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Thread-like strand from right atrium into right ventricle - Heart
Thread-like strand from right atrium into right ventricle - Heart

... failure. At necropsy a long fibrous strand was seen extending from the right atrium into the right ventricle, with a ball thrombus freely moving along the strand. In the right atrium there was a small thrombus at the base of this fibrous strand. The myocardium was hypertrophied and there were short ...
Acute success rate of electrical cardioversion with or without
Acute success rate of electrical cardioversion with or without

... Electrical cardioversion  Delivery of an electrical shock synchronized with the intrinsic ...
130228-jf-FINAL-Surgical Ablation Booklet
130228-jf-FINAL-Surgical Ablation Booklet

... Criteria for selection have changed a lot in recent years, and surgical ablation is now established as a first or second line therapy. Unfortunately, since this is a relatively recent advance it is not widely known yet as AF treatment traditionally remains the domain of EP cardiologists rather than c ...
Part 2 - BHS Education Resource
Part 2 - BHS Education Resource

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Nerve activates contraction

...  Blood vessels within the lungs become swollen and fluid leaks into the lung tissue causing pulmonary edema. If untreated, the person suffocates. ...
Interpreting the ECG of a Patient with a Pacemaker - e
Interpreting the ECG of a Patient with a Pacemaker - e

... single chamber. The number 0 signifies no multisite pacing, A indicates multisite pacing in the atria, V indicates multisite pacing in the ventricles, and D indicates dual multisite pacing in both atria and ventricles. The most common presentation of multisite pacing is biventricular pacing for the ...
Rasha Ageeb Hassan Aly_Rasha
Rasha Ageeb Hassan Aly_Rasha

... Atrial septal defect (ASD) is an opening in the atrial septum permitting the shunting of blood between the atria. There are three major types: ostium secundum, ostium premium, and sinus venosus. Ostium secundum is the most common type (Toyno M, et al., 2008). An isolated secundum atrial septal defec ...
ECGs MADE EASY
ECGs MADE EASY

... recording of the electrical potentials produced by the cardiac tissue. ...
ECG Workshop - Kentucky Academy of Physician Assistants
ECG Workshop - Kentucky Academy of Physician Assistants

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ARRHYTHMIA An arrhythmia is an abnormal heart rhythm. There
ARRHYTHMIA An arrhythmia is an abnormal heart rhythm. There

... 2. Atrial flutter – this arrhythmia often occurs in women with heart disease such as congenital heart disease 3. Atrial fibrillation – this arrhythmia often occurs in women with heart disease such as rheumatic heart disease 4. Ventricular tachycardia – this arrhythmia can occur in women with underly ...
Manuscript - E6-IJS
Manuscript - E6-IJS

... Spontaneous cardioinhibitory syncope has rarely been documented by high-precision ECG measurements. Although the extended monitoring of ECG with implantable loop recorders (ILRs) in the past two decades has increased the knowledge of the mechanisms related to cardioinhibitory syncope, the P waves i ...
Growth differentiation factor-15 (GDF
Growth differentiation factor-15 (GDF

... Abstract: Objective: Growth differentiation factor-15 (GDF-15) has been identified as a strong biomarker of cardiovascular diseases; however, no evidence are available concerning the relationship of GDF-15 and atrial fibrosis in patients with atrial fibrillation (AF) and rheumatic heart disease (RHD ...
CLINICAL REVIEW Management of atrial fibrillation
CLINICAL REVIEW Management of atrial fibrillation

... Current guidelines for atrial fibrillation agree in several aspects.2 3 w2 Patients presenting with rapid atrial fibrillation and acute symptoms (hypotension, syncope, chest pain, dyspnoea, heart failure, or neurological symptoms) require urgent control of their heart rate and possibly emergency car ...
spontaneous rupture of the heart in the newborn infant
spontaneous rupture of the heart in the newborn infant

