Arrythmias: Sinus, Supraventricular, and Ventricular
|
|
- Bridget Allison
- 7 years ago
- Views:
Transcription
1 Arrythmias: Sinus, Supraventricular, and Ventricular EXS 460 Thaler Chapters 3,4,5 Arrythmias Arrythmias of sinus origin Ectopic rhythms Atrial, junctional, and ventricular Conduction blocks Atrioventricular (Chapter 4) Right or left bundle branch (Chapter 4) Pre-excitation excitation Syndromes due to bypass tracts in the atria or AV area (Chapter 5) Electrical Conduction System SA node AV node Bundle of His Purkinjie Fibers 1
2 Basic ECG Rhythm Terminology normal sinus rhythm (NSR) sinus arrhythmia ectopic beat, ectopy, ectopic pacemaker supraventricular rhythm atrial A-V V nodal (junctional) Ventricular rhythm Escape beat or escape rhythm Identification of the Origin of an Ectopic Beat 1. Is there a P wave? 2. Does a P wave precede each QRS complex? 3. QRS complex width: < 0.10 sec 4. Is the rhythm regular or irregular? Sinus Rhythms Sinus bradycardia heart rate < 60 bts min -1 Sinus tachycardia heart rate > 100 bts min -1 Sinus arrhythmia Is most notably due to effects of breathing. Increased heart rate with inhalation Decreased heart rate with exhalation? Sinus arrest or exit block 2
3 Mechanisms of Abnormal Electrical Impulse Formation Enhanced automaticity abnormal condition of latent pacemaker cells in which their firing rate is increased beyond their inherent rate Thaler, pg 113 Mechanisms of Abnormal Electrical Impulse Formation (con t) Reentry progression of an electrical impulse is delayed or blocked in one or more segments of the electrical conduction system while being conducted normally through the rest of the conduction system 3
4 Atrial premature beat P wave is altered in shape compared to other P waves and comes early. QRS complex normal shape and duration Cycle comes early, (i.e. distance between 2 QRS complexes is less than adjacent cardiac cycles) Junctional Premature Beat single ectopic beat that originates in the AV node or Bundle of His area of the condunction system Retrograde P waves immediately preceding the QRS Retrograde P waves immediately following the QRS Absent P waves (buried in the QRS) Goldberger & Goldberger, p 164 4
5 AV node as a pacemaker Goldberger & Goldberger, p 163 Causes of PAC and PJC Cause Digitalis toxicity Myocardial Infarction Myocardial Ischemia ingestion of caffeine or amphetamines Clinical Significance - Atrial Flutter Regular rhythm with P waves appearing at a rate of 250 to 300 bts min -1 P waves are noted for there saw tooth pattern, and or flutter waves Can be in normal hearts or in those with disease Most likely due to AV block, creating a reentry circuit 5
6 Atrial Flutter (example) Saw Tooth Regular Ventricular Rhythm Atrial Fibrillation In this rhythm the AV node is bombarded with impulses at a rate of times per min. P waves are not distinguishable on the ECG, and appear as fibrillation waves or f waves. QRS complexes are irregular in rhythm with normal duration Causes mitral valve or coronary artery disease, long standing hypertension is still the most common cause Atrial Fibrillation (example) Fine fib waves Course fib waves Irregular Ventricular Rhythm 6
7 Junctional Escape Beat JEB PJC JEB PJC Goldberger & Goldberger, p 163 Junctional Rhythm Rate: 40 to 60 beats/minute (atrial and ventricular) Rhythm: regular atrial and ventricular rhythm P wave: usually inverted, may be upright; may precede, follow or be hidden in the QRS complex; may be absent PR interval: not measurable or less than.20 sec. QRS and T wave : usually normal Junctional Escape Rhythm Goldberger & Goldberger,
8 Junctional Rhythms Causes Digitalis toxicity Inferior wall MI Myocardial Ischemia Increased vagal tone Rheumatic heart disease Valvular disease Organic disease of the SA node Verapamil toxicity Anticholinesterase toxicity May occur immediately after surgery Rate: Paraoxysmal Supraventricular Tachycardia (PSVT) 160 to 240 beats/minute Rhythm: P wave: regular atrial and ventricular usually inverted, may be upright; may precede, follow or be hidden in the QRS complex; may be absent PR interval: : not measurable or less than.12 sec. QRS and T wave : usually normal PSVT (example) Sudden run of 3 or more premature supraventricular (junctional) beats 8
