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Pacemaker-Mediated Tachycardia (PMT) and
Pacemaker-Mediated Tachycardia (PMT) and

... 16 consecutive beats meet PMT episode criteria ...
Rate vs rhythm control in patients with atrial fibrillation
Rate vs rhythm control in patients with atrial fibrillation

... following reasons: seventeen did not compare rate vs rhythm control (Fig. 1), six were post-operative and ten studies did not report data for a heart failure/systolic dysfunction subgroup; Major trials such as HOT-CAFÉ (How to Treat Chronic Atrial Fibrillation), STAF (Strategies of Treatment of Atri ...
review of the diagnosis and treatment of diastolic heart failure
review of the diagnosis and treatment of diastolic heart failure

... Becoming familiar with the guidelines can help or can assist health care providers ...
ELECTROCARDIOGRAM
ELECTROCARDIOGRAM

... wave. Then move the Waveform Cursor to the peak of a wave. Click to place the number in the Value panel. Drag the number from the Value panel into the appropriate column of the upper table. To measure the durations, leave the Marker at the start of the wave or complex and position the Waveform Curso ...
All good things must come to an end.
All good things must come to an end.

... enlargement, coronary artery status, heart valve function and cardiac rhythms are used to evaluate many of the conditions that BNP screens for: ...
Anterior MI
Anterior MI

... • Etiology: Recent theories suggest that it is due to multiple re-entrant wavelets conducted between the R & L atria. Either way, impulses are formed in a totally unpredictable fashion. The AV node allows some of the impulses to pass through at variable intervals (so rhythm is irregularly irregular) ...
Ventricular Tachycardia
Ventricular Tachycardia

... • relatively slow monomorphic, benigne VT • The rate tends to be just slightly above sinus rate; not exceeding 200 beats per minute • generally diagnosed only in patients with a structurally and functionally normal heart • It resolves spontaneously and should not be ...
School of Health Sciences - University of Nottingham
School of Health Sciences - University of Nottingham

... Complete heart block is different in the sense that, whatever happens within the atria, nothing is conducted through the AV node to the ventricles. So, from what you know so far, if the AV node does not receive any signals from the SA node or atria, it can’t work and therefore, logically, the patien ...
The Spatial Characteristics of Atrial Activation in
The Spatial Characteristics of Atrial Activation in

... average upward and leftward direction of spread of the excitatory process, a direction "in harmony with the location of the atrioventricular node." Wilson's interpretation, confined to the events reflected by the plane of the Einthoven triangle, was complemented 30 years later by Ruskin and Decherdl ...
******* 1
******* 1

... approximately 72 times every minute. • This adds up to an impressive 38 million beats every year. • The walls of the heart are made of muscle tissue. When they contract, the blood is ejected from the heart into the arteries of the body. Please contact Dr Fadhl to use this material ...
Cardiac Arrhythmias (Part 2)
Cardiac Arrhythmias (Part 2)

... the disease processes. Sinus bradyeardia, even with rates as low as 40 beats/min, may not be associated with significant hemodynamic consequences unless the stroke volume is limited by myocardial or valvular disease, as in acute myocardial infarction. Cardiac output usually, but not invariably, fall ...
Ejection fraction and outcomes in patients with atrial fibrillation and
Ejection fraction and outcomes in patients with atrial fibrillation and

... rates per 100 person-years in patients with AF and HF, and Supplementary material online, Table S3, shows the same data by EF ranges: ,35%, 35 – 40%, 41 – 49%, and ≥50%. Comparing HFPEF and HFREF patients, there were no statistical differences in stroke, stroke/TE, all-cause death, or bleeding. The ...
Cardiac Arrhythmias: Diagnosis and Management. The Tachycardias
Cardiac Arrhythmias: Diagnosis and Management. The Tachycardias

