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