9 SA Etiology of PSVT 2 most common types of PSVT SA BT AV AV Carotid Massage Can help to diagnose and terminate PSVT Thaler, 99 Thaler, 99 Ventricular Arrythmias Supraventricular area fails to fire, which results in ventricular ectopic beat Premature ventricular contraction (PVC) by far the most common. No visible P wave QRS > 0.12 seconds in length and is bizarre in morphology May be common 9
10 Types of PVCs Uniform Multiform PVC rhythm patterns Bigeminy PVC occurs every other complex Couplets 2 PVCs in a row Trigeminy Two PVCs for every three complexes Malignant PVC patterns Frequent PVCs Multiform PVCs Runs of consecutive PVCs R on T phenomenon PVC that falls on a T wave PVC during acute MI Thaler, 99 10
11 Thaler, 99 Ventricular Rhythms Ventricular tachycardia (VTach( VTach) 3 or more PVCs in a row at a rate of 120 to 200 bts min -1 Most likely due to acute infarction and/ or ischemia Ventricular fibrillation (VFib( VFib) Preterminal event in which myocardium is dying No visible P or QRS complexes. Waves appear as fibrillating waves VTach Vfib 11
12 Torsades de Pointes Type of VT known as twisting of the points. Usually seen in those with prolonged QT intervals caused by Pharmacologic agents Accelerated Idioventricular Rhythm Benign rhythm sometimes seen in acute infarction at a rate of 50 to 100 beats per minute Non-pharmacoligic Treatment Programmed Electrical Stimulation More of a diagnostic procedure to determine origin of the arrhythmia in order to administer proper treatment Recurrent VT or experienced sudden death Can even use catheter ablation to treat the malignant pathway Implantable defibrillators 12
13 Goldberger & Goldberger, 1994 Goldberger & Goldberger, 1994 A 50 year old man with chest pain for 24 hours 13
14 Quiz 11/01/01 1. Define Lead I 2. Define Lead V5 3. What does axis tell us about the myocardium? 4. Determine axis for the tracing shown on the overhead 5. How do you determine heart rate using the triplicate method? 14
Normal Sinus Rhythm. Sinus Bradycardia. Sinus Tachycardia. Rhythm ECG Characteristics Example (NSR) & consistent. & consistent.
Normal Sinus Rhythm (NSR) Rate: 60-100 per minute Rhythm: R- R = P waves: Upright, similar P-R: 0.12-0.20 second & consistent P:qRs: 1P:1qRs Sinus Tachycardia Exercise Hypovolemia Medications Fever Hypoxia
More informationHTEC 91. Topic for Today: Atrial Rhythms. NSR with PAC. Nonconducted PAC. Nonconducted PAC. Premature Atrial Contractions (PACs)
HTEC 91 Medical Office Diagnostic Tests Week 4 Topic for Today: Atrial Rhythms PACs: Premature Atrial Contractions PAT: Paroxysmal Atrial Tachycardia AF: Atrial Fibrillation Atrial Flutter Premature Atrial
More informationBy the end of this continuing education module the clinician will be able to:
EKG Interpretation WWW.RN.ORG Reviewed March, 2015, Expires April, 2017 Provider Information and Specifics available on our Website Unauthorized Distribution Prohibited 2015 RN.ORG, S.A., RN.ORG, LLC Developed
More informationAtrial & Junctional Dysrhythmias
Atrial & Junctional Dysrhythmias Atrial & Junctional Dysrhythmias Atrial Premature Atrial Complex Wandering Atrial Pacemaker Atrial Tachycardia (ectopic) Multifocal Atrial Tachycardia Atrial Flutter Atrial
More informationMULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.
Exam Name MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question. 1) What term is used to refer to the process of electrical discharge and the flow of electrical
More informationBASIC CARDIAC ARRHYTHMIAS Revised 10/2001
BASIC CARDIAC ARRHYTHMIAS Revised 10/2001 A Basic Arrhythmia course is a recommended prerequisite for ACLS. A test will be given that will require you to recognize cardiac arrest rhythms and the most common
More informationACLS RHYTHM TEST. 2. A 74-year-old woman with chest pain. Blood pressure 192/90 and rates her pain 9/10.
