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... • pacing spikes (best seen here in V4 - V6) will be seen - they may be subtle • the paced QRS complexes are abnormally wide • In this example the pacemaker starts when there is a long R - R interval following a blocked atrial premature beat (arrowed in figure below). Sinus rhythm takes over again la ...
Physio Lecture 16 Analyzing EKG vectors and MEA
Physio Lecture 16 Analyzing EKG vectors and MEA

... 2. Right side of IV septum, up and to the right 3. Big vector for IV septum 4. Left ventricular wall, goes lateral 5. Ventricular Repolarization: IV septum is last to repolarize ...
Congestive heart failure
Congestive heart failure

... - inadequate force generation to eject blood normally - ↓ CO EF ↓45% - typical of acute failure especially resulting from myocardial infarction (MI) • Diastolic - inadequate relaxation to permit normal filling - CO, EF may be normal - result of hypertrophy & stiffening of myocardium - does not respo ...
Anti arrhythmic Drugs
Anti arrhythmic Drugs

... Channels Open ...
Abstract 14479: Association Between Chest Compressions and
Abstract 14479: Association Between Chest Compressions and

... related to CC (58%). After shock delivery, VFr incidence was higher when CC were resumed within one minute (71% vs. 48%). Early CC after a shock was significantly related to increased risk of VFr (OR 2.7; 95% CI 1.4-5.2; p=0.02). Survival to discharge without neurological impairment were higher in p ...
Blue Lightning - The Illinois Society of
Blue Lightning - The Illinois Society of

... Ventricular Fibrillation is a rhythm in which multiple areas within the ventricles are erratically depolarizing and repolarizing There is no organized depolarization, therefore the ventricles do not contract as a unit The myocardium is quivering - There is no cardiac output This is the most common a ...
Press release sanofi-aventis
Press release sanofi-aventis

... of any province in Canada. The CDR review process, when compared to the UK’s National Institute for Clinical Excellence (NICE) and Australia’s Pharmaceutical Benefits Advisory Committee (PBAC), has the lowest overall probability of listing (49.6 per cent versus 87.4 per cent and 54.3 per cent, respe ...
Heart back 1. Myocardial infarction a. Is characterized by necrosis
Heart back 1. Myocardial infarction a. Is characterized by necrosis

... c. ASD d. PDA e. VSD 14. Myocardial infarction: a. Is usually a consequence of coronary vessel occlusion by embolus b. Is characterized morphologically by liquefactive necrosis c. Is most commonly complicated by ventricular rupture d. Can be either transmural or subendocardial e. Is apparent on lig ...
Ventricular arrhythmias
Ventricular arrhythmias

... (FlexCath) Stearable over the wire double lumen balloon catheter (Arctiv Front: 23-28 mm) Occlusion of each PV, freezing for 300 sec x 2. (temperature -40 to -60 C) Pacing w high output in SVC to capture phrenic nerve while freezing on the right side. Lasso validation of PVPs postablation ...
ECG Leads
ECG Leads

...  Instruct the patient to remain still (should not talk during the test ) and relax their shoulders and legs while the recording takes place (1 min) ...
Proceedings of the 33rd World Small Animal Veterinary
Proceedings of the 33rd World Small Animal Veterinary

... cardiac arrest. The depolarisation waves occur randomly throughout the ventricles.There is therefore no significant co-ordinated contraction to produce any cardiac output. If the heart is visualised, fine irregular movements of the ventricles may be seen. The ECG shows coarse (larger) or fine (small ...
Congestive Heart Failure
Congestive Heart Failure

...  Fever  Diaphoresis  Response to Tx ...
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Systolic heart failure

... Cell swells and ruptures. Cell contents spill out. ...
Pacemakers and AICDs: Interrogation Reports and Interpretation of
Pacemakers and AICDs: Interrogation Reports and Interpretation of

