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Bradycardia Booklet
Bradycardia Booklet

... there are many causes of syncope, some common and some rare. Most cases of syncope are due to the ‘common’ faint however other important causes includes defects of the ‘wiring’ of the heart. Syncope can occur when the heart slows or momentarily stops (asystole) therefore oxygenated blood is not pump ...
juicy j xanax - Romanian Ski Days
juicy j xanax - Romanian Ski Days

... appropriately placed electrodes, amplified, and viewed on an oscilloscope or chart recorder. The deflection points of an ECG are designated by the letters P, Q, R, S, and Figure 27-6 depicts the electrical activity of the conduction system on an ECG tracing. The P wave represents the SA node and atr ...
Jorgensen J1010 manual march 07.indd
Jorgensen J1010 manual march 07.indd

... GETTING THE MOST FROM YOUR ECG The ECG tracing is a valuable diagnostic tool, and their interpretation can be a challenging task for the clinician and staff. However, with some simple study, the ECG will be an indispensable clinical parameter. Some recommended indications for the use of the ECG inc ...
ACLS Rhythms for the ACLS Algorithms
ACLS Rhythms for the ACLS Algorithms

... Clinical Manifestations ...
ELECTROCARDIOGRAM
ELECTROCARDIOGRAM

... Most common sustained arrhythmia associated with increased CV mortality and morbidity Prevalence increasing with age, doubling with each successive decade, 70% in ages 65-85 Multiplier effect on risk ...
Evaluation of Diastolic Dysfunction by Echocardiogram
Evaluation of Diastolic Dysfunction by Echocardiogram

... SVC inflow invariably does not have AR amongst healthy children AR-wave usually seen with: ...
Cardiac Arrhythmias in Cats
Cardiac Arrhythmias in Cats

... FOR YOUR PeT ...
Noncontact mapping using the Endocardial Solutions
Noncontact mapping using the Endocardial Solutions

... Arrhythmias affect millions of people worldwide and can result in heartbeats that are either too slow, erratic, or too fast. These arrhythmias cause the blood to pump inefficiently, resulting in dizziness, fatigue, or other symptoms. Fast heartbeats cause the blood to pump inefficiently. There are t ...
21 January 2015
21 January 2015

...  Tachyarrhythmias - where the heart rate is usually in the range 240-300 beats per minute. These are most commonly narrow complex supraventricular tachycardia but also ventricular tachycardia, long QT syndrome, ventricular fibrillation and sinoatrial node dysfunction (4).  Bradyarrhythmias - where ...
stabilization of the congestive heart failure
stabilization of the congestive heart failure

... Calcium reuptake into the sarcoplasma reticulum follows contraction. During heart failure, the conversion of chemical energy to work occurs at a reduced rate. While there is no reduction of intracellular calcium, reuptake of calcium by the sarcoplasma reticulum is diminished. Decreased storage, synt ...
Part 7
Part 7

... compromise are related to the tachycardia (Box 3). If the patient demonstrates rate-related cardiovascular compromise, with signs and symptoms such as altered mental status, ongoing chest pain, hypotension, or other signs of shock, provide immediate synchronized cardioversion (Box 4—see below). Seri ...
Beta-blockers for atrial fibrillation
Beta-blockers for atrial fibrillation

... continuing warfarin therapy indefinitely after cardioversion of AF. Maintenance of anticoagulation provides protection from thromboembolic complications of recurrent AF (whether symptomatic or asymptomatic) and allows prompt conversion of sinus mechanism when recurrent AF is recognized (obviating th ...
Simultaneous 4-Chamber Strain - Circulation: Cardiovascular Imaging
Simultaneous 4-Chamber Strain - Circulation: Cardiovascular Imaging

... of its monoplane representation of the LV, this approach is unlikely to replace dedicated analysis of single chambers. The example offered by Addetia et al of a patient with severe pulmonary hypertension (Figure 7 of Addetia et al) underlines this. The authors state that, “compared with the normal v ...
Heart failure with preserved and reduced ejection fraction: different
Heart failure with preserved and reduced ejection fraction: different

