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Living With Atrial Fibrillation
Living With Atrial Fibrillation

... Why Treat AFib? • AFib may not always be life-threatening; however, there is an increased risk of stroke and heart failure for some patients who have AFib5 – When the atria are fibrillating and not pumping blood effectively, blood may pool in parts of the atria. A blood clot that forms and breaks l ...
Arrhythmia Management - SPCN – The Society of Pediatric
Arrhythmia Management - SPCN – The Society of Pediatric

... tachycardia being the next most common, followed by sinus bradycardia (Hanash, 2010). Reentrant tachycardia is common in infants and children with congenital heart disease (CHD). Some arrhythmias in the early post operative period like premature atrial contraction’s (PAC’s) and premature ventricular ...
Bipolar Limb Leads
Bipolar Limb Leads

... Ventricular depolarization starts at the ventricular septum and the endocardial surfaces of the heart. The average current flows positively from the base of the heart to the apex. At the very end of depolarization the current reverses from 1/100 second and flows toward the outer walls of the ventric ...
Transcripts/4_10 10-12 (pt.3) (McNicholas)
Transcripts/4_10 10-12 (pt.3) (McNicholas)

... V. Information that can be obtained from an ECG [S49] a. Anatomical orientation of the heart b. Relative size of the chambers of the heart i. Remember: the mass of tissue will generate a greater deflection on the ECG c. Variety of electrical disturbances of rhythm and conduction i. The length of dur ...
Pathological findings in cardiac apex removed during implantation
Pathological findings in cardiac apex removed during implantation

... loss, associated with secondary compensatory myocardial hypertrophy which is usually disproportional and very irregular in distribution. These changes are accompanied by varying degree of interstitial fibrosis with frequent subendocardial and perivascular accentuation, all are common sequelae of chr ...
Reduction of QRS duration following pulmonary valve replacement
Reduction of QRS duration following pulmonary valve replacement

... of malignant arrhythmia is reduced following PVR if performed before this threshold is reached, it would be reasonable to liberalize the indications for valve replacement. However, before any such conclusion can be drawn, more information is required as perioperative mortality and morbidity is not z ...
Cardiac Arrhythmias
Cardiac Arrhythmias

... • P wave: High nodal before QRS ...
Slide 1
Slide 1

... of each lead on the six limb leads (I, II, II, aVF, aVR, VL) 2. On the MEA diagram, draw a “3segment on each side “ on either the positive or the negative portion of each lead, according to the EKG 3. The MEA must lie within the wedge which has all six arcs spanning it. This gives you a range of 30˚ ...
Cardiac Biomechanics
Cardiac Biomechanics

... through the cardiac cycle. The ventricular walls in the normal heart are thickest at the equator and base of the left ventricle and thinnest at the left ventricular apex and right ventricular free wall. There are also variations in the principal dimensions of the left ventricle with species, age, ph ...
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)

... lead to sudden death. Also cardiac toxicity of anabolic steroid abuse must also be taken into account. 4 It is also well known that coronary artery disease (CAD) including acute myocardial infarction,recent thrombosis and high grade coronary stenosis(>75%) due to atheroma is still major cause of dea ...
Identification of Microvascular Obstruction Christopher M. Kramer
Identification of Microvascular Obstruction Christopher M. Kramer

... demonstrated on steady state free precession cine imaging after gadolinium infusion[3]. The latter imaging strategy has been shown to correlate with findings on first pass-contrast enhanced perfusion imaging and inversion recovery gradient echo imaging[3]. These regions are generally subendocardial ...
Template for BMJ Cases - ELSO 2016
Template for BMJ Cases - ELSO 2016

... After significant improvement in respiratory function, oxygenator was removed seven days after bi-VAD implantation, bi-VAD support was remained with CentriMag (Figure 2). Over the next days, biventricular function was improving gradually, therefore after 10 days of biVAD implantation, biventricular ...
Constrictive Pericarditis - STA HealthCare Communications
Constrictive Pericarditis - STA HealthCare Communications

