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 ...
... 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 ...
Basic EKG Dysrhythmia Identification - KSU
... Nurses have significant diagnostic influence in the areas of cardiac rhythm monitoring and dysrhythmia identification (Hebra, 1994). It is essential that nurses who care patients at risk for cardiac dysrhythmias have a thorough understanding of accurate electrode placement. They must also use curre ...
... Nurses have significant diagnostic influence in the areas of cardiac rhythm monitoring and dysrhythmia identification (Hebra, 1994). It is essential that nurses who care patients at risk for cardiac dysrhythmias have a thorough understanding of accurate electrode placement. They must also use curre ...
Genetic Testing to Detect Atrial Septal Defect with Atrioventricular
... position and size of the heart and the major blood vessels. A diagnosis can be confirmed by tests such as a chest X-ray or a heart MRI. However, the absence of these signs does not guarantee that no ASD is present. In addition, these signs may simply be missed during routine physical exams. About ha ...
... position and size of the heart and the major blood vessels. A diagnosis can be confirmed by tests such as a chest X-ray or a heart MRI. However, the absence of these signs does not guarantee that no ASD is present. In addition, these signs may simply be missed during routine physical exams. About ha ...
Ventricular Tachycardias - e
... 2. What is the heart rate? Find a QRS complex on or near a dark line. Method A: Counting the large boxes, we see that there are almost 2 large boxes before the next QRS complex. Two boxes would put the rate at about 150 beats per minute, or we could estimate it at 170 beats per minute. Method B: The ...
... 2. What is the heart rate? Find a QRS complex on or near a dark line. Method A: Counting the large boxes, we see that there are almost 2 large boxes before the next QRS complex. Two boxes would put the rate at about 150 beats per minute, or we could estimate it at 170 beats per minute. Method B: The ...
and Atrial Fibrillation - Chronic Obstructive Pulmonary Disease
... Morbidity in the US and is associated with a wide variety of cardiovascular diseases especially arrhythmias, angina, myocardial infarction and congestive heart failure and is directly associated with the severity of COPD described in the GOLD initiative. COPD is an independent risk factor for AF/AFL ...
... Morbidity in the US and is associated with a wide variety of cardiovascular diseases especially arrhythmias, angina, myocardial infarction and congestive heart failure and is directly associated with the severity of COPD described in the GOLD initiative. COPD is an independent risk factor for AF/AFL ...
PDF - Circulation: Arrhythmia and Electrophysiology
... include baffle obstruction, systemic ventricular failure, systemic atrioventricular valve regurgitation, and rhythm disturbances. The most common atrial arrhythmia in this population is intra-atrial reentrant tachycardia (IART), which has been associated with development of heart failure and death.1 ...
... include baffle obstruction, systemic ventricular failure, systemic atrioventricular valve regurgitation, and rhythm disturbances. The most common atrial arrhythmia in this population is intra-atrial reentrant tachycardia (IART), which has been associated with development of heart failure and death.1 ...
Irregular Heart Beats/Palpitations
... CPVT and LQTS • CPVT is an LQTS mimicker.1 • As many as 30% of CPVT patients have been misdiagnosed as having “Long QT with normal QTc.”2,3 • Differentiating CPVT from LQTS is important for: - Developing a comprehensive treatment plan - Family-specific testing ...
... CPVT and LQTS • CPVT is an LQTS mimicker.1 • As many as 30% of CPVT patients have been misdiagnosed as having “Long QT with normal QTc.”2,3 • Differentiating CPVT from LQTS is important for: - Developing a comprehensive treatment plan - Family-specific testing ...
Evolution of Paroxysmal Atrial Fibrillation to Persistent or Permanent
... AF frequently starts as paroxysmal atrial fibrillation (PAF) and gradually progresses to permanent atrial fibrillation in about 77% of patients over a time period of 14 years despite anti-arrhythmic therapy as shown in a study by Kato et al.8 Epidemiological studies and animal models suggest that AF ...
... AF frequently starts as paroxysmal atrial fibrillation (PAF) and gradually progresses to permanent atrial fibrillation in about 77% of patients over a time period of 14 years despite anti-arrhythmic therapy as shown in a study by Kato et al.8 Epidemiological studies and animal models suggest that AF ...
Atrial systole: its role in normal and diseased hearts
... low [28,29]but is age related, increasing from about 10% at age 20 to 46% at age 80 years [28].This change may be related to decreased ventricular compliance with age. When the ventricle is damaged atrial systole appears to play a much larger supportive role. ATRIAL SYSTOLE IN VENTRICULAR DISEASE Wh ...