ACLS RHYTHM TEST Name Date Choose the best answer for each of the following questions. Each of the following strips is 6 seconds in length. 1. Identify the following rhythm a. Sinus bradycardia with 2
More informationQRS Complexes. Fast & Easy ECGs A Self-Paced Learning Program
6 QRS Complexes Fast & Easy ECGs A Self-Paced Learning Program Q I A ECG Waveforms Normally the heart beats in a regular, rhythmic fashion producing a P wave, QRS complex and T wave I Step 4 of ECG Analysis
More informationthe basics Perfect Heart Institue, Piyavate Hospital
ECG INTERPRETATION: the basics Damrong Sukitpunyaroj MD Damrong Sukitpunyaroj, MD Perfect Heart Institue, Piyavate Hospital Overview Conduction Pathways Systematic Interpretation Common abnormalities in
More informationNEONATAL & PEDIATRIC ECG BASICS RHYTHM INTERPRETATION
NEONATAL & PEDIATRIC ECG BASICS & RHYTHM INTERPRETATION VIKAS KOHLI MD FAAP FACC SENIOR CONSULATANT PEDIATRIC CARDIOLOGY APOLLO HOSPITAL MOB: 9891362233 ECG FAX LINE: 011-26941746 THE BASICS: GRAPH PAPER
More informationTachyarrhythmias (fast heart rhythms)
Patient information factsheet Tachyarrhythmias (fast heart rhythms) The normal electrical system of the heart The heart has its own electrical conduction system. The conduction system sends signals throughout
More informationINTRODUCTORY GUIDE TO IDENTIFYING ECG IRREGULARITIES
INTRODUCTORY GUIDE TO IDENTIFYING ECG IRREGULARITIES NOTICE: This is an introductory guide for a user to understand basic ECG tracings and parameters. The guide will allow user to identify some of the
More informationDiagnosis Code Crosswalk : ICD-9-CM to ICD-10-CM Cardiac Rhythm and Heart Failure Diagnoses
Diagnosis Code Crosswalk : to 402.01 Hypertensive heart disease, malignant, with heart failure 402.11 Hypertensive heart disease, benign, with heart failure 402.91 Hypertensive heart disease, unspecified,
More informationIntroduction to Electrocardiography. The Genesis and Conduction of Cardiac Rhythm
Introduction to Electrocardiography Munther K. Homoud, M.D. Tufts-New England Medical Center Spring 2008 The Genesis and Conduction of Cardiac Rhythm Automaticity is the cardiac cell s ability to spontaneously
More informationUnderstanding the Electrocardiogram. David C. Kasarda M.D. FAAEM St. Luke s Hospital, Bethlehem
Understanding the Electrocardiogram David C. Kasarda M.D. FAAEM St. Luke s Hospital, Bethlehem Overview 1. History 2. Review of the conduction system 3. EKG: Electrodes and Leads 4. EKG: Waves and Intervals
More informationPRO-CPR. 2015 Guidelines: PALS Algorithm Overview. (Non-AHA supplementary precourse material)
PRO-CPR 2015 Guidelines: PALS Algorithm Overview (Non-AHA supplementary precourse material) Please reference Circulation (from our website), the ECC Handbook, or the 2015 ACLS Course Manual for correct
More informationRAPID INTERPRETATION OF. EKG s
Personal Quick Reference Sheets 333 (pages 333 to 346) There is no need to remove these reference pages from your book. To download and print them in full color, go to: www.themdsite.com Reference Sheets
More informationBasic Cardiac Rhythms Identification and Response
Basic Cardiac Rhythms Identification and Response Module 1 ANATOMY, PHYSIOLOGY, & ELECTRICAL CONDUCTION Objectives Describe the normal cardiac anatomy and physiology and normal electrical conduction through
More informationElectrophysiology Daymar College. Lisa H. Young, RN, BSN, MAE 2011
Electrophysiology Daymar College Lisa H. Young, RN, BSN, MAE 2011 Electrical Conduction Pathway Chemical Basis for Impulse Formation Cardiac Action Potential Phases http://www.youtube.com/watch?v=oqpffilde0e
More informationHow To Understand What You Know
Heart Disorders Glossary ABG (Arterial Blood Gas) Test: A test that measures how much oxygen and carbon dioxide are in the blood. Anemia: A condition in which there are low levels of red blood cells in
More informationInterpreting a rhythm strip
3 Interpreting a rhythm strip Just the facts In this chapter, you ll learn: the components of an ECG complex and their significance and variations techniques for calculating the rate and rhythm of an ECG
More informationAn Introduction to Tachyarrhythmias R. A. Seyon MN, NP, CCN(C) & Dr. R. G. Williams
Arrhythmias 1 An Introduction to Tachyarrhythmias R. A. Seyon MN, NP, CCN(C) & Dr. R. G. Williams Things to keep in mind when analyzing arrhythmias: Electrical activity recorded in 12 and 15 leads Examine
