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Electrocardiogram (EKG, ECG) Lab
Electrocardiogram (EKG, ECG) Lab

... depolarization of the atria leads to an absent P wave. An absent QRS complex after a normal P wave indicates the electrical impulse was blocked before it reached the ventricles. Abnormally shaped complexes result from abnormal spread of the impulse through the muscle tissue, such as in myocardial in ...
ECG Interpretation
ECG Interpretation

... • Ventricular fibrillation – complete breakdown of all rhythm – a) course – b) fine ...
ECG Interpretation
ECG Interpretation

... • Ventricular fibrillation – complete breakdown of all rhythm – a) course – b) fine ...
ECGs MADE EASY
ECGs MADE EASY

... pacemaker centers of the heart to resume normal activity. Defibrillation is a random delivery of energy – there is no relation of the discharge of energy to the cardiac cycle. ...
Right ventricular aneurysm with - Heart
Right ventricular aneurysm with - Heart

... patients, unifocalfrequent ventricular ectopic beats were the only symptoms. These aneurysms are thought to act as foci of the ventricular premature beats, and in one of them, aneurysmectomy led to the abolition of the ventricular premature beats. The majority of left ventricular aneurysms occur as ...
Basics of Pacing - St. Joseph Mercy Health System
Basics of Pacing - St. Joseph Mercy Health System

... dependent on the pacemaker manufacturer (Ranging between 85-100bpm) ...
Supraventricular Arrhythmias
Supraventricular Arrhythmias

...  Define supraventricular arrhythmia.  Describe the initial approach to a patient with an arrhythmia.  Discuss diagnosis and treatment options for patients with atrial fibrillation, atrial flutter, and supraventricular tachycardia. ...
Sudden Death In the Structurally Normal Heart
Sudden Death In the Structurally Normal Heart

... History of cardiac arrest or sustained VT Clinical signs of RV failure or LV involvement Patients with or having a family member with the high risk ARVD gene (ARVD2) • Increase in QRS dispersion ≥ 40 msec – QRS dispersion = max measured QRS minus min measured QRS ...
insight review articles
insight review articles

... Figure 1 Ion channels underlie cardiac excitability. a, The key ion channels (and an electrogenic transporter) in cardiac cells. K+ channels (green) mediate K+ efflux from the cell; Na+ channels (purple) and Ca2+ channels (yellow) mediate Na+ and Ca2+ influx, respectively. The Na+/Ca2+ exchanger (re ...
Assessment of a right ventricular metastasis using contrast
Assessment of a right ventricular metastasis using contrast

... high-molecular-weight gases and comparable in size with red blood cells. When injected intravenously, they first appear in the right cardiac chamber, then cross the pulmonary circulation and reach the left heart, opacifying the left cardiac chambers. Moreover, the microbubbles enter into the coronary ...
Cardiomyopaties
Cardiomyopaties

... LVOTob, vasovagal, high VT rate . İnadequate increase cardiac output during the effort. Cardiac arrest: VT, SVT, AF, VF, bradyarrythmia. ...
Persistent Atrial Fibrillation And Atrial Flutter Complicated By
Persistent Atrial Fibrillation And Atrial Flutter Complicated By

... The term tachycardiomyopathy refers to a specific form of tachycardia-related cardiomyopathy caused by supraventricular or ventricular tachyarrhytmias that are both associated with ventricular rates higher than 120 bpm. The arrhythmias which are most frequently associated with these forms of heart d ...
Why is Regression of Left Ventricular Hypertrophy Convenient? QCVC Committees
Why is Regression of Left Ventricular Hypertrophy Convenient? QCVC Committees

... In the LIFE study, 8% of the enrolled patients had atrial fibrillation: 4% developed it at randomization and the other 4% developed a de novo atrial fibrillation. The incidence of cerebral infarction in those subjects who were in sinus rhythm during the whole study was 5%. On the other hand, subject ...
Tako-tsubo Cardiomyopathy or Broken Heart Syndrome
Tako-tsubo Cardiomyopathy or Broken Heart Syndrome

... menopausal females. It is a diagnosis of exclusion .Most patients have some preceding acute stress which can range from trivial events like singing or speaking in public to well recognized stressful event like death in family8 The typical presentation of takotsubo cardiomyopathy is a sudden onset of ...
Atrial Fibrillation - Florida Veterinary Cardiology
Atrial Fibrillation - Florida Veterinary Cardiology