... low [28,29]but is age related, increasing from about 10% at age 20 to 46% at age 80 years [28].This change may be related to decreased ventricular compliance with age. When the ventricle is damaged atrial systole appears to play a much larger supportive role. ATRIAL SYSTOLE IN VENTRICULAR DISEASE Wh ...
Historical Perspectives of Cardiac Electrophysiology
... times, no clinical symptom impressed the patient (and the physician) more than an irregular heart beat. Although ancient Chinese pulse theory laid the foundation for the study of arrhythmias and clinical electrophysiology in the 5th century BC, the most significant breakthrough in the identification ...
... times, no clinical symptom impressed the patient (and the physician) more than an irregular heart beat. Although ancient Chinese pulse theory laid the foundation for the study of arrhythmias and clinical electrophysiology in the 5th century BC, the most significant breakthrough in the identification ...
6.2 Control of the Heart Beat
... • Emotional control: Heart rate is controlled by higher brain centers. – Emotional fainting results from the higher brain centers causing increased blood flow to the muscles and intense vagus nerve stimulation of the heart, causing the heart to slow markedly. – Arterial pressure falls instantly, whi ...
... • Emotional control: Heart rate is controlled by higher brain centers. – Emotional fainting results from the higher brain centers causing increased blood flow to the muscles and intense vagus nerve stimulation of the heart, causing the heart to slow markedly. – Arterial pressure falls instantly, whi ...
6. Rheumatic heart disease in pregnancy
... include a full history and examination, and an echocardiogram. If patients are already symptomatic, due to significant rheumatic valvular disease, serious consideration should be given to interventional therapy or surgery prior to pregnancy to avoid life-threatening complications, which may occur in ...
... include a full history and examination, and an echocardiogram. If patients are already symptomatic, due to significant rheumatic valvular disease, serious consideration should be given to interventional therapy or surgery prior to pregnancy to avoid life-threatening complications, which may occur in ...
Successful Radiofrequency Catheter Ablation of Scar
... Figure 1. Baseline electrocardiography during palpitations showed wide QRS tachycardia. The mechanism was determined to be atrial tachycardia with 1:1 ventricular conduction during a previous electrophysiologic study. ...
... Figure 1. Baseline electrocardiography during palpitations showed wide QRS tachycardia. The mechanism was determined to be atrial tachycardia with 1:1 ventricular conduction during a previous electrophysiologic study. ...
Stroke Prevention in Patients With Atrial Fibrillation
... transient ischemic attack, patient age, and presence of hypertension and diabetes mellitus. Risk is then categorized as low, moderate, or high. 20 The CHA2DS2-VASc score complements the CHADS2 score by adding other “stroke risk modifier” factors: lower age bracket (65-74 years), female sex, and vasc ...
... transient ischemic attack, patient age, and presence of hypertension and diabetes mellitus. Risk is then categorized as low, moderate, or high. 20 The CHA2DS2-VASc score complements the CHADS2 score by adding other “stroke risk modifier” factors: lower age bracket (65-74 years), female sex, and vasc ...
ELKG1110 Electrocardiographic (EKG) Technician Master Syllabus
... normal Sinus Rhythm: normal, bradycardia, tachycardia, regular, irregular d. ventricle arrhythmias: tachycardia, flutter, fibrillation e. atrial arrhythmias: tachycardia, flutter, fibrillation f. heart blocks 1st, 2nd , 3rd degree AV blocks g. ectopic beats, h. late beats i. premature beats, ventric ...
... normal Sinus Rhythm: normal, bradycardia, tachycardia, regular, irregular d. ventricle arrhythmias: tachycardia, flutter, fibrillation e. atrial arrhythmias: tachycardia, flutter, fibrillation f. heart blocks 1st, 2nd , 3rd degree AV blocks g. ectopic beats, h. late beats i. premature beats, ventric ...
Introduction to the 12
... ‘negative’ in aVR. Narrow QRS-complexes (0.08 to 0.12 s in duration); Q-waves in V5 and V6 are < 0.04 s and < 3 mm deep. R-S-wave progression from V1 to V6; QTc-interval is normal. Normal cardiac axis: Positive QRS-complexes in Lead I, III and aVF. Normal ST-segments and T-waves. ...
... ‘negative’ in aVR. Narrow QRS-complexes (0.08 to 0.12 s in duration); Q-waves in V5 and V6 are < 0.04 s and < 3 mm deep. R-S-wave progression from V1 to V6; QTc-interval is normal. Normal cardiac axis: Positive QRS-complexes in Lead I, III and aVF. Normal ST-segments and T-waves. ...