More informationSchool of Health Sciences
School of Health Sciences Cardiology Teaching Package A Beginners Guide to Normal Heart Function, Sinus Rhythm & Common Cardiac Arrhythmias Welcome This document extends subjects covered in the Cardiology
More informationEquine Cardiovascular Disease
Equine Cardiovascular Disease 3 rd most common cause of poor performance in athletic horses (after musculoskeletal and respiratory) Cardiac abnormalities are rare Clinical Signs: Poor performance/exercise
More informationElectrophysiology Introduction, Basics. The Myocardial Cell. Chapter 1- Thaler
Electrophysiology Introduction, Basics Chapter 1- Thaler The Myocardial Cell Syncytium Resting state Polarized negative Membrane pump Depolarization fundamental electrical event of the heart Repolarization
More informationBanner Staff Service ECG Study Guide
Banner Staff Service ECG Study Guide Edited by Larry H. Lybbert, MS, RN Table of Contents ECG STUDY GUIDE... 3 ECG INTERPRETATION BASICS... 4 EKG GRAPH PAPER...4 RATE MEASUREMENT...9 The Six Second Method...9
More informationCardiac Arrhythmias. Introduction. Sinus Rhythms. Premature Beats. Secondary article. John A Kastor, University of Maryland, Baltimore, Maryland, USA
John A Kastor, University of Maryland, Baltimore, Maryland, USA Cardiac arrhythmias are disturbances in the rhythm of the heart manifested by irregularity or by abnormally fast rates ( tachycardias ) or
More informationCurrent Management of Atrial Fibrillation DISCLOSURES. Heart Beat Anatomy. I have no financial conflicts to disclose
Current Management of Atrial Fibrillation Mary Macklin, MSN, APRN Concord Hospital Cardiac Associates DISCLOSURES I have no financial conflicts to disclose Book Women: Fit at Fifty. A Guide to Living Long.
More informationThe P Wave: Indicator of Atrial Enlargement
Marquette University e-publications@marquette Physician Assistant Studies Faculty Research and Publications Health Sciences, College of 8-12-2010 The P Wave: Indicator of Atrial Enlargement Patrick Loftis
More informationPremature Ventricular Contractions. Ralph Augostini, MD FACC FHRS
Premature Ventricular Contractions Ralph Augostini, MD FACC FHRS Orlando, Florida October 7-9, 2011 Premature Ventricular Contractions: ACC/AHA/ESC 2006 Guidelines for Management of Patients With Ventricular
More informationElectrodes placed on the body s surface can detect electrical activity, APPLIED ANATOMY AND PHYSIOLOGY. Circulatory system
4 READING AND INTERPRETING THE ELECTROCARDIOGRAM Electrodes placed on the body s surface can detect electrical activity, which occurs in the heart. The recording of these electrical events comprises an
More informationVCA Veterinary Specialty Center of Seattle
An electrocardiogram (ECG) is a graph of the heart`s electrical current, which allows evaluation of heart rate, rhythm and conduction. Identification of conduction problems within the heart begins with
More information12-Lead EKG Interpretation. Judith M. Haluka BS, RCIS, EMT-P
12-Lead EKG Interpretation Judith M. Haluka BS, RCIS, EMT-P ECG Grid Left to Right = Time/duration Vertical measure of voltage (amplitude) Expressed in mm P-Wave Depolarization of atrial muscle Low voltage
More informationTOP 5. The term cardiac arrhythmia encompasses all cardiac. Arrhythmias in Dogs & Cats. Sinus Arrhythmia. TOP 5 Arrhythmias Seen in Dogs & Cats
Top 5 ardiology Peer reviewed TOP 5 rrhythmias in Dogs & ats shley Jones, DVM mara Estrada, DVM, DVIM (ardiology) University of Florida The term cardiac arrhythmia encompasses all cardiac rhythms other
More informationBIPOLAR LIMB LEADS UNIPOLAR LIMB LEADS PRECORDIAL (UNIPOLAR) LEADS VIEW OF EACH LEAD INDICATIVE ECG CHANGES
BIPOLAR LIMB LEADS Have both a distinctive positive and negative pole. Lead I LA (positive) RA (negative) Lead II LL (positive) RA (negative) Lead III LL (positive) LA (negative) UNIPOLAR LIMB LEADS Have
More informationACLS Chapter 3 Rhythm Review Instructor Lesson Plan to Accompany ACLS Study Guide 3e
ACLS Chapter 3 Rhythm Review Lesson Plan Required reading before this lesson: ACLS Study Guide 3e Textbook Chapter 3 Materials needed: Multimedia projector, computer, ACLS Chapter 3 Recommended minimum
More informationElectrophysiology Heart Study - EPS -
Electrophysiology Heart Study - EPS - What is an EPS? EPS is short for ElectroPhysiology heart Study. This procedure looks at the electrical system of your heart. An EPS will show if you have a heart rhythm
