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

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  • wetEIITetion - Study with an SPT · wetEIITetion NORMAL SINUS RHYTHM Pwaveatrialdepolarization E IlSeo R P RintervalArconductiontime T b 12 20sec 3 5boxes P 0mscomplexventriculardepolarization
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wetEIITetion NORMAL SINUS RHYTHM Pwave atrial depolarization E Il Seo R PR interval Arconductiontime T b 12 20sec 3 5boxes P 0ms complex ventricular depolarization atrial repolarization NT f A NT f A he loser 42.5 boxes 8 1 wave ventricular repolarization WAYS TOWUNTHEARTRATE I 2 3 4 5 6 7 8 I count from Rep ex inausecstrip 9 ORwave810 multiply Mylo 80bpmT must have regularhythm 2 Count A small ex squares between 2Rwanesh divide 1500122 squares 1500 by that 1606mF i 234 3 count of large ex squares between 300 4 sowane8 zrwavesrdgdiu.de 75bp mT Zoo by that this is an approximation 3Yigoprip 4 Quick Count Method ex f Rwanein between findanrwavethat 100475 with5 boxes ocargonadarkbine in between 4 then countdown 100 75 25 300,150,100,75160 50,43 2515 boxes sperbox must haveregularhythm rwave.is boxbefore7575tics7 80bpm

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Page 1: wetEIITetion - Study with an SPT · wetEIITetion NORMAL SINUS RHYTHM Pwaveatrialdepolarization E IlSeo R P RintervalArconductiontime T b 12 20sec 3 5boxes P 0mscomplexventriculardepolarization

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

Page 2: wetEIITetion - Study with an SPT · wetEIITetion NORMAL SINUS RHYTHM Pwaveatrialdepolarization E IlSeo R P RintervalArconductiontime T b 12 20sec 3 5boxes P 0mscomplexventriculardepolarization

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

Page 3: wetEIITetion - Study with an SPT · wetEIITetion NORMAL SINUS RHYTHM Pwaveatrialdepolarization E IlSeo R P RintervalArconductiontime T b 12 20sec 3 5boxes P 0mscomplexventriculardepolarization

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

Page 4: wetEIITetion - Study with an SPT · wetEIITetion NORMAL SINUS RHYTHM Pwaveatrialdepolarization E IlSeo R P RintervalArconductiontime T b 12 20sec 3 5boxes P 0mscomplexventriculardepolarization

PREMATUREATRIALCONTRACTION8HeartRateirregularrhythmregularpwave presentbutlook8abnormalmaybeburiedinprecedingewave

clinicalimplicationscausesemotionalstressesqinfectioncaffeinenicotinealcoholhypoxemiamyocardialischemiarheumaticheartdiseaseatrialdamage

PREMATURE VENTRICULAR CONTRACTION8Impulseinmyocardiumofoneoftheventricles

PVCCouplet HeartRateRhythmPwave absentPRinterraeORS wide4bizarreclinicalImplicationsskippedbeatcanbepalpatedwhencheckingpulsecoursescaffeinenicotine

protriplet stress1overexertionelectrolyteimbalanceacidbaseimbalancecardiacdiseasesirritationofmyocardium pharmacologicaltoxicity ischemiamostcommonventricularconductionabnormalitybenign1dangerous

proBigominy abnormalwave everyotherone isconcerningifventricularectopyincreaseswactivity9activity Mirritability

b3ormoreprosin arowventriculartachycardia

proTrigominy abnormalwave every3rdwave


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