... 49%) was excluded, though it is notable that only 1.3% of all HF subjects fell in this range. During the study period, 374 people developed HF (4.4%) of which 66% had HFrEF and 34% had HFpEF. The average time to diagnosis was 7.2 years, but intriguingly subjects with HFpEF were diagnosed 2 years la ...
Atrial fibrillation in the acute, hypercapnic exacerbations of COPD
Atrial fibrillation in the acute, hypercapnic exacerbations of COPD

... with a high frequency of arrhythmias. Atrial fibrillation (AF) is one of the most common arrhythmias and causes substantial morbidity and mortality. Emerging risk factors for the development of AF include a variety of breathing disorders like COPD. Few studies have analyzed the role of reduced lung ...
Cardiovascular emergency crisis: Arrhythmias EKG and Cardiac Arrest
Cardiovascular emergency crisis: Arrhythmias EKG and Cardiac Arrest

... • For example, heart rates as low as 40 beats per minute are common and quite normal in well trained athletes. • Single abnormal beats, originating elsewhere in the heart than the sinus node, however, can be dangerous, and some require immediate therapy to prevent sudden death. ...
HYPERTENSION AND ARRHYTHMIA
HYPERTENSION AND ARRHYTHMIA

... especially hypokalemia (iatrogenic or secondary to hyperaldosteronism) can lead to the development of supraventricular arrhythmia. Diagnosis and prognosis of atrial arrhythmia Whenever a hypertensive patient complains of palpitations, the possibility of arrhythmia-supraventricular or ventricular-sho ...
ABC of clinical electrocardiography Introduction. I
ABC of clinical electrocardiography Introduction. I

... meeting, a young doctor eager to acquire new knowledge. It was clear that the first speaker had firmly embraced the concept of the PowerPoint presentation, and he was treating his audience to beautifully coloured slides. Like so many of us, he tended to put just a little too much information on each ...
Epidemiology of Stroke and Death in Atrial Fibrillation
Epidemiology of Stroke and Death in Atrial Fibrillation

... fast heart rate, usually between 125 and 150 beats per minute, which a person can live with for years, although, at reduced efficiency of overall heart pumping, and heart failure very often develops22. Pathophysiologically, AF is caused by circular movement of impulses25. The background conditions t ...
BE III PG 1-5
BE III PG 1-5

... Sinus bradycardia (Figure 4) is normal sinus rhythm that is less than 60 beats/min in dogs and 70 to 80 beats/min in cats. Sinus bradycardia originates from the sinoatrial node. Athletic dogs may have heart rates below 60 beats/min; it must be determined whether bradycardia is a normal or abnormal s ...
of atrial dysrhythmias - Heart
of atrial dysrhythmias - Heart

... next 8 hours. Quinidine is probably not absorbed in the stomach, but is rapidly absorbed in the alkaline medium of the small intestine. Using Kinidin Durules, the maximum concentration achieved is significantly lower and the peak quinidine concentration seen after the ordinary form of quinidine bisu ...
Wolff-Parkinson-White Syndrome: An Uncommon Cause of
Wolff-Parkinson-White Syndrome: An Uncommon Cause of

... premature ventricular contractions, and sinus tachycardia may be caused by anxiety, stress, and excessive intake of stimulants such as caffeine. However, clinicians must be aware of and alert for more serious underlying conditions. In this article, we report the case of a young man who presented wit ...
anemia: symptoms - Oregon Health & Science University
anemia: symptoms - Oregon Health & Science University

... – Not reversible by protamine – Contraindicated in renal failure ...
Atrial Fibrillation, Atrioventricular Nodal Ablation and Biventricular
Atrial Fibrillation, Atrioventricular Nodal Ablation and Biventricular

... cardiac performance. Experimental animal and clinical studies have shown that it reduces the ejection fraction, while in the long term it causes disturbances of left ventricular innervation, perfusion and myocardial structure21-24. In recognising this problem it is reasonable for one to suppose that ...
Molecular adaptations in human atrial fibrillation Brundel, Bianca
Molecular adaptations in human atrial fibrillation Brundel, Bianca

... spontaneously any more. They discovered that the increased tendency of the atria to fibrillate was paralleled by a progressive shortening of the atrial effective refractory period (AERP) and loss of the physiological rate adaptation of the refractory period which they termed atrial electrical remode ...
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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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