More informationElectrocardiography Review and the Normal EKG Response to Exercise
Electrocardiography Review and the Normal EKG Response to Exercise Cardiac Anatomy Electrical Pathways in the Heart Which valves are the a-v valves? Closure of the a-v valves is associated with which heart
More informationFeature Vector Selection for Automatic Classification of ECG Arrhythmias
Feature Vector Selection for Automatic Classification of ECG Arrhythmias Ch.Venkanna 1, B. Raja Ganapathi 2 Assistant Professor, Dept. of ECE, G.V.P. College of Engineering (A), Madhurawada, A.P., India
More information22 Arrhythmias. C. Scharf and F. Duru. Siegenthaler, Differential Diagnosis in Internal Medicine (ISBN9783131421418), 2007 Georg Thieme Verlag
22 22 Arrhythmias C. Scharf and F. Duru 22 712 Arrhythmias 22.1 Differential Diagnosis of Arrhythmias 714 Medical History 714 Clinical Examination 714 Electrocardiogram (ECG) 715 Additional Tools for the
More informationCatheter Ablation. A Guided Approach for Treating Atrial Arrhythmias
Catheter Ablation A Guided Approach for Treating Atrial Arrhythmias A P A T I E N T H A N D B O O K This brochure will provide an overview of atrial arrhythmias (heart rhythm problems affecting the upper
More informationPotential Causes of Sudden Cardiac Arrest in Children
Potential Causes of Sudden Cardiac Arrest in Children Project S.A.V.E. When sudden death occurs in children, adolescents and younger adults, heart abnormalities are likely causes. These conditions are
More informationThe abbreviation EKG, for electrocardiogram,
CLIN PEDIATR OnlineFirst, published on January 28, 2010 as doi:10.1177/0009922809336206 Simplified Pediatric Electrocardiogram Interpretation Clinical Pediatrics Volume XX Number X Month XXXX xx-xx 2009
More informationActivity 4.2.3: EKG. Introduction. Equipment. Procedure
Activity 4.2.3: EKG The following is used with permission of Vernier Software and Technology. This activity is based on the experiment Analyzing the Heart with EKG from the book Human Physiology with Vernier,
More informationBradycardia CHAPTER 12 CODE SCENARIO
Senecal-12.qxd 14/04/2005 09:44 AM Page 69 CHAPTER 12 Bradycardia CODE SCENARIO A code is called for a 78-year-old man who was admitted to the hospital for syncope of unknown etiology. He was resting comfortably
More informationGUIDELINE 11.9 MANAGING ACUTE DYSRHYTHMIAS. (To be read in conjunction with Guideline 11.7 Post-Resuscitation Therapy in Adult Advanced Life Support)
AUSTRALIAN RESUSCITATION COUNCIL GUIDELINE 11.9 MANAGING ACUTE DYSRHYTHMIAS (To be read in conjunction with Guideline 11.7 Post-Resuscitation Therapy in Adult Advanced Life Support) The term cardiac arrhythmia
More informationECG made extra easy. medics.cc
ElectroCardioGraphyraphy ECG made extra easy Overview Objectives for this tutorial What is an ECG? Overview of performing electrocardiography on a patient Simple physiology Interpreting the ECG Objectives
More informationCOVERAGE GUIDANCE: ABLATION FOR ATRIAL FIBRILLATION
COVERAGE GUIDANCE: ABLATION FOR ATRIAL FIBRILLATION Question: How should the EGBS Coverage Guidance regarding ablation for atrial fibrillation be applied to the Prioritized List? Question source: Evidence
More informationHeart and Vascular System Practice Questions
Heart and Vascular System Practice Questions Student: 1. The pulmonary veins are unusual as veins because they are transporting. A. oxygenated blood B. de-oxygenated blood C. high fat blood D. nutrient-rich
More information510(k) Summary May 7, 2012
510(k) Summary Medicalgorithmics 510(k) Premarket Notification 510(k) Summary May 7, 2012 1. Submitter Name and Address Medicalgorithmics LLC 245 West 107th St., Suite 11A New York, NY 10025, USA Contact
More informationKey Medical Terms Associated with the Cardiovascular System
1 Key Medical Terms Associated with the Cardiovascular System Aneurysm: A thin, weakened section of the wall of an artery or vein that bulges outward, forming a balloon-like sac. Common causes are atherosclerosis,
More informationECG INTERPRETATION MANUAL
Lancashire & South Cumbria Cardiac Network ECG INTERPRETATION MANUAL THE ABNORMAL ECG Lancashire And South Cumbria Cardiac Physiologist Training Manual AV NODAL BLOCKS (HEART BLOCKS) Disturbances of intra
More informationRecurrent AF: Choosing the Right Medication.