... Post-MI pericarditis ...
Tachydysrhythmias
Tachydysrhythmias

... lengthens refractoriness in AV node ...
Left Ventricular Systolic Dysfunction in Patients with
Left Ventricular Systolic Dysfunction in Patients with

... small and study was done in hemodialysis patients (9). On the other hand, Nitin et al. showed a frequency of left ventricular systolic dysfunction as 18% in his study of 50 CKD patients (8). Our study has larger number of patients and significantly more patients with advanced CKD which may explain t ...
A Challenging Case Of Ventricular Arrhythmia In A Patient
A Challenging Case Of Ventricular Arrhythmia In A Patient

... death), (iii) a reduced LVEF is a risk factor for both sudden and non-sudden death, (iv) patients with potentially reversible cause of cardiomyopathy such as myocarditis were not enrolled in clinical trials.21, 28, 29 Immunohystological evidence of inflammation without the presence of viral genome i ...
The Right Ventricle During the Acute Respiratory Distress Syndrome
The Right Ventricle During the Acute Respiratory Distress Syndrome

... related to pneumonia. At day 2, plateau pressure was 22 cmH2O. Hemodynamics were normal. Echocardiography demonstrated moderate dilatation of the right ventricle with an incipient biphasic pattern of the pulmonary flow. The right ventricular stroke volume was conserved. At day 9, following major det ...
Indian Pacing and Electrophysiology Journal - Antzelevitch
Indian Pacing and Electrophysiology Journal - Antzelevitch

... and DDD modes of pacing. Moreover, the systolic functions of right ventricle as well as diastolic functions of both the ventricles have not been studied comprehensively. The true mechanism of cardiac dysfunction is still unclear. It has been shown that pacing from RV apex induces an electrical seque ...
DISORDER OF CARDIAC RHYTHM
DISORDER OF CARDIAC RHYTHM

... transmission of the cardiac impulse from the atria into the ventricles. After penetrating the fibrous tissue between the atrial and ventricular muscle, the distal portion of the A-V bundle passes downward in the ventricular septum Then the bundle divides into left and right bundle branches that lie ...
Optimal ventricular rate slowing during atrial fibrillation - AJP
Optimal ventricular rate slowing during atrial fibrillation - AJP

... rapid right atrial pacing. After the hemodynamics stabilized for at least 15 min, data were recorded during AF for at least 500 cardiac cycles. Third, while maintaining the AF, we initiated the feedback program to deliver the AVN-VS and to slow the VR. Four target levels were preprogrammed that were ...
pdf
pdf

... unable to maintain blood circulation; VF leads to quick death unless halted by electrical defibrillation [1]. VF is a major cause of sudden cardiac death all over the world [2, 3] leading to 200,000–400,000 deaths every year in Russia [4] and 3–7 million deaths worldwide [5]. Researchers in differen ...
Arrhythmias 101
Arrhythmias 101

... • Heart cells other than those of the SA node depolarize faster than SA node cells, and take control as the cardiac pacemaker. • Factors that enhance automaticity include:  SANS,  PANS,  CO2,  O2,  H+,  stretch, hypokalemia and hypocalcaemia. ...
Ventricular Arrhythmias in the Absence of Structural Heart Disease
Ventricular Arrhythmias in the Absence of Structural Heart Disease

... monomorphic and life-threatening polymorphic rhythms. Monomorphic VA is classified on the basis of site of origin in the heart, and the most common areas are the ventricular outflow tracts and left ventricular fascicles. The morphology of the QRS complexes on electrocardiogram is an excellent tool t ...
The effect of aerobic continuous training and detraining on left
The effect of aerobic continuous training and detraining on left

... adaptability phenomenon following the physiological, in contrast with the pathological changes brought about by hypertension and aortic stenosis [26]. In the case of disease, the heart confronts elevated pressures, but physiologically such pressures affect the heart only during physical training. Th ...
ACLS Study Guide - Centegra Health System
ACLS Study Guide - Centegra Health System

...  Seen in alcoholics, eating disorders and the debilitated patients ...
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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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