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MONTAWATT AMNUEYPOL, MD
Ectopic foci
Premature A/J/V complex A/J/V escape beat
Mechanism of Arrhythmia
AVR
AVL
III
II AVF
Normal ECG
Nomenclature
Dysrhythmia
Dysrhythmia
Premature complex From? Group? Combo? Tachycardia HR > 120 Supraventricular Ventricular Bradycardia HR < 60 SA node AV node
Premature complex
KILL YOU SILENCELY
Premature Complex
PAC
From
PJC PVC
Premature complex
Premature Complex
PAC
PVC
PVC
Premature Complex
Bigeminy Group
Trigeminy
Premature complex Duplex Triplet Combo Non-sustained Sustained
Premature Complex
Premature atrial contractions (PACs) are independent predictors of atrial fibrillation, stroke, and death (Circulation. 2012 Nov 6;126(19):2302-8).
PVC risk
Monomorphic PVC was mortality 10% in 2 years Multiple morphology or Consecutive PVC was mortality 20% in 2 years
Tachycardia
CAUSE OF PALPITATION, DYSPNEA AND CARDIAC ARREST
Tachycardia
Sinus tachycardia SA node Sinus arrhythmia Atrial tachycardia (AT) Supraventricular tachycardia (SVT) Tachycardia Ventricular arrhythmia (VA) Atrial fibrillation (AF) Atrioventricular re-entrant tachycardia (AVRT) AV node Atrial Atrial flutter (AFL)
Tachycardia
Non-sustained (<30 sec) Duration Sustained (>30 sec) Hemodynamic unstable Rate Ventricular arrhythmia (VA) ADHF Uniform Multiform Morphology Polymorphology Torsade de points Angina
Tachycardia
Tachycardia
Tachycardia
Atrial tachycardia (AT) Multifocal atrial tachycardia (MAT) Atrial flutter (AFL) Atrial fibrillation (AF)
Atrial
Tachycardia
AV node
Atrioventricular nodal reentrant tachycardia (AVNRT)
Tachycardia
Sinus tachycardia SA node Sinus arrhythmia Atrial tachycardia (AT) Supraventricular tachycardia (SVT) Tachycardia Ventricular arrhythmia (VA) Atrial fibrillation (AF) Atrioventricular re-entrant tachycardia (AVRT) AV node Atrial Atrial flutter (AFL)
Re-entrant tachycardia
Tachycardia
Uniform
Torsade de points
Mixed mechanism
Treatment: Medication
Treatment: Ablation
Bradycardia
CAUSE OF SYNCOPE AND DYSPNEA
Bradycardia
Sinus pause or arrest Sinus node dysfunction (Sick sinus syndrome) Brady-Tachyarrhythmia Sinus exit block Bradycardia
First degree
Second degree AV block Advanced Third degree (Complete)
Bradycardia
Sinus arrest
Sinus pause
Brady-Tachyarrhythmia
PAF
Bradycardia
First degree
Second degree
AV block Advanced Third degree
Complete
Treatment: Device