In the name of God Shiraz E-Medical Journal Vol. 11, No. 3, July 2010 http://semj.sums.ac.ir/vol11/jul2010/89015.htm Recurrent AF: Choosing the Right Medication. Basamad Z. * Assistant Professor, Department
More information8 Peri-arrest arrhythmias
8 Peri-arrest arrhythmias Introduction Cardiac arrhythmias are relatively common in the peri-arrest period. They are common in the setting of acute myocardial infarction and may precipitate ventricular
More information2 ECG basics. Leads and planes. Leads. Planes. from different perspectives, which are called leads and planes.
558302.qxp 3/14/12 10:47 PM Page 12 2 ECG basics One of the most valuable diagnostic tools available, an electrocardiogram (ECG) records the heart s electrical activity as waveforms. By interpreting these
More informationHEART HEALTH WEEK 3 SUPPLEMENT. A Beginner s Guide to Cardiovascular Disease HEART FAILURE. Relatively mild, symptoms with intense exercise
WEEK 3 SUPPLEMENT HEART HEALTH A Beginner s Guide to Cardiovascular Disease HEART FAILURE Heart failure can be defined as the failing (insufficiency) of the heart as a mechanical pump due to either acute
More informationSleep Heart Health Study (SHHS) ECG Protocol
Sleep Heart Health Study (SHHS) ECG Protocol SHHS 1 Electrocardiography (ECG) Baseline ECG is performed in all parent study clinic visits preceding the PSG. All sites perform a standard resting 12-lead
More informationSystematic Approach to 12 Lead EKG Interpretation
Systematic Approach to 12 Lead EKG Interpretation Maureen Knechtel MPAS, PA-C Wellmont CVA Heart Institute Disclosure Statement of Financial Interest I, Maureen Knechtel, do not have a financial interest/arrangement
More informationThe choice for quality ECG arrhythmia monitoring
GE Healthcare EK-Pro The choice for quality ECG arrhythmia monitoring David A. Sitzman, MSEE. Mikko Kaski, MSAM. Ian Rowlandson, MSBE. Tarja Sivonen, RN. Olli Väisänen, MD, PhD. Clinical care environments
More informationIntroduction to Electrophysiology. Wm. W. Barrington, MD, FACC University of Pittsburgh Medical Center
Introduction to Electrophysiology Wm. W. Barrington, MD, FACC University of Pittsburgh Medical Center Objectives Indications for EP Study How do we do the study Normal recordings Abnormal Recordings Limitations
More informationAdult Cardiac Surgery ICD9 to ICD10 Crosswalks
164.1 Malignant neoplasm of heart C38.0 Malignant neoplasm of heart 164.1 Malignant neoplasm of heart C45.2 Mesothelioma of pericardium 198.89 Secondary malignant neoplasm of other specified sites C79.89
More informationCopyright 2006 Blaufuss Multimedia. All rights reserved. Page 1
Copyright 2006 Blaufuss Multimedia. All rights reserved. Page 1 002 Sinus Rhythm, atrial rate 90 Mobitz II AVB, Ventricular rate 50 Left Atrial Enlargement Left Ventricular Hypertrophy RBBB a) Long R-R
More informationElectrolyte Physiology. Something in the way she moves
Electrolyte Physiology Something in the way she moves me Electrolyte Movement CONCENTRATION GRADIENT ELECTRICAL GRADIENT DRIVING FORCE NERNST NUMBER (E-ion) CONDUCTANCE (G-ion) PERMEABILITY CHANNELS: small
More informationMedtronic Cardiac Rhythm and Heart Failure ICD-10 Coding for Physicians
Medtronic Cardiac Rhythm and Heart Failure ICD-10 Coding for Physicians May 19, 2015 Disclaimer This presentation is intended for educational use. Any duplication is prohibited without written consent
More informationECG Measurments and Interpretation Programs
ECG Measurments and Interpretation Programs Physician s Guide Distributed by Welch Allyn 4341 State Street Road, PO Box 220 Skaneateles Falls, NY 13153-0220 www.welchallyn.com Sales and Service information:
More informationThe heart then repolarises (or refills) in time for the next stimulus and contraction.
Atrial Fibrillation BRIEFLY, HOW DOES THE HEART PUMP? The heart has four chambers. The upper chambers are called atria. One chamber is called an atrium, and the lower chambers are called ventricles. In
More informationECG Measurement and Interpretation
ECG Measurement and Interpretation Statement of accuracy for analysing ECG units *2.530036* Physicians Guide Sales and Service Information The SCHILLER sales and service centre network is world-wide. For
More informationExchange solutes and water with cells of the body
Chapter 8 Heart and Blood Vessels Three Types of Blood Vessels Transport Blood Arteries Carry blood away from the heart Transport blood under high pressure Capillaries Exchange solutes and water with cells
More informationACLS PHARMACOLOGY 2011 Guidelines
ACLS PHARMACOLOGY 2011 Guidelines ADENOSINE Narrow complex tachycardias or wide complex tachycardias that may be supraventricular in nature. It is effective in treating 90% of the reentry arrhythmias.
