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Early mitral deceleration and left atrial stiffness - AJP
Early mitral deceleration and left atrial stiffness - AJP

... coronary artery disease (n ⫽ 7, associated with aortic valve replacement in 3 patients and with mitral valve repair in 1 patient) or isolated aortic valve disease (n ⫽ 4; Table 1). One patient suffered a previous myocardial infarction in the anteroapical region and underwent plication of the aneurys ...
Dysrhythmia Recognition lecture
Dysrhythmia Recognition lecture

... digitalis or quinidine, coffee, tea, tobacco, & alcohol. o Increased rate = increased oxygen demand and consumption of the cardiac muscle which may cause ischemia of the myocardium and may precipitate an anginal attack (chest pain). ...
Discerning the Incidence of Symptomatic and Asymptomatic
Discerning the Incidence of Symptomatic and Asymptomatic

... adjudicated episodes of arrhythmia were considered asymptomatic. The numbers of symptomatic vs asymptomatic days for each patient were calculated using previously published criteria10; any day with AF/AFL/AT lasting 5 minutes or longer detected by the ICM and with diary symptoms lasting 5 minutes o ...
Can atrial flutter be converted to sinus rhythm by antiarrhythmic
Can atrial flutter be converted to sinus rhythm by antiarrhythmic

... analysed separately. So there is little information on drug efficacy in atrial flutter. In only few studies was the efficacy of antiarrhythmic drugs in atrial flutter evaluated in small groups of patients. In all of these studies drugs were given intravenously. Suttrop et al. reported a 40 % success ...
Goals of CMR status post atrial redirection surgery
Goals of CMR status post atrial redirection surgery

... “hourglass” narrowing (black asterisk) Obstructed pulmonary venous atrial compartment (asterisk) Continuous flow on in-plane velocity mapping No “hourglass” narrowing, unobstructed ...
Document
Document

... “hourglass” narrowing (black asterisk) Obstructed pulmonary venous atrial compartment (asterisk) Continuous flow on in-plane velocity mapping No “hourglass” narrowing, unobstructed ...
Cardiac dysrhythmias in clinically healthy heifers and cows
Cardiac dysrhythmias in clinically healthy heifers and cows

... this study had any clinically obvious systemic problems or were suffering from anorexia. High vagal tone could be the cause of this dysrhythmia as the mean heart rate of these cattle was significantly lower (P = 0.001) than the mean heart rate of cattle with regular rhythms. This could also be the c ...
Clinical observations of supraventricular arrhythmias in patients with
Clinical observations of supraventricular arrhythmias in patients with

... Figure 5. ECG in a patient with Brugada syndrome coexisting with short QT syndrome. Patient is a 19-year-old male. A. Standard lead ECG. The heart rate is 85 beats/min, QT interval is 280 mS, with ST segment almost completely lost, and high and sharp symmetrical T waves on the right chest leads. B. ...
Technical Note Cardiac Electrophysiology (EP) Research
Technical Note Cardiac Electrophysiology (EP) Research

... (EP catheter at high position) and then turning off the pacing catheter waiting to see how long it takes to recover the SA node pacing activity. In disease states this time of recovery will be longer as compared to healthy hearts. Overdrive suppression is the method by which cells localized in SA no ...
Basic ECG Interpretation
Basic ECG Interpretation

... To get the most out of the Basic ECG Interpretation Study Day please read this Package prior to attendance. At the study day, you will be required to undertake a pre test so it is important the information has been read properly. If you are not confident in your ECG knowledge and / or it has been a ...
Left Atrial Ejection Force (LAEF)
Left Atrial Ejection Force (LAEF)

... tion, which resulted in the decreased left atrial conduit volume [13]. These changes may affect the LAEF in hypertensive patients. We speculated that compensated versus decompensated LA function can be discriminated by monitoring of the %LAEF. %LAEF and WHO Stage and Period of Hypertension Matsuzaki ...
6 Role ofthe Atrioventricular Node in Atrial Fibrillation
6 Role ofthe Atrioventricular Node in Atrial Fibrillation