Episodic Central Nervous System Ischemia of
... emboli, particularly in the presence of mitral stenosis, atrial fibrillation, myocardial infarction with mural thrombus, infectious or marantic endocarditis, advanced cardiomyopathy, valvular aortic stenosis, prosthetic heart valves, and cardiac tumor. Pulmonary disease with emboli via pulmonary vei ...
... emboli, particularly in the presence of mitral stenosis, atrial fibrillation, myocardial infarction with mural thrombus, infectious or marantic endocarditis, advanced cardiomyopathy, valvular aortic stenosis, prosthetic heart valves, and cardiac tumor. Pulmonary disease with emboli via pulmonary vei ...
Atrial Fibrillation After Lung Transplantation
... Post-operative pericaridits has been linked to atrial fibrillation after cardiac surgery .14 Pericarditis may cause atrial epicardial inflammatory injury and serve as a substrate for atrial fibrillation. For example, epicardial implantable cardioverterdefibrillator (ICD) implantation results in sign ...
... Post-operative pericaridits has been linked to atrial fibrillation after cardiac surgery .14 Pericarditis may cause atrial epicardial inflammatory injury and serve as a substrate for atrial fibrillation. For example, epicardial implantable cardioverterdefibrillator (ICD) implantation results in sign ...
Practical stepwise approach to rhythm disturbances in congenital
... problems are also involved. Subsequent structural and electrical remodeling could stabilize arrhythmia with the help of iatrogenic factors such as electrolytes and/or medications. Acquired factors like aging, hypertension, diabetes, obesity, and others may play important roles in arrhythmogenesis in ...
... problems are also involved. Subsequent structural and electrical remodeling could stabilize arrhythmia with the help of iatrogenic factors such as electrolytes and/or medications. Acquired factors like aging, hypertension, diabetes, obesity, and others may play important roles in arrhythmogenesis in ...
02.Heart_Arrythmias_2
... • Multiple ectopic reentrant focuses fire in the atria causing a chaotic baseline • The rhythm is irregular and rapid (approx. 140 – 150 beats per minute) • Q is usually d by 10% to 20% (no atrial “kick” to ventricular filling) • May be seen in CAD (especially following surgery), mitral valve stenos ...
... • Multiple ectopic reentrant focuses fire in the atria causing a chaotic baseline • The rhythm is irregular and rapid (approx. 140 – 150 beats per minute) • Q is usually d by 10% to 20% (no atrial “kick” to ventricular filling) • May be seen in CAD (especially following surgery), mitral valve stenos ...
Purkinje-related ventricular fibrillation associated with a
... total of 10 000 monomorphic PVCs per 24 h, were recorded on Holter ECG (Figure 1A). Recurrent nocturnal torsades de pointe tachycardia initiated by PVCs with the same QRS morphology, without QT prolongation during sinus rhythm, led to almost daily ICD shocks despite DDDR-70 pacing and continued bis ...
... total of 10 000 monomorphic PVCs per 24 h, were recorded on Holter ECG (Figure 1A). Recurrent nocturnal torsades de pointe tachycardia initiated by PVCs with the same QRS morphology, without QT prolongation during sinus rhythm, led to almost daily ICD shocks despite DDDR-70 pacing and continued bis ...
The effects of amiodarone and early cardioversion on postoperative
... bypass surgery. J Am Coll Cardiol 2004;43:742– 8. 5. Crystal E, Connolly SJ, Sleik K, Ginger TJ, Yusuf S. Interventions on prevention of postoperative atrial fibrillation in patients undergoing heart surgery: a meta-analysis. Circulation. 2002;106:75-80. 6. Andrews TC, Reinmold SC, Berlin JA, Antman ...
... bypass surgery. J Am Coll Cardiol 2004;43:742– 8. 5. Crystal E, Connolly SJ, Sleik K, Ginger TJ, Yusuf S. Interventions on prevention of postoperative atrial fibrillation in patients undergoing heart surgery: a meta-analysis. Circulation. 2002;106:75-80. 6. Andrews TC, Reinmold SC, Berlin JA, Antman ...
Abnormal Heart Rhythms (Arrhythmias)
... What are the symptoms of arrhythmias? Symptoms can vary, depending on the severity of the condition. If the abnormal heart rhythm (arrhythmia) comes and goes (is intermittent), the symptoms develop suddenly, and can go just as suddenly. Symptoms can include: An abnormal awareness of your heartbeat ( ...
... What are the symptoms of arrhythmias? Symptoms can vary, depending on the severity of the condition. If the abnormal heart rhythm (arrhythmia) comes and goes (is intermittent), the symptoms develop suddenly, and can go just as suddenly. Symptoms can include: An abnormal awareness of your heartbeat ( ...
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.