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Unreliability of M-Mode Left Ventricular Dimensions for Calculating
Unreliability of M-Mode Left Ventricular Dimensions for Calculating

... the vertical distance between the left side of the interventricular septum and the endocardial surface of the posterior wall ( Fig 1 ). Enddiastole was taken at the peak of the R wave on the ECC at or just below the level of the posterior leaflet of the mitral valve. This echocardiographic location ...
Unreliability of M-Mode Left Ventricular Dimensions for Calculating
Unreliability of M-Mode Left Ventricular Dimensions for Calculating

... the vertical distance between the left side of the interventricular septum and the endocardial surface of the posterior wall ( Fig 1 ). Enddiastole was taken at the peak of the R wave on the ECC at or just below the level of the posterior leaflet of the mitral valve. This echocardiographic location ...
A6 Chronic AA
A6 Chronic AA

... • HR > 100 bpm • P waves are closer to the QRS interval which shows origination other than the SA node • Atrial fibrillation – also classified as: • rapid ventricular rate (rvr) – HR > 100 • Controlled ventricular rate (cvr) – HR 60-100 • slow ventricular rate (svr) – HR < 60 ★ This would be conside ...
Medical Management of Atrial Fibrillation
Medical Management of Atrial Fibrillation

... Persistent symptoms despite rate control Inability of obtain good rate control No evidence that shows rates of survival or thromboembolism is improved with rhythm control Cardioversion in young patients After cardioversion, beta blocker is recommended and not antiarrhythmic in those patients with tr ...
Cardiac Cycle - Uplift Education
Cardiac Cycle - Uplift Education

... ventricles relax, ALL VALVES CLOSED 5. Late Ventricular Diastole – Atria & ventricles relax, tricuspid/bicuspid open, aortic/pulmonary closed ...
Slide 1
Slide 1

...  Identify patients at risk before it occurs  ICD is proven to improve survival as a primary preventative ...
Arrhythmia induced cardiomyopathy secondary to atrial fibrillation
Arrhythmia induced cardiomyopathy secondary to atrial fibrillation

... Key features of an arrhythmia that will result in arrhythmia induced cardiomyopathy (AIC) are: rapid ventricular rates, an irregular rhythm, and asynchronous myocardial contraction, however not all need to be present to result in AIC1-3. The length of time spent in and persistence of the arrhythmia ...
9/16/2014 ©2010, American Heart Association
9/16/2014 ©2010, American Heart Association

... was performed by nurses alone in 41, by nurses and physicians in 10, by physician only in 10 and by nurses and other healthcare workers (i.e. midwives, assistant ...
WPW Syndrome – ECG Manifestations
WPW Syndrome – ECG Manifestations

... are activated normally and hence it presents like a narrow QRS tachycardia (see Fig. 2). ORT can also occur in patients with concealed APs that have no preexcitation on baseline ECG. 2. Antidromic atrioventricular reentrant tachycardia (AVRT). It is a very uncommon form of arrhythmia wherein the re ...
Point of View The Long QT Interval Syndrome
Point of View The Long QT Interval Syndrome

... Any hypothesis put forth to explain this syndrome must account for all of its features, namely the long QT interval and abnormal T or TU waves, T wave alternans, a lower than normal heart rate especially in children, sinus pauses, and ventricular tachycardia, particularly torsades de pointes, that i ...
Isolated Non-Compacted Right Ventricular Myocardium with Severe
Isolated Non-Compacted Right Ventricular Myocardium with Severe

... demonstrates blood flow through these deep recesses in continuity with the ventricular cavity. Isolated ventricular myocardium is diagnosed when the above criteria are satisfied and coexisting cardiac lesions, such as semilunar valve obstruction and coronary artery anomalies, are excluded. [2] Our p ...
Rhythm Recognition.
Rhythm Recognition.

