardiac arrhythmias in Portugal

... North population has a lower risk of being hospitalised than Lisbon population. This may be due to the North’ relative youth and to a greater prevalence of hyperthyroidism and hypertension in Lisbon. Nonetheless, we suspect there are other underlying reasons contributing to these results. ...
Postoperative Atrial Fibrillation Following Open Cardiac Surgery
Postoperative Atrial Fibrillation Following Open Cardiac Surgery

... patients also have frequent premature atrial contractions that predispose them to POAF.10 Our study showed left ventricular hypertrophy as predictive for POAF. The majority of these patients usually suffer from high blood pressure with secondary cardiac hypertrophy. These hearts may contain of myoca ...
Patients with atrial fibrillation and low risk of stroke: do they really
Patients with atrial fibrillation and low risk of stroke: do they really

... for nonvalvular AF, the initial step in stroke risk stratification is to identify low-risk patients.13 If the risk is low, the patient does not require anticoagulation. According to the 2012 ESC guidelines, in patients with nonvalvular AF with a CHA2DS2-VASc score of 0 or in patients younger than 65 ...
Lenient vs. strict rate control in patients with atrial fibrillation and
Lenient vs. strict rate control in patients with atrial fibrillation and

... strict group]. At baseline, NT-proBNP was high: 1189 pg/mL [interquartile range (IQR) 773–1929]. During follow-up, no significant changes occurred in either group: from a median of 1197 pg/mL at baseline to 1029 pg/mL (IQR 633 –1544) at the end of follow-up ...
I. Sinus rhythms and arrhythmias A. Records the impulse originating
I. Sinus rhythms and arrhythmias A. Records the impulse originating

... E. Clinical Presentation – not usually significant F. Treatment – Treated only if accompanied by symptoms of hypoperfusion, treat as symptomatic bradycardia X. Premature Atrial Contraction A. The impulse is from the atria, outside the SA node B. Characterized by beats occurring earlier than the next ...
The Cardiovascular System: The Heart Heart`s Place in the
The Cardiovascular System: The Heart Heart`s Place in the

... atrium and ventricle with the pulmonary circuit and left atrium and ventricle with the systemic circuit. The left ventricle s greater workload makes it more massive than the right, but the two pump equal amounts of blood. AV valves prevent backflow from the ventricles into the atria, and semilunar v ...
The Initiation of the Heart Beat - J
The Initiation of the Heart Beat - J

... generate normal sinus rhythm. Genetic mutations that affect a single clock do not always result in severe symptomatic bradycardia. Rather, many patients with reduced If are asymptomatic and can increase their heart rate to >150 beats/min during exercise. However, in common diseases such as atrial fi ...
i. basic principles of cardiac conduction
i. basic principles of cardiac conduction

... 1. P waves are absent but small irregular deflections in the baseline (“f” or “fibrillation waves”) may be seen. They are most easily detected in the inferior leads (II, III, and aVF) and in V1–V3. The atrial rate is 400–700 beats per minute. 2. Because P waves are not visible, there is no PR inte ...
Aspirin: Friend or Foe?
Aspirin: Friend or Foe?

... Two of the trials, the Physicians Health Study and the British Doctors Trials, involved a total of 27,210 healthy men aged 40-84 years. The participants were followed for a mean of 5 and 6 years respectively. The rate of nonfatal heart attack was 0.28% per year in the aspirin group and 0.40% per yea ...
Percutaneous closure of a postoperative residual atrial septal defect
Percutaneous closure of a postoperative residual atrial septal defect

... exhibited a significant reduction in size and the estimated systolic pulmonary artery pressure calculated from the tricuspid insufficiency was measured as 30 mmHg (Fig. 1e). DISCUSSION ...
Heart failure: Best options when ejection fraction is preserved
Heart failure: Best options when ejection fraction is preserved

... z ARBs. There is no evidence to show that ARB therapy improves morbidity or mortality in HFPEF. Using surrogate end points, ARBs have been associated with regression of LV hypertrophy, and losartan was found to improve exercise tolerance and quality of life, compared with hydrochlorothiazide.18,19 I ...
syllabus apk 6128 ekg interpretation fall semester, 2012
syllabus apk 6128 ekg interpretation fall semester, 2012

... Robert J. Huszar, 2nd Edition, Mosby Lifeline Publishing (3) ECG INTERPRETATION, Ken Grauer, 2nd Ed., Mosby Publisher ...
PALS Pretest - Heartland CPR
PALS Pretest - Heartland CPR

... tachycardia (WCT) aspect of VT. In most patients a WCT will be ventricular tachycardia, especially with older age and history of cardiac disease or acute chest discomfort. In these settings, presume and treat as VT. With advanced rhythm training, you will learn that WCTs may be abnormally conducted ...
Figure 12-9(b) - Cloudfront.net
Figure 12-9(b) - Cloudfront.net

... atrium and ventricle with the pulmonary circuit and left atrium and ventricle with the systemic circuit. The left ventricle’s greater workload makes it more massive than the right, but the two pump equal amounts of blood. AV valves prevent backflow from the ventricles into the atria, and semilunar v ...
The Cardiovascular System: The Heart
The Cardiovascular System: The Heart

... atrium and ventricle with the pulmonary circuit and left atrium and ventricle with the systemic circuit. The left ventricle’s greater workload makes it more massive than the right, but the two pump equal amounts of blood. AV valves prevent backflow from the ventricles into the atria, and semilunar v ...
Results of surgical repair of atrial septal defects in
Results of surgical repair of atrial septal defects in

... symptom-free, many die prematurely and many more become increasingly symptomatic with age. The average age at death has varied in different series between 36 and 49 years (Roesler, 1934; Burrett and White, 1945; Welch and Kinney, 1948; Cosby and Griffith, 1949; Campbell, Neill, and Suzman, 1957; and ...
The occurrence of cardiovascular disease during 5-year follow
The occurrence of cardiovascular disease during 5-year follow

... Baseline variables were compared with an independent T-test (twotailed) after performing Levene’s test for equality of variances in all normally distributed continuous variables and Mann– Whitney test (two-tailed) in all not normally distributed variables. Categorical variables were tested with two- ...
Interatrial septal thickness as a marker of structural and functional
Interatrial septal thickness as a marker of structural and functional

... at the time of echocardiographic examination and who required direct current (DC) cardioversion more than three times to restore sinus rhythm (SR) during LAVOL mapping. Other exclusion criteria were the presence of visible thrombi in LA on transesophageal echocardiography (TEE), previous AF ablation ...
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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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