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Lead I
Lead I

... page, one can simply count the number of beats present on the EKG and multiply by 6 to get the number of beats per 60 seconds. ...
To understand what sets the beat of your heart, and why that rhythm
To understand what sets the beat of your heart, and why that rhythm

... the ventricle, giving the atrium time to contract first. It holds it up for about a tenth of a second [source: Signalife]. If the atrium and the ventricle contracted at the same time, the ventricles would push out their blood before they were totally full, resulting in low blood pressure, among othe ...
Chapter 9
Chapter 9

... B. Aortic stenosis C. Left ventricular hypertrophy D. Cor pulmonale E. Eventual valve replacement Ans: D ...
Document
Document

... – If persistent, may lead to fibrillation ...
EKG Recognition: When to Worry
EKG Recognition: When to Worry

... AASM Cardiac Scoring Rules • Score sinus tachycardia during sleep for a sustained sinus heart rate of greater than 90 beats per minute (bpm) for adults • Score wide complex tachycardia for a rhythm lasting a minimum of 3 consecutive beats at a rate of greater than 100 bpm with QRS duration of great ...
Unit 4 Antidysrhythmic and Antihypertensive Agents
Unit 4 Antidysrhythmic and Antihypertensive Agents

... S/E/Route: ◦ Fatigue, tremors, sleep disturbances, numbness, ataxia, confusion, exertional dyspnea, nonproductive cough, pleuritic chest pain, photosensitivity ◦ s/e often cause clients to d/c use ◦ > 400mg/day cause problems ◦ Given oral or IV ...
faisal2
faisal2

... 70-80/min.; A-V node - 40-60/min.; Purkinje fibers - 15-40/min.  Sinus node is pacemaker because of its faster discharge rate  Intrinsic rate of subsequent parts is suppressed by “Overdrive suppression” ...
TEE in Adult Congenital Heart Disease: Indication and Guideline
TEE in Adult Congenital Heart Disease: Indication and Guideline

... Aphasia (+), Transient right side weakness (+) ...
n°30 June 2016
n°30 June 2016

... produce arrhythmia: the arrhythmogenic substrate, triggering factors, and modulating factors, with the dominant factor being the autonomic nervous system. He understood that the best time to study the triggering mechanisms was during spontaneous occurrence recorded on the Holter monitor. Philippe Co ...
Antidysrhythmic and Antihypertensive Agents
Antidysrhythmic and Antihypertensive Agents

... Nancy Pares, RN, MSN ...
sick_sinus_syndrome
sick_sinus_syndrome

... contract (sinoatrial exit block) and those with a rapid heart rate (caused by electrical impulses that originate from a site other than the sinoatrial node, such as the muscle of the atria or the atrioventricular node (supraventricular tachycardia) followed by sinus arrest • Atropine-responsive symp ...
Sick Sinus Syndrome - Milliken Animal Clinic
Sick Sinus Syndrome - Milliken Animal Clinic

... contract (sinoatrial exit block) and those with a rapid heart rate (caused by electrical impulses that originate from a site other than the sinoatrial node, such as the muscle of the atria or the atrioventricular node (supraventricular tachycardia) followed by sinus arrest • Atropine-responsive symp ...
The Heart
The Heart

... Forces action potentials to find alternate routes (if area is large leads to heart attack) ...
Using a heart simulator for optimal therapy
Using a heart simulator for optimal therapy

... within a few weeks after treatment," says Dössel who would like to be able to use his model to determine prior to operation where scars need to be placed to ensure lasting success. ...
The Heartbeat
The Heartbeat

... three distinct sections: ...
Increased Atrial Contribution to Ventricular Filling in Ischemic Heart
Increased Atrial Contribution to Ventricular Filling in Ischemic Heart

... 35 hypertensive subjects of 50 year of age, that there was no one with both signs of left ventricular hypertrophy on orthogonal electrocardiography and either an increased 'a' wave ratio (> 15%) or an abnormal atrial sound. He suggested the presence of two different forms of cardiac involvement as t ...
As Pa is greater then Pv atrial contraction adds to the diastolic
As Pa is greater then Pv atrial contraction adds to the diastolic

... events in the cardiac cycle: P is the electrical activity associated with atrial systol. Its duration 0.1 sec. It is some guide to the functional activity of the atrial muscle. QRS is the electrical activity aroused by invasion of the ventricle. ts duration in man 0.08 sec. The P - R interval 0.13 - ...
eXercISe - Birchaven Village
eXercISe - Birchaven Village

... may have a condition known as atrial fibrillation (AF). Atrial fibrillation is caused by a change in normal electrical signals that stimulate your heart’s upper chambers, called atria. Erratic signals can stimulate the atria to contract faster than normal and cause the heart to beat 300 to 400 times ...
electrophysiology of heart
electrophysiology of heart

... rate. • They can work as pace-maker, if SA-Node is not functioning e.g. if AV Node takes over as pacemaker, heart rate will be about 50/min. • Any pace-maker other than SA-Node is called ‘Ectopic Pace-maker’. ( associated with organic heart disease or lack of sleep, anxiety, excess caffeine, nicotin ...
Heart Physiology
Heart Physiology

... Early diastole ...
Ppt
Ppt

... – If persistent, may lead to fibrillation ...
Second (Mobitz Type II) and Third Degree Heart Block
Second (Mobitz Type II) and Third Degree Heart Block

...  decreased ability to exercise  problems breathing, also called shortness of breath  dizziness  fainting ...
The prospective effect of lipoprotein (a) on new
The prospective effect of lipoprotein (a) on new

... study discovered no association between Lp(a) levels and AF recurrencen patients after successful electrical cardioversion of persistent AF [27]. But in the present study we have found significant difference between them. In our study we followed 534 CHF patients without a history of AF from their a ...
Electrical cardioversion for atrial fibrillation and flutter
Electrical cardioversion for atrial fibrillation and flutter

... Under normal circumstances, the sinus impulse is transmitted uniformly, evenly and contiguously to all parts of the atria (Schamroth 1990). In atrial fibrillation (AF), excitation and recovery of the atria are disorganised and chaotic, and the ventricular rate is usually about 120-150 per minute (S ...
Drugs for treating arrhythmias
Drugs for treating arrhythmias

... • Quinidine is indicated for a wide variety of both atrial and ventricular arrhythmias. The off label use of this is the treatment 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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