PPT-PEM|COR: Tachycardia Frank P. Carnevale, M.D.

Department of Pediatrics Division of Pediatric Emergency Medicine State University of New York at Buffalo November 13 2013 PEMCoR 20132014 091813 Hypovolemic amp Distributive Shock 103013 Cardiogenic amp Obstructive Shock. Arrhythmias. Objectives. Describe the normal conduction in the heart. Describe pathophysiology of . bradycardias. Describe pathophysiology of . tachycardias. Describe treatment of the above. Case. A 55 year old male calls 911 because his “heart is racing.” He initially is alert, oriented, and has mild shortness of breath. On physical exam, he has a regular tachycardia at 180, and monitor shows a regular, narrow-complex tachycardia. He denies chest pain. Midway through transport, he becomes less responsive, and his blood pressure drops as he starts sweating profusely.. Assessment and Management. Robert H. Pass, MD. Director, Pediatric Cardiac Electrophysiology. Montefiore Medical Center – Albert Einstein College of Medicine. Pediatric Arrhythmia Management. Bradycardia. . M.V.Jorat. MD. 1389. Definition. Narrow QRS complex supraventricular tachycardia (SVT) is a tachyarrhythmia with a rate more than 100 beats/min and a QRS duration of less than 120 milliseconds.. A narrow QRS complex (<120 msec) reflects rapid activation of the ventricles via the normal His-Purkinje system, which in turn suggests that the arrhythmia originates above or within the atrioventricular (AV) node (ie, a supraventricular tachycardia). . With Dr. Santa Maria. What is POTS?. What symptoms fall under the umbrella of POTS?. What would be “specific” versus “nonspecific” symptoms of . dysautonomia. ?. What is the autonomic nervous system and how does it work?. È carnevale e arriva Arlecchino. tiene in mano un palloncino, . fa a tutti un inchino. e manda un bacino.. C’è poi Colombina. che prepara un dolce in cucina. e lo offre a una bambina. molto dolce e carina.. Department of Anesthesiology . Imam Reza Hospita. l. Rhythms for unstable tachycardia. Sinus tachycardia. Atrial. fibrillation. Atrial. flutter. Reentry . supraventricular. tachycardia (SVT). Monomorphic. Tom McAllister. Office of Procurement and Assistance Management . COR-Integral Member of the Federal Acquisition Work Force. . OFPP Memo--. Revisions to the Federal Acquisition Certification for Contracting Officer’s Representatives (FAC-COR). Margot . Betti. Frank was born in 1926. Annelies. Marie Frank was born in 1929. 1933- Hitler takes over and Otto and Edith become worried and look for a means of escape. Life in Germany. March 1933- Otto and Edith decided to leave Germany for the Netherlands. Definitions. Wide . QRS complex tachycardia is a rhythm with a rate of . ≥100 . b/m and QRS duration . of ≥ . 120 ms. VT – 80% of Wide QRS Complex Tachycardia. SVT with . abberancy. 15 to 20%. 2. Arrhythmia. Unstable :. Altered mental status. Ischemic chest discomfort. Acute heart failure. Hypotension . Other signs of shock. Symptomatic:. Palpitations. Lightheadedness. Dyspnea. 07/07/1392. Pericarditis. Angina. . pectoris. Table of . Contents. ANGINA PECTORIS. Alexandra . Kredátusová. WHAT IS IT?. cardiovascular. . disease. chest. . pain. . due. . in general to. :. ischemia of the heart muscle. Technology for Polarization Measurement The Magneto-Optic Kerr Effect (MOKE) is the study of the ection of polarized light by a material sample subjected eld. This re ection can produce several effe Jazmine . Boloor. PATIENT IN AVRT: EKG. DELTA WAVE: . SA node triggers, sends signal to AV node and accessory pathway. AV node has a safeguard to slow the signal down so the ventricles can fill. Accessory pathway doesn’t have safeguard, meaning the signal can very quickly travel from the atria down, depolarizing the ventricles. This creates a slurred upstroke, as the P wave is closely coupled with the QRS. Once the signal gets through the AV node, it travels very quickly through the circuit of the heart and up the accessory pathway, creating a sharp downwards wave as the ventricles depolarize. . Dr Reema Abhyankar, Assistant Professor, OBGY, SMBT IMS & RC. Dr Kiran Rajole, Associate Professor, OBGY, SMBT IMS & RC. Dr Suresh Patil, Consultant Cardiologist, SMBT IMS & RC. Case. Name – Mrs. XYZ.