arrythmia Flashcards
extrinsic causes of sinus bradychardia drugs
(β-blockers
extrinsic causes of sinus bradychardia diseases
hypothyroidism, hypothermia, cholestatic jaundice,
raised intracranial pressure
intrinsic causes of sinus bradycardia
acute ischaemia and infarction of the sinus node
fibrosis of theatrium and sinus node
fibrosis of theatrium and sinus node also known as
sick sinus syndrome
how to treat bradycardia
pacemaker
acute bradycardia treatment
atropine
sick sinus syndrome heart rhythm
tachy–brady syndrome
common causes of heart block
coronary artery disease, cardiomyopathy, fibrosis of the conducting tissue
location of block in HB
AV node or the His bundle
LBBB
describe first degree heart block
delayed atrioventricular conduction
how would you see first degree heart block on ECG
long PR
first degree heart block treatment
not necessary
describe mobitz type one
PR interval prolongation until a P wave fails to
conduct, cycle repeats itself
describe mobitz type II block
QRS dosent always follow P - ratio
mobitz type II block QRS describe
widened
Third-degree AV block describe
complete dissociation between atrial and ventricular activity
escape rhythm in bundle of his QRS
narrow
escape rhythm in Purkinje system QRS
broad QRS
Purkinje system escape rhythm complications
dizzy and black out
BBB GRS
wide QRS
RBBB extra wave and why
a secondary R wave
why do you get an extra R wave in RBBB
first the left ventricle and then the right
when do you get RBBB
pulmonary embolus, right ventricular hypertrophy,
ischaemic heart disease and congenital heart disease
congenital heart disease that can lead to RBBB
atrial and ventricular septal defect and Fallot’s tetralogy
LBBB underlying pathology
aortic stenosis, hypertension, severe coronary artery disease
SVTs arise from
atrium
sinus tachycardia diseases
fever, pain, anaemia, heart failure, thyrotoxicosis, acute
pulmonary embolism, hypovolaemia
sinus tachycardia drugs
catecholamines and atropine
sinus tachycardia treatment
β-blockers and treat cause
Atrioventricular junctional tachycardias resul from
re-entry circuits
what are re-entry circuits
two separate pathways for impulse conduction
most common type of SVT
Atrioventricular nodal re-entry tachycardia
explain Atrioventricular nodal re-entry tachycardia
‘ring’ of conducting pathway in the AV node, of which the ‘limbs’ have differing conduction times and refractory periods
most common AVRT
Wolff–Parkinson–White syndrome
describe Wolff–Parkinson–White syndrome
accessory pathway bundle of Kent between atria and
ventricles
symptoms of Atrioventricular junctional tachycardias
rapid regular palpitations, usually with abrupt onset and sudden termination. Other symptoms are dizziness, dyspnoea, central chest pain and syncope
AF risk
stroke
Ventricular fibrillation signs
pulseless and becomes rapidly unconscious, and respiration ceases
Ventricular fibrillation treatment
immediate defibrillation