... the rest of the body, is reduced and often congestive heart failure develops or recurs. These pets usually have very fast heart rate (more than 200 beats per min) which, if not controlled, can lead to additional heart muscle damage and dysfunction. HOW IS ATRIAL FIBRILLATION TREATED? Treatment of at ...
Civic/Riverside Units - S. McCarter, September 2015
Civic/Riverside Units - S. McCarter, September 2015

... – Chronic: COPD, CF, ILD, OSA, recurrent small PEs  ECG findings: – #1 sinus tachycardia – RBBB – Right ventricular strain pattern, RAD – Right atrial enlargement – S1Q3T3 – T wave inversions in inferior leads ...
treating atrial fibrillation
treating atrial fibrillation

... an electrical shock can be delivered to the chest wall to convert atrial fibrillation back to a normal rhythm. In an electrical cardioversion, a patient is sedated. Then electrical energy is applied through the chest using paddles or specialized pads, shocking the heart back to its normal rhythm. Th ...
Cardiac Systolic Mechanics in Heart Failure with Preserved Ejection
Cardiac Systolic Mechanics in Heart Failure with Preserved Ejection

... highly-efficient manner is actually based on the architecture of LV myocardium.8,9 In view of individual myofibers, subendocardial myofibers except papillary muscles run counterclockwise in the direction from the mitral annulus (LV base) towards the LV apex, and then convert to a circumferential dir ...
Haider Sabhan Treatment of Cardiac Arrhythmias in the Emergency
Haider Sabhan Treatment of Cardiac Arrhythmias in the Emergency

... above 100 beats per minute and bradycardia describes a heart rate below 60 beats per minute. Although many arrhythmias are not life-threatening, some can cause serious impairment of the cardiac function, with the worst case scenario being cardiac arrest (1). Arrhythmias can occur in the upper chambe ...
A case of isolated ventricular septal rupture caused by
A case of isolated ventricular septal rupture caused by

... in an extreme change in intrathoracic pressure, heart compression, and excessive intraventricular pressure. The tension rupture and elongation of chordaes were the evidences of the sharply increasing of intraventricular pressure during late diastole and early systole. Neither infarction on ventricul ...
Ellagic acid improved arrhythmias induced by CaCL2 in the rat
Ellagic acid improved arrhythmias induced by CaCL2 in the rat

... Objective: In ventricular arrhythmias, due to their free radical scavenging action, antioxidant agents are usually used in the treatment of cardiovascular disease. Since stress is considered as risk factor for increased mortality by causing malignant arrhythmias, the study was designed to evaluate t ...
Electrocardiographic Characteristics and SCN5A Mutations in
Electrocardiographic Characteristics and SCN5A Mutations in

... variants in SCN5A (resulting in A226D, L846R, and R367H) in 3 unrelated patients. These variants occur at residues that are highly conserved across mammals. His-ventricular interval was prolonged in all of the patients carrying an SCN5A mutation. Sodium channel blocker challenge resulted in an augme ...
electrical conduction in the heart
electrical conduction in the heart

... • The Sinoatrial node (SA node), is a group of autorhythmic cells (main pacemaker of the heart) in the right atrium near the entry of the superior vena cava. • An internodal pathway connects the SA node to the atrioventricular node (AV node), a group of autorhythmic cells found near the floor of the ...
Electrocardiographic Characteristics and SCN5A Mutations in
Electrocardiographic Characteristics and SCN5A Mutations in

... variants in SCN5A (resulting in A226D, L846R, and R367H) in 3 unrelated patients. These variants occur at residues that are highly conserved across mammals. His-ventricular interval was prolonged in all of the patients carrying an SCN5A mutation. Sodium channel blocker challenge resulted in an augme ...
Catheter Ablation for Cardiac Arrhythmias Other Than Atrial Fibrillation
Catheter Ablation for Cardiac Arrhythmias Other Than Atrial Fibrillation

... Ventricular Fibrillation (V-Fib): V-Fib occurs if disorganized electrical signals make the ventricles quiver instead of pump normally. Without the ventricles pumping blood to the body, sudden cardiac arrest and death can occur within a few minutes. V-Fib is a medical emergency that must be treated w ...
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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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