... Ventricular ectopics are of little clinical significance in normal individuals.14 They assume significance when they are associated with clinical evidence of heart disease, as an indicator of cardiac disease rather than a disorder that needs to be treated, as treatment to suppress them may be associ ...
Atrial Natriuretic Peptide in Chronic Heart Failure in the Rat: A
Atrial Natriuretic Peptide in Chronic Heart Failure in the Rat: A

... To assess the relation between atrial natriuretic peptide and ventricular dysfunction, we simultaneously measured both atrial and plasma immunoreactive atrial natriuretic peptide concentrations in rats 4 weeks after myocardial infarction induced by left coronary artery ligation. When compared to con ...
Abnormal left ventricular diastolic function during
Abnormal left ventricular diastolic function during

... increased atrial contribution to left ventricular filling, .c~lled. the relaxation abnormality [IS]. This condition IS also characterized by a prolonged IVRT and an increased deceleration time of the early filling phase. In the presence of an increased end-diastolic pressure in the left ventricle de ...
ECG-2 - Doctors2Be
ECG-2 - Doctors2Be

... [Increased Heart Rate during Inspiration] ...
Atrial Fibrillation - A Guide for Patients and Families
Atrial Fibrillation - A Guide for Patients and Families

... People who have heart failure, high blood pressure, or diabetes are at higher risk of stroke. Also, if you are 65 years or older or if you have already had a stroke or mini-strokes in the past, you are also at higher risk. Your risk of bleeding also has to be considered because the medications can c ...
Effect of Right Ventricular Pacing on Ventricular Rhythm During
Effect of Right Ventricular Pacing on Ventricular Rhythm During

... with a rapid ventricular response to atrial fibrillation and the proper relations between retrograde conduction times and junctional refractoriness because the postrefractory window for successful propagation would then be quite short. However, we have been unable to model anterograde block by means ...
1 - Grupo Akros
1 - Grupo Akros

... coronary artery bypass surgery because of the extent of the coronary artery disease based on coronary angiography or their general medical status condition precluded major open heart surgery. Please remember that this was more than 20 years ago and some of those patients might be a candidate for sur ...
Uncertainty in Patients Newly Diagnosed with Atrial Fibrillation
Uncertainty in Patients Newly Diagnosed with Atrial Fibrillation

... Purpose of the Study. Atrial fibrillation is the most common sustained cardiac rhythm disturbance encountered in clinical practice. In contrast to its high prevalence and the associated high number of hospital admissions, there is a paucity of published studies that have evaluated the perspective of ...
Left Atrial Diastolic Dysfunction And Pulmonary Venous
Left Atrial Diastolic Dysfunction And Pulmonary Venous

... health care burden.3 The role of AF as a strong and independent risk factor for stroke and mortality has been well described.1, 4 AF is also risk factor for the development of congestive heart failure.16 The loss of sinus rhythm may lead to a reduction in cardiac output when the “booster pump” funct ...
Prevention of Atrial Fibrillation by Renin
Prevention of Atrial Fibrillation by Renin

... Further areas of uncertainty include potential differences among specific RAS inhibitors and possible interactions or synergistic effects with antiarrhythmic drugs. (J Am Coll Cardiol 2010;55:2299–307) © 2010 by the American College of Cardiology Foundation ...
Atrial Size Independently Correlates with the Development of
Atrial Size Independently Correlates with the Development of

... nerability of the atrial myocardium, which explains why AF is frequently seen in clinical situations linked with enlargement of the atrium and shortening of the atrial refractory period.(13,14,17-19) Sick sinus syndrome is an age-related degenerative process of the sinus node, characterized by fibro ...
Management of Atrial Fibrillation
Management of Atrial Fibrillation

... profound discomfort. Occasionally chest pain may be the only presentation. The AF may also be asymptomatic and as much as 25% of patients may have no symptoms.7 Such asymptomatic episodes, however, can still result in adverse atrial remodeling and increase the risk for thromboembolic stroke. There i ...
Full Text
Full Text

... and post-ablation recurrence of AF, independent of ...
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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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