More informationWhat Are Arrhythmias?
What Are Arrhythmias? Many people have questions about what the word arrhythmia means, and arrhythmias can be a difficult subject to understand. The text below should give you a better understanding of
More informationThe Patient s Guide to the Electrophysiologic Study (EPS) and Catheter Ablation
The Patient s Guide to the Electrophysiologic Study (EPS) and Catheter Ablation 2 P a g e Table of Contents Introduction How the Heart Works 3 How the Heart s Electrical System Works 3 Commonly Used Heart
More informationAnatomi & Fysiologi 060301. The cardiovascular system (chapter 20) The circulation system transports; What the heart can do;
The cardiovascular system consists of; The cardiovascular system (chapter 20) Principles of Anatomy & Physiology 2009 Blood 2 separate pumps (heart) Many blood vessels with varying diameter and elasticity
More informationAutomatic External Defibrillators
Last Review Date: May 27, 2016 Number: MG.MM.DM.10dC2 Medical Guideline Disclaimer Property of EmblemHealth. All rights reserved. The treating physician or primary care provider must submit to EmblemHealth
More informationPatient Information Sheet Electrophysiological study
Patient Information Sheet Electrophysiological study Your doctor has recommended performing an electrophysiological study (also called EPS). EPS is a diagnostic procedure designed to test and evaluate
More informationTable of Contents Error! Bookmark not defined.
Table of Contents EKG TRACING...1 Figure 1 - EKG Tracing... Error! Bookmark not defined. STEP 1...1 Rate... 1 Figure 2 - Determining the Rate... 1 Step 2...2 Rhythm... 2 Figure 3 - Determining the Rhythm
More informationAn ECG Primer. Quick Look. I saw it, but I did not realize it. Elizabeth Peabody
4 An ECG Primer Quick Look Cardiac Monitoring System - p. 64 ECG Paper - p. 73 Lead Polarity and Vectors - p. 77 Basic ECG Components - p. 79 Heart Rate and Pulse Rate - p. 91 Summary - p. 94 Chapter Quiz
More informationDetection of Heart Diseases by Mathematical Artificial Intelligence Algorithm Using Phonocardiogram Signals
International Journal of Innovation and Applied Studies ISSN 2028-9324 Vol. 3 No. 1 May 2013, pp. 145-150 2013 Innovative Space of Scientific Research Journals http://www.issr-journals.org/ijias/ Detection
More informationAtrioventricular (AV) node ablation
Patient information factsheet Atrioventricular (AV) node ablation The normal electrical system of the heart The heart has its own electrical conduction system. The conduction system sends signals throughout
More informationElectrocardiography I Laboratory
Introduction The body relies on the heart to circulate blood throughout the body. The heart is responsible for pumping oxygenated blood from the lungs out to the body through the arteries and also circulating
More informationInterpreting AV (Heart) Blocks: Breaking Down the Mystery
Interpreting AV (Heart) Blocks: Breaking Down the Mystery 2 Contact Hours Copyright 2012 by RN.com. All Rights Reserved. Reproduction and distribution of these materials is prohibited without the express
More informationSection Four: Pulmonary Artery Waveform Interpretation
Section Four: Pulmonary Artery Waveform Interpretation All hemodynamic pressures and waveforms are generated by pressure changes in the heart caused by myocardial contraction (systole) and relaxation/filling
More informationACLS Rhythms for the ACLS Algorithms
ACLS Rhythms for the ACLS Algorithms The Basics 1. Anatomy of the cardiac conduction system: relationship to the ECG cardiac cycle. A, Heart: anatomy of conduction system. B, P-QRS-T complex: lines to
More informationThe Electrocardiogram (ECG)
The Electrocardiogram (ECG) Preparation for RWM Lab Experiment The first ECG was measured by Augustus Désiré Waller in 1887 using Lippmann's capillary electrometer. Recorded ECG: http://www.youtube.com/watch_popup?v=q0jmfivadue&vq=large
More informationAmerican Heart Association ACLS Pre-Course Self Assessment Dec., 2006. ECG Analysis. Name the following rhythms from the list below:
American Heart Association ACLS Pre-Course Self Assessment Dec., 2006 ECG Analysis This pre-test is exactly the same as the pretest on the ACLS Provider manual CD. This paper version can be completed in
More informationNAME OF THE HOSPITAL: 1. Coronary Balloon Angioplasty: M7F1.1/ Angioplasty with Stent(PTCA with Stent): M7F1.3