... alternate explanations based on the theory that atrial impulses may modify an intrinsic pacemaking TIlllction of the AV node rather than being directly, albeit more slowly, conducted through it. The concept of the AV node as an unprotected pacemaker is not new. As early as 1925 Lewis (50) postulated ...
Transcripts/4_10 10-12 (pt.3) (McNicholas)
Transcripts/4_10 10-12 (pt.3) (McNicholas)

... f. Electrical activity is seen in the atria as the waveform of excitation moves down from the SA node down through to the atria and that causes an upper deflection of the ECG. g. The waveform appearance depends on which lead you are looking at that moment. h. Note the diagram of lead # II (standard ...
TGA LATE RESULT M. Turina
TGA LATE RESULT M. Turina

... switch is less well known (neoaorta, coronaries, reoperations). •  Technical problems of atrial correction (stenosis SVC or pulmonary veins) are avoidable. •  Failure of systemic ventricle is not obligatory. •  Atrial correction was performed in older children with long-standing cyanosis which might ...
Clinical Cardiac Electrophysiology
Clinical Cardiac Electrophysiology

... discipline. The ability to make appropriate diagnostic and management decisions that have important consequences for patients will be assessed. The exam may require recognition of common as well as rare clinical problems for which patients may consult a certified clinical cardiac electrophysiologist ...
Derived copy of Cardiac Cycle
Derived copy of Cardiac Cycle

... during ventricular diastole and is described as a dub (Figure 3 (Heart Sounds and the Cardiac Cycle )). In both cases, as the valves close, the openings within the atrioventricular septum guarded by the valves will become reduced, and blood ow through the opening will become more turbulent until ...
Transposition of the Great Arteries (TGA)
Transposition of the Great Arteries (TGA)

... The hospital mortality for ASO performed at RCH, Melbourne from 1985-1997 was 0.9% for TGA/IVS and 4.1% for TGA/VSD. Following discharge from PICU, complications are rare. Late death after newborn TGA has been rare with reports documenting survival at 10 and 15 years as 92-93% and 86% respectively. ...
老人心電圖之表現差異 EKG Changes in The Elderly
老人心電圖之表現差異 EKG Changes in The Elderly

... After 4 years, 208 participants had new and 416 had persistent abnormalities. Both new and persistent ECG abnormalities were associated with an increased risk of subsequent CHD events (HR, 2.01; 95% CI, 1.33-3.02; and HR, 1.66; 95% CI, 1.18-2.34; respectively). When added to the Framingham Risk Scor ...
Intracardiac Echocardiography-Guided Interventions
Intracardiac Echocardiography-Guided Interventions

... The investigators should be praised for their excel- ...
Here
Here

... LIPV ostium, with Achieve positioned to assess PV isolation ...
Vernakalant Hydrochloride for Rapid Conversion of
Vernakalant Hydrochloride for Rapid Conversion of

... To be eligible, patients had to have sustained AF for 3 hours to 45 days, be ⱖ18 years of age, have a body weight of 45 to 136 kg, be receiving adequate anticoagulation, and have a systolic blood pressure ⬎90 mm Hg and ⬍160 mm Hg and a diastolic blood pressure ⬍95 mm Hg. Women could not be pregnant ...
Computer Simulation and Experimental Assessment of Cardiac Electrophysiology Brochure
Computer Simulation and Experimental Assessment of Cardiac Electrophysiology Brochure

... This book is among the first to give a comprehensive overview of the promising and rapidly growing field of computer modeling of the heart. The success of this new field strongly depends on the establishment of multidisciplinary exchanges of information. Accordingly, scientists from different horizo ...
Evaluation of the Role of IKACh in Atrial Fibrillation Using a Mouse
Evaluation of the Role of IKACh in Atrial Fibrillation Using a Mouse

... denervation has prevented the induction of atrial fibrillation (AF) (1,2). Parasympathetic stimulation leads to a release of acetylcholine from the vagus nerve. Acetylcholine binds muscarinic receptors, triggering a heterotrimeric G-protein cascade that results in activation of the muscarinic-gated ...
General Principles Cardiac Cycle
General Principles Cardiac Cycle

... College of Medicine, KSU ...
CorePace Module 9 - Pacemaker Troubleshooting
CorePace Module 9 - Pacemaker Troubleshooting

... • PMT (pacemaker mediated tachycardia) caused by atrial undersensing and retrograde conduction • The abrupt onset is one hallmark of PMT ...
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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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