... be in the atrium to sense the intrinsic activity and another in the ventricle to pace, most likely programmed DDD. However, the third P wave has no pacing spike or QRS following. Here oversensing must be considered in the differential. Although it’s not obviously evident on the EKG, the lead could b ...
Genetic defects in a His-Purkinje system transcription factor, IRX3
Genetic defects in a His-Purkinje system transcription factor, IRX3

... propagation of electrical signals, the ventricle is equipped with a specialized conduction network, the His-Purkinje system. A plethora of clinical information and recent experimental data have indicated that perturbation in the His-Purkinje system is tightly associated with cardiac arrhythmias and ...
Practical Electrocardiography: Diagnosis, Interpretation and
Practical Electrocardiography: Diagnosis, Interpretation and

... Two forms of atrial standstill are described: transient and permanent. The transient form is most often associated with hyperkalemia, also referred to as “sinoventricular rhythm” (paralysis of atrial myocytes, conduction through atrial pathways). The permanent form is fairly uncommon and is associat ...
A1990EJ37400001
A1990EJ37400001

... of diagnosis that have stood the test of time. The physical signs we described are accurate today with regard to the characteristic arterial pulse and the late-onset systolic murmur. Wedid not, at that time, appreciate the reason for the timing of the murmur nor did we appredate the powerful left at ...
The QT interval on the ECG is measured from the beginning of the
The QT interval on the ECG is measured from the beginning of the

... For accurate measurement of the QT interval, the relationship between QT and the R–R interval should be reproducible, [Remark 2] particularly in cases with a heart rate of less than 50 bpm or more than 120 bpm. Furthermore, accurate measurement in athletes and children who have a significant beat-to ...
ZR-06-49
ZR-06-49

... extremely complex multiscale structure of the bioelectrical activity of the heart, from the microscopic activity of ion channels of the cellular membrane to the macroscopic properties of the anisotropic propagation of excitation and recovery fronts in the whole heart. Mathematical models of these ph ...
Cardiomyopathy and heart disease secondary to non
Cardiomyopathy and heart disease secondary to non

... Diagnosis and the place of genetic testing Dilated cardiomyopathy may be discovered when a patient has a chest X-ray or ECG. The diagnosis is confirmed by echocardiography, which will show reduced contraction (left ventricular ejection fraction < 45 %) and left ventricular dilation (> 112 % of the ...
Developing Electrocardiogram Mathematical Model for
Developing Electrocardiogram Mathematical Model for

... tasks of automated diagnostics are quite urgent. To solve those issues the models, such as artificial ECGs, are required both for normal cardiac rhythm and for different pathological conditions. As a rule, in an ECG five waves can be identified: P, Q, R, S, T. Sometimes, a barely visible wave U can ...
Scintigraphic perfusion defects due to right ventricular
Scintigraphic perfusion defects due to right ventricular

... speckle-tracking strain imaging [10]. In addition, significantly reduced LV ejection fraction was observed as well as an impaired LV longitudinal shortening and reduced LV twist. Whether this acutely induced LV dyssynchrony is responsible for the further development of heart failure after long-term ...
md-broj 08.qxp - md
md-broj 08.qxp - md

... for victims of sudden cardiac death. The mechanism of forward flow during external chest compressions is still speculative. The intrathoracic pressure pump theory postulates that chest compression rises the intrathoracic pressure which is transmitted to the great vessels. However the recorded small ...
Role of nuclear imaging in cardiac amyloidosis
Role of nuclear imaging in cardiac amyloidosis

... characteristics that are not very specific for cardiac amyloid. Among nuclear medicine techniques, scintigraphy with bone-seeking tracers (diphosphonates) is very useful in the evaluation of transthyretin (TTR) (both hereditary and wild type) related cardiac amyloidosis. However, the diagnosis of th ...
Measure #198: Heart Failure: Left Ventricular Ejection Fraction
Measure #198: Heart Failure: Left Ventricular Ejection Fraction

... Evaluation of LVEF in patients with heart failure provides important information that is required to appropriately direct treatment. Several pharmacologic therapies have demonstrated efficacy in slowing disease progression and improving outcomes in patients with left ventricular systolic dysfunction ...
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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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