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Surgical ventricular reconstruction for ischaemic heart failure: state
Surgical ventricular reconstruction for ischaemic heart failure: state

... After the first consistent results on SVR reported by Dor and co-authors,11,24,25 observational data in unblinded series suggested that SVR was relatively safe, and was associated with reduced LV volume, improved LV systolic function, improved symptoms, and high survival rates at 5 years.14,26,27 Fur ...
2005 American Heart Association Guidelines for CPR and ECC
2005 American Heart Association Guidelines for CPR and ECC

... As a consequence, it is recommended that rescuers delivering chest compressions be relieved every two minutes. Significant changes have been made in recommendations for treatment of ventricular fibrillation (VF). In the past, standard practice has been to provide defibrillation as soon as possible f ...
Prevention of SCD in Athletes PISE – Dr. Isserow – Victoria
Prevention of SCD in Athletes PISE – Dr. Isserow – Victoria

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Implantable Cardioverter Defibrillators (ICDs)
Implantable Cardioverter Defibrillators (ICDs)

... found in the ACC/AHA/HRS Guidelines for Device-Based Therapy. CARDIOVERTER DEFIBRILLATORS - ADULT CRITERIA For Implantable Cardioverter Defibrillators all of the following are required: 1.  Patient must be on optimal medical therapy 2.  Patient must have a reasonable expectation of survival with g ...
Stroke Volume
Stroke Volume

... Thie principles of diagnostic tultrasotunid lIave leen reviewed in previouis papers.7-10 The uiltrasouniid exatminiation-s were perfofrmed with a comm-tercially available uiltrasonioscope utilizing a 2.25mc, 0.75-inichl transducer withl a repetitioni rate of 1,000 imptulses per secon-id. For recordi ...
Pathophysiology of Heart failure
Pathophysiology of Heart failure

... Pressure – volume loops recorded under different conditions ...
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Bidirectional ventricular tachycardia associated with digoxin toxicity
Bidirectional ventricular tachycardia associated with digoxin toxicity

... are cases of LBBB morphology bidirectional VT8 as well as alternating LBBB and RBBB morphology,2 leading to some debate regarding the exact mechanism. Current understanding is thought to be related to elevated intracellular calcium causing delayed afterdepolarization in anatomically separate parts o ...
What Can We Learn From the RR Intervals Stored in ICDs?
What Can We Learn From the RR Intervals Stored in ICDs?

... By recording electrocardiograms (ECG) over an extended period of time, conventional Holter monitors can detect heart rhythm abnormalities that are not continuously present, or can help determine if rhythm disturbances are associated with symptoms. Two common approaches have been widely used for Holt ...
Left Ventricular Wall Thickness Determined by Ultrasound in 100
Left Ventricular Wall Thickness Determined by Ultrasound in 100

... LVWT, and LVWTd increased with an increasing heart volume (Fig 4 and 5 ) ; in men there was no correlation to HV. This apparent discrepancy is explained by the fact that in women the HV increased significantly with age: P < 0.02 between the first and second age groups, and P < 0.05 between the first ...
Left Ventricular Wall Thickness Determined by Ultrasound in 100
Left Ventricular Wall Thickness Determined by Ultrasound in 100

... LVWT, and LVWTd increased with an increasing heart volume (Fig 4 and 5 ) ; in men there was no correlation to HV. This apparent discrepancy is explained by the fact that in women the HV increased significantly with age: P < 0.02 between the first and second age groups, and P < 0.05 between the first ...
Left Ventricular Wall Thickness Determined by
Left Ventricular Wall Thickness Determined by

... LVWT, and LVWTd increased with an increasing heart volume (Fig 4 and 5 ) ; in men there was no correlation to HV. This apparent discrepancy is explained by the fact that in women the HV increased significantly with age: P < 0.02 between the first and second age groups, and P < 0.05 between the first ...
Automated External Defibrillators (AED)
Automated External Defibrillators (AED)

... models require the operator to press an ANALYZE button). The computer then advises the operator whether a shock is needed. When the operator responds to the prompt to give a shock, an electric current is delivered through the victim's chest wall through adhesive electrode pads. Why are AEDs importan ...
1 1 2 3 4 5 Atrio-Ventricular Plane Displacement is the - AJP
1 1 2 3 4 5 Atrio-Ventricular Plane Displacement is the - AJP

... the ventricular edges. (This effect is perfectly visible on NMR scans and is schematized ...
Left Ventricular Dysfunction Induced by Monomorphic Ventricular
Left Ventricular Dysfunction Induced by Monomorphic Ventricular