1. Coronary Balloon Angioplasty: M7F1.1/ Angioplasty with Stent(PTCA with Stent): M7F1.3 1. Name of the Procedure: Coronary Balloon Angioplasty 2. Select the Indication from the drop down of various indications
More informationECG Signal Analysis Using Wavelet Transforms
Bulg. J. Phys. 35 (2008) 68 77 ECG Signal Analysis Using Wavelet Transforms C. Saritha, V. Sukanya, Y. Narasimha Murthy Department of Physics and Electronics, S.S.B.N. COLLEGE (Autonomous) Anantapur 515
More informationDEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services NEW product from the Medicare Learning Network (MLN) Provider Compliance Tips for Computed Tomography (CT) Scans Podcast,
More informationAtrial Fibrillation Peter Santucci, MD Revised May, 2008
Atrial Fibrillation Peter Santucci, MD Revised May, 2008 Atrial fibrillation (AF) is an irregular, disorganized rhythm characterized by a lack of organized mechanical atrial activity. The atrial rate is
More informationGuideline for the management of arrhythmias
Guideline for the management of arrhythmias The following guideline is approved only for use at University College London Hospitals NHS Foundation Trust. It is provided as supporting information for the
More informationSignal-averaged electrocardiography late potentials
SIGNAL AVERAGED ECG INTRODUCTION Signal-averaged electrocardiography (SAECG) is a special electrocardiographic technique, in which multiple electric signals from the heart are averaged to remove interference
More informationEvaluation copy. Analyzing the Heart with EKG. Computer
Analyzing the Heart with EKG Computer An electrocardiogram (ECG or EKG) is a graphical recording of the electrical events occurring within the heart. In a healthy heart there is a natural pacemaker in
More informationBasics of Pacing. Ruth Hickling, RN-BSN Tasha Conley, RN-BSN
Basics of Pacing Ruth Hickling, RN-BSN Tasha Conley, RN-BSN The Cardiac Conduction System Cardiac Conduction System Review Normal Conduction Conduction QRS QRS Complex Complex RR PP ST ST segment segment
More informationShort Duration High-Level Exposure to Halon Substitutes: Potential Cardiovascular Effects
Short Duration High-Level Exposure to Halon Substitutes: Potential Cardiovascular Effects Halon Alternatives Technical Working Conference 1993 Reva Rubenstein, Ph.D. U.S.Environmenta1 Protection Agency
More informationEKG Refresh and Practice Normal Sinus Rhythm. P-Waves: PRInterval:
EKG Refresh and Practice Normal Sinus. : 60-100 beats per minute r Rhythrn: Atrial - - o Pwaves: Uniform in appearance Upright w/ normal shape One Preceding each QRS Nor more than.10 second o PR interval:
More informationLethal Arrhythmias: Presented by: RN.com 12400 High Bluff Dr San Diego, CA 92130
Lethal Arrhythmias: Advanced Rhythm Interpretation Presented by: RN.com 12400 High Bluff Dr San Diego, CA 92130 This course has been approved for five (5.0) contact hours. This course expires January 24,
More informationTrust Guideline for the Management of New-born Babies with abnormal heart rhythm
A clinical guideline recommended for use In: Blakeney Ward, Delivery Suite, Neonatal Unit By: For: Key words: Written by: Supported by: Approved by: Neonatal Medical Staff (SHOs, registrars, consultants)
More informationElectrophysiology study (EPS)
Patient information factsheet Electrophysiology study (EPS) The normal electrical system of the heart The heart has its own electrical conduction system. The conduction system sends signals throughout
More informationManagement of Pacing Wires After Cardiac Surgery
Management of Pacing Wires After Cardiac Surgery David E. Lizotte, Jr. PA C, MPAS, FAPACVS President, Association of Physician Assistants in Cardiovascular Surgery Conflicts: None Indications 2008 Journal
More informationDetecting Atrial-ventricular blocks Arrhythmia based on RR-intervals on ECG Signals
Detecting Atrial-ventricular blocks Arrhythmia based on -intervals on ECG Signals Makki Akasha abikier, Ibrahim Musa Ishag, Mohammed Izzeldin, Dong Gyu Lee, Gyoyong shon, Keun Ho Ryu Database/ioinformatics
More informationPatient Information & Medical Screening Form
Patient Information & Medical Screening Form Name: Date of Birth: Social Security Number: Status: Single Married Divorced Widowed Other Ethnicity: Caucasian African American Hispanic Asian American Indian
More information