...  Retains all features of sinus rhythm - except regularity of QRS complex.  Usually cyclical. ...
cardiac arrhythmias and left ventricular hypertrophy in systemic
cardiac arrhythmias and left ventricular hypertrophy in systemic

... have poor prognosis despite of treatment.13 In these patients the presence of non-sustained ventricular tachycardia on 24-hr Holter monitoring has prognostic value.14 The potential mechanisms for the development of myocardial ischemia in hypertensive LVH involve changes in the coronary circulation c ...
PVC project
PVC project

... This type of PVC is frequent in the general population and, as age increases, the frequency of such PVCs increases; approximately 70 percent of persons between the ages of 40 and 60 have simple PVCs, and they are seen in most individuals over the age of 60. Simple PVCs that occur in persons without ...
rhythm
rhythm

... • Check for: P before each QRS. • Check for: QRS after each P. • Check: PR intervals (for AV Blocks). • Check: QRS interval (for Bundle Branch ...
Neurogenic atrial fibrillation
Neurogenic atrial fibrillation

... post-prandial states and alcohol are also precipitating factors.8 Vagally mediated AF rarely, if ever, progresses to permanent AF. A 24-hour ECG can confirm the role of the ANS by showing progressive slowing of the heart rate over a few hours, or even a few beats, before the onset of arrhythmia.3 An ...
Atrial Fibrillation Program - Feinberg School of Medicine
Atrial Fibrillation Program - Feinberg School of Medicine

... experience palpitations, shortness of breath, or decreased exercise capacity, though many patients are entirely without symptoms or feel only a minority of their episodes. Regardless of the presence or absence of symptoms, this reduced blood flow may lead to blood clots in the atrium that can travel ...
an update Arrhythmogenic right ventricular cardiomyopathy:
an update Arrhythmogenic right ventricular cardiomyopathy:

... physical examination, has been the practice in Italy. A recent study reported the results of a time trend analysis of the changes in incidence rates and causes of sudden cardiovascular death in young competitive athletes age 12–35 years in the Veneto region of Italy between 1979 and 2004, before and ...
Part b
Part b

... (c) Second-degree heart block. (d) Ventricular fibrillation. These chaotic, grossly irregular ECG Some P waves are not conducted deflections are seen in acute through the AV node; hence more heart attack and electrical shock. P than QRS waves are seen. In this tracing, the ratio of P waves to QRS wa ...
acute right ventricular failure
acute right ventricular failure

... - Determination of preload is problematical but the presence of high right atrial filling pressures is indicative of elevated right ventricular pressures, which extrapolates to a raised ventricular volume. This may not necessarily be true in all cases and depends on the compliance of the ventricle. ...
to find the lecture notes for lecture 14 the Heart click here
to find the lecture notes for lecture 14 the Heart click here

... correspond to 1 mV, and on the horizontal axis, the paper speed is usually 25mm/s, so one block is 0.04s (or 40ms). ...
Document
Document

...  Late potential represents low amplitude ...
Ventricular Anatomy for the Electrophysiologist (Part II)
Ventricular Anatomy for the Electrophysiologist (Part II)

... base of the ventricle resulting in a contractile motion from the apex to the base.12 Another study using electromechanical wave imaging visually confirmed that artificially created sinus rhythm and right-atrial pacing, consisted of a contraction wave that started at the apex right at the beginning o ...
Important Echocardiographic Features of Takotsubo or Stress
Important Echocardiographic Features of Takotsubo or Stress

... That Can Aid Early Diagnosis In regards to the recently published paper by Hurst et al. (1), I would like to emphasize some of the classic echocardiographic features that are useful for early diagnosis of stress cardiomyopathy (2). In the classic case, the most important feature is apical ballooning ...
www.pacericd.com
www.pacericd.com

... interrupting repolarization and prolonging the refractory  period  Phase 4 – Resting ‐  no net movement of ions across the  cell membrane  Automaticity – in some cardiac cells there’s a leakage of  ions across the cell membrane during Phase 4 in such was  as  to  cause  a  gradual  positively  direc ...
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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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