... The mother, a primigravida, was aged 28 years; right atrium, close to the root of the atrial appendix; blood group A Rh-positive. Her Wassermann reaction examination of this area under 30 magnification revealed was negative. She had a long history of varicose a tiny round perforation in the atrial w ...
Diurnal variations of the dominant cycle length of chronic atrial
Diurnal variations of the dominant cycle length of chronic atrial

... (19) blood pressure, body temperature, blood pH, hormone levels (25, 31, 34), and autonomic tone (10, 12). Furthermore, there are diurnal differences in levels of physical exertion, respiratory rate, and body posture. A number of these factors are likely to be interrelated and may contribute to diur ...
Current™ DR RF
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... The Current™ DR RF ICD is intended to provide ventricular antitachycardia pacing and ventricular defibrillation for automated treatment of life-threatening ventricular arrhythmias. AF suppression pacing is indicated for suppression of paroxysmal or persistent atrial fibrilltion in patients with the ...
Rate versus rhythm control in atrial fibrillation and
Rate versus rhythm control in atrial fibrillation and

... AF is the most common sustained cardiac arrhythmia. Risk factors for this condition include male sex, smoking, heart failure, diabetes, arterial hypertension, left ventricular hypertrophy, valvular heart disease, myocardial infarction and advanced age. The lifetime risk of developing AF in subjects ...
Percutaneous Therapeutic Interventions for the Mitral Valve
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Bradycardia - Arrhythmia Alliance
Bradycardia - Arrhythmia Alliance

... In Syncope 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 include defects of the ‘wiring’ of the heart. Syncope can occur when the heart slows or momentarily stops (asystole). Therefore oxygenated blood ...
Atrial fibrillation: Who should be referred for ablation therapy for
Atrial fibrillation: Who should be referred for ablation therapy for

... symptomatic long-standing (>12 months) persistent AF refractory or intolerant to at least 1 class I or III antiarrhythmic medication when a rhythm-control strategy is desired. AF catheter ablation may be considered before initiation of antiarrhythmic drug therapy with a class I or III antiarrhythmic ...
Status of Antiarrhythmic Drug Development for Atrial Fibrillation
Status of Antiarrhythmic Drug Development for Atrial Fibrillation

... AVRO trial, which compared vernakalant with amiodarone. A meta-analysis of these trials by Buccelletti et al13 showed that vernakalant had a significantly increased cardioversion rate within 90 minutes of administration (P≤0.00001) and no significant difference in adverse events compared with placeb ...
EKG Recognition for EMT’s
EKG Recognition for EMT’s

... • Separates left and right sides of atria and ventricles • Cardiac Skeleton • Separates the atria from the ventricles • Impermeable to electricity • Electrical conduction system • Pathways through the heart for electricity ...
STUDY GUIDE dysrhythmias Tucker
STUDY GUIDE dysrhythmias Tucker

... The electrical impulse originates in the ________________ which is located in the _______________. The normal rate ranges from __________ to _______________ times a minute in the adult. The electrical impulse then travels through the _______________ to the _________________. This electrical stimulat ...
2. CARDIAC CYCLE - badripaudel.com
2. CARDIAC CYCLE - badripaudel.com

... An impulse arising from the SA node results in depolarization and contraction of the atria (the right atrium contracts slightly before the left atrium). The P wave is due to this atrial depolarization. The PR segment is electrically quiet as the depolarization proceeds to the AV node. This brief pau ...
New Perspectives in Cardiac Arrest Management - Amiodarone-IV
New Perspectives in Cardiac Arrest Management - Amiodarone-IV

... of 6 ± 4 mm Hg (P<0.05) • Infusion of amiodarone (242 ± 137 mg over 1 hr decreased heart rate by 37 ± 8 beats/min and increased systolic blood pressure by 24 ± 6 mm Hg (P<0.05) – Beneficial outcomes noted in pulmonary artery occlusive pressure and cardiac output Clemo HF, Wood MA, Gilligan DM, Ellen ...
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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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