... initially reported in association with incessant supraventricular tachycardia in children and adolescents,1 and later with atrial fibrillation.2 Less commonly ...
Cardiac Arrhythmias and Their Effect on Performance
Cardiac Arrhythmias and Their Effect on Performance

... antiarrhythmic drugs can be dangerous and the decision to use them must be an informed one. Criteria for antiarrhythmic drug use include a sustained heart rate > 100-120bpm, polymorphic ventricular arrhythmias, R-on-T phenomena, and clinical signs. ...
Full Text [Download PDF]
Full Text [Download PDF]

... an essential role in BAS-induced facilitation of DADmediated triggered activity (Figure 2) and, in addition to I Ca,L , it was essential for the facilitation of arrhythmogenesis under the influence of BAS. Thus, G406R Cav1.2 channel mutation confers not only a trigger but also a substrate for the de ...
Quantification of left ventricular function and mass in heart transplant
Quantification of left ventricular function and mass in heart transplant

... Statistical analysis All data are summarized as mean ± standard deviation. A Wilcoxon test for paired samples was employed to calculate differences in left ventricular parameters for respective DSCT and MRI values. For linear correlation analysis the Spearman rank correlation coefficient (rho) was d ...
Help With Coming Off CPB - Society of Cardiovascular
Help With Coming Off CPB - Society of Cardiovascular

... beta-blockers, dobutamine may increase SVR predominantly through an alpha1 effect [23]. The European Milrinone Multicenter Trial Group in a randomized controlled trial comparing dobutamine with milrinone showed that dobutamine caused greater increases in CI and HR, but not stroke volume index (SVI), ...
Arrhythmogenic Right Ventricular Dysplasia
Arrhythmogenic Right Ventricular Dysplasia

... The conventional criteria that can be displayed with CMR as major criteria are: the high signal intensity on T1-weighted images of the fatty infiltration of the RV myocardium; regional wall motion abnormalities (akinesis or dyskinesis or dyssynchronous RV contraction); bulges of the RV and RVOT; dil ...
A SIMPLE APPROACH TO TACHYARRHYTHMIAS
A SIMPLE APPROACH TO TACHYARRHYTHMIAS

... AV NODE •Electrical connection b/w atrium and ventricles •Slows conduction •Protects against very rapid ventricular rates •PR interval –slowing in the AVN and HIS bundle ...
Pacemakers and ICD`s
Pacemakers and ICD`s

... Indications for Pacing for Sinus Node Dysfunction Pacemaker ...
Tachyarrhythmias - patient information
Tachyarrhythmias - patient information

... pathways that can pass impulses to and from the AV node. This type of arrhythmia usually starts following an early beat (ectopic). An electrical short circuit then occurs where the electrical impulse rotates around the circuit and with each cycle pass to the ventricles, resulting in a very fast hear ...
Advances in Arrhythmia and Electrophysiology
Advances in Arrhythmia and Electrophysiology

... cycle. This polymorphic ventricular tachycardia was identical in morphology to the initiation of ventricular fibrillation; however, it only continued for up to 10 beats. If the polymorphic ventricular tachycardia continued beyond 10 beats, it degenerated into ventricular fibrillation. Heart block is ...
Advanced 12 Lead EKG Lecture Worksheet #4
Advanced 12 Lead EKG Lecture Worksheet #4

... Advanced 12 Lead EKG Lecture Worksheet #4 True or False ____1. An abnormal (pathological) Q wave indicates the presence of dead myocardial tissue ____2. In most patients, the posterior wall of the left ventricle is supplied by the right coronary artery ____3. Consider the presence of right ventricul ...
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Ventricular fibrillation



Ventricular fibrillation (V-fib or VF) is a condition in which there is uncoordinated contraction of the cardiac muscle of the ventricles in the heart, making them quiver rather than contract properly. Ventricular fibrillation is the most commonly identified arrhythmia in cardiac arrest patients. While there is some activity, the lay person is usually unable to detect it by palpating (feeling) the major pulse points of the carotid and femoral arteries. Such an arrhythmia is only confirmed by electrocardiography. Ventricular fibrillation is a medical emergency that requires prompt Advanced Life Support interventions. If this arrhythmia continues for more than a few seconds, it will likely degenerate further into asystole (""flatline""). This condition results in cardiogenic shock and cessation of effective blood circulation. As a consequence, sudden cardiac death (SCD) will result in a matter of minutes. If the patient is not revived after a sufficient period (within roughly 5 minutes at room temperature), the patient could sustain irreversible brain damage and possibly become brain-dead, due to the effects of cerebral hypoxia. On the other hand, death often occurs if sinus rhythm is not restored within 90 seconds of the onset of VF, especially if it has degenerated further into asystole.
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