weteiitetion - study with an spt · weteiitetion normal sinus rhythm pwaveatrialdepolarization e...

wetEIITetionNORMAL SINUS RHYTHM Pwaveatrialdepolarization

E IlSeoR P RintervalArconductiontime

T b 12 20sec 3 5boxesP 0mscomplexventriculardepolarization

atrialrepolarizationNT fA NT f

Ahe loser 42.5boxes

8 1waveventricularrepolarization

WAYSTOWUNTHEARTRATEI 2 3 4 5 6 7 8

I countfromRep exinausecstrip9 ORwave8 10multiplyMylo 80bpmTmusthaveregularrhythm

2 Count Asmall exsquaresbetween2Rwaneshdivide 1500122squares1500bythat 1606mF

i 2343count oflarge exsquaresbetween 3004sowane8zrwavesrdgdiu.de 75bpmTZoobythatthisisanapproximation

3Yigoprip

4QuickCountMethod ex

fRwaneinbetween

findanrwavethat 100475with5boxesocargonadarkbine inbetween4thencountdown 10075 25300,150,100,7516050,43 2515boxes sperboxmusthaveregularrhythm rwave.is

boxbefore7575tics7

80bpm

RHYTHM INTERPRETATION

ANV8BRADYCARDIAHeartRateshe0hpmRhythm Regularpwave BeforeeachQRSidenticalPRinterval 12 20SecQRS c12Secclinicalimplicationscausedbylackofsympatheticinputmedicationorphysicaltraining

SINUSTACHYCARDIAHeartRate toomomRhythm Regularpwave BefineeachoursidenticalPRinterval 12 toseeours c 12clinicalImplicationscausedbyademandforcardiacoutput

ATRlAVFWITERHeartRateA220 430bpm vfC300bpmrhythm RegularorvariumepwavesawtoothedappearancePRinterrae N1AORG s12clinicalimplicationscause8agecardiacconditions digoxin

sawtoothedPwaveistheclassicsignof toxicityrenalfailureatrialflutter 6seriousrhythmalthoughgame

potentialfordevelopingembolianticoagulanttherapy

ATRIAtFIBRILLATIONHeartRateA350650bpm v Slow rapidRhythm IrregularpWave Fibrillating finetocomePRinterrae N1AORG s12clinicalimplications sameasatrialAvner

rwavesareconsistentlyinconsistentmultipleectopicfocifiring

VENTRICULARTACHYCARDIA

HeartRate s100bpmRhythm RegularpWave AbsentornotrelatedPRinterrae N1AARS Z12clinicalimplicationscausesischemia acuteMl CADhypertensiveheartdiseasemedicinetoxicity

stimulation isNOTfromtheSAnode sonopwave symptomslightheadednessdasyncopeweak9threadypulseEmergencysituation dwdypopMayprogresstov fibdadeathTxmedscardioversion defibrillation

VENTRICULARFIBRILLATION

HeartRate300600ppmRhythmextremelyirregularpwave absentPRinterrae N1AORGfibrillatingbaselineclinicalimplications

ASYSTOLEHeartRateAbsentRhythmAbsentpwave AbsentorpresentPRinterrae N1AOursAbsentclinicalimplications

1stDEGREEAvBlockHeartRate60 100bpmRhythmRegularpwave BeforeQRSidenticalPRinterval 20ORG s12

PREMATUREATRIALCONTRACTION8HeartRateirregularrhythmregularpwave presentbutlook8abnormalmaybeburiedinprecedingewave

clinicalimplicationscausesemotionalstressesqinfectioncaffeinenicotinealcoholhypoxemiamyocardialischemiarheumaticheartdiseaseatrialdamage

PREMATURE VENTRICULAR CONTRACTION8Impulseinmyocardiumofoneoftheventricles

PVCCouplet HeartRateRhythmPwave absentPRinterraeORS wide4bizarreclinicalImplicationsskippedbeatcanbepalpatedwhencheckingpulsecoursescaffeinenicotine

protriplet stress1overexertionelectrolyteimbalanceacidbaseimbalancecardiacdiseasesirritationofmyocardium pharmacologicaltoxicity ischemiamostcommonventricularconductionabnormalitybenign1dangerous

proBigominy abnormalwave everyotherone isconcerningifventricularectopyincreaseswactivity9activity Mirritability

b3ormoreprosin arowventriculartachycardia

proTrigominy abnormalwave every3rdwave