PPT-Arrhythmias

ED SHO TEACHING C Brown August 2015 Aims To be able to confidently recognise arrhythmias in patients presenting to the ED To describe the principles of management of brady and tachyarrhythmias. Assessment and Management. Robert H. Pass, MD. Director, Pediatric Cardiac Electrophysiology. Montefiore Medical Center – Albert Einstein College of Medicine. Pediatric Arrhythmia Management. Bradycardia. Lindsey Green. PGY1. Congenitally Corrected Transposition of the Great Arteries. L- TGA. Asymptomatic at birth unless another lesion present (VSD or ASD). If no other lesion, present in adulthood with arrhythmia and/or heart failure. . C. atheter . Ab. lation Versus . An. tiarrhythmic Drug Therapy for . A. trial Fibrillation (CABANA) Trial . Jeanne E. Poole MD, George Johnson BSEE, Kristi H. Monahan RN, Hoss Rostami BSMSE, . Adam Silverstein MS, Hussein Al-Khalidi PhD, Mauri Wilson RN, Yves Rosenberg MD, MPH, . **Name**, DVM, DACVIM (Cardiology). **Date**. Agenda . Review. Conduction system. ECG basics. Approach to reading an ECG. Common arrhythmias in small animals . Diagnosis and treatment of arrhythmias. Rabea Asleh MD PhD MHA FACC. Director, Heart Failure Unit. Hadassah University Medical Center. Jerusalem, Israel . 28.11.2019. LVADs improve survival and minimize morbidity in patients with end-stage HF. Heart Rhythm Service. Perfusion of conduction system. SAN. 55% atrial branch from RCA. 45% proximal branch of . Cx. Sinus . Bradycardia. SA Block. Sinus Arrest. AV Nodal level. PR prolongation . . 2. 01020304050607080010001101203011000140150160208006017012030106060401803040190170150800170160012015030170110160308002001703040021011022030023011016030601700202101506001508080170803001102301700110802400 AVN. Impulse conduction. Impulses originate regularly at a frequency of . 60-100 beat/ min. -100. -80. -60. -40. -20. 0. 20. Phase 0. Phase 1. Phase 2. Phase 3 . Phase 4. Na. +. ca. ++. ATPase. . mv. . .. Four structures. are key to the conduction of electrical impulses through the heart muscle. :. The . sinoatrial (SA) node. located in the right atrium . . •. The atrioventricular (AV) node. commonly occur in the presence of preexisting heart disease. the most common cause of death in patients with a myocardial infarction . . the most serious manifestation of digitalis toxicity, anesthesia, hyperthyroidism, and electrolyte disorders. William Sage. contributors: Kate Allen, Melanie Hezzell and Anna Hammond. HEART RATE VARIABILITY (HRV). Beat-to-beat heart rate variations. Neurohormonal control . HR is dynamic . Time-domain measures offer overall assessment of autonomic function. 132 Cardiovascular Complications in Diabetic Ketoacidosis M. J. Gandhi, Tilak T. Suvarna iabetic Ketoacidosis (DKA) is one of the two important metabolic complications of diabetes, the other being Understand definition of arrhythmias and their . different types. describe different classes . of . Antiarrhythmic drugs. and their mechanism of action. understand their pharmacological actions, clinical . Cardiac arrhythmias are the most common cause of death in patients with a myocardial infarction or terminal heart failure. . Normal sinus rhythm is dependent on generation of an impulse in the normal sinoatrial (SA) node pacemaker and its conduction through the atrial muscle, through the atrioventricular (AV) node, through the Purkinje conduction system, to the ventricular muscle.