Cardiac arrhythmia: Difference between revisions

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]

Arrhythmia

Bradyarrhythmia

Arrhythmia
with normal heart rate

Tachyarrhythmia

Atrial

Junctional

Ventricular

Sinus arrhythmia

Narrow complex tachycardia (SVT)

Wide complex tachycardia

Sinus bradycardia

First degree AV block
Second degree AV block
Complete or third-degree AV block

Ventricular escape

Atrial

Junctional

SVT with
aberrancy

Ventricular tachycardia

Atrial fibrillation
Atrial flutter
Ectopic atrial rhythm
Multifocal atrial tachycardia (MAT)
Paroxysmal atrial tachycardia (PAT) with block
Premature atrial contractions (PAC)
Sinus tachycardia
Wandering atrial pacemaker

AVNRT

AVRT (accessory pathway):
- Wolff-Parkinson-White syndrome (WPW)
- Lown-Ganong-Levine syndrome (LGL)

SVT

AND

One of the following:
Left bundle branch block
Left anterior hemi-block
Lefo posterior hemi-block
Right bundle branch block
Trifascicular block

Accelerated idioventricular rhythm
Ventricular fibrillation
Ventricular parasystole

Accessory bypass tract

Pacemaker complications

v t e Electrocardiography
Overview	History of the EKG • EKG interpretation basics • Normal sinus rhythm
EKG Complexes	P wave • QRS complex • ST Segment • T wave • T wave alternans • Tombstone T wave • U wave Osborn wave • H wave • K wave • Delta wave NSSTW changes
EKG Intervals	PR Interval • QRS Interval • ST Interval • QT Interval
Conduction System & Bradycardia	Cardiac pacemaker • SA node • AV node• Bundle of His • Purkinje fibers • Sinus bradycardia • First Degree AV Block • Second Degree AV Block • Complete or Third-Degree AV Block • Concealed conduction • AV Junctional Rhythms • LBBB • LAHB • LPHB • RBBB • Trifascicular block
Atrial Arrhythmias	Sinus tachycardia • Premature Atrial Contractions (PACs) • Ectopic Atrial Rhythm • Paroxysmal Atrial Tachycardia (PAT) • Paroxysmal Atrial Tachycardia (PAT) with Block • Multifocal Atrial Tachycardia (MAT) • Atrial Flutter • Atrial Fibrillation • Wandering atrial pacemaker
Ventricular Arrhythmias	Differential Diagnosis of Tachycardia with a Wide QRS Complex • Accelerated Idioventricular Rhythm • Ventricular Parasystole • Premature Ventricular Contractions (PVCs) • Ventricular tachycardia • Ventricular Fibrillation • Sudden cardiac death
EKG Abnormalities in Disease States	Hypertrophy & Dilatation • Right atrial enlargement • Left atrial enlargement • Biatrial enlargement • Left Ventricular Hypertrophy • Right Ventricular Hypertrophy • Biventricular Hypertrophy • Acute myocardial infarction • NSTEMI • STEMI • Tombstone ST elevation • Right ventricular myocardial infarction • Atrial infarction Pre-excitation Syndromes • Wolff-Parkinson-White Syndrome • Lown Ganong Levine Syndrome • Mahaim Type Preexcitation Cardiomyopathies • Arrhythmogenic Right Ventricular Dysplasia • Dilated Cardiomyopathy • Hypertrophic Cardiomyopathy Drug Effects on the EKG • Adenosine • β-blockers • Digitalis • Quinidine • Procainamide • Disopyramide • Lidocaine • Tocainide and Mexiletine • Phenytoin • Encainide, Flecainide and Propafenone • Amiodarone • Bretylium • Ca Channel Blockers • Phenothiazines • Tricyclic Antidepressants • Lithium Congenital Heart Disease • Dextrocardia • Atrial Septal Defect • Ventricular Septal Defect • Tetralogy of Fallot • Conjoined Twins or Siamese Twins • Congenital heart block Electrolyte Disturbances • Hyperkalemia • Hypokalemia • Hypercalcemia • Hypocalcemia • Nonspecific Changes Other Heart Diseases • Pericarditis • Myocarditis • Tamponade • Heart Transplantation • Sick Sinus Syndrome • Long QT Syndrome Inherited Disease • Brugada Syndrome Systemic Diseases • CNS Disease • Cardiac Tumors Heart Transplantation • EKG Changes in patient with Heart Transplantation Exogenous Effects • Hypothermia • Chest Trauma • Insect Bites • Electric Injuries
Technical Issues and Potential Errors in Interpretation	Artifacts • Lead Placement Errors • The EKG in a Patient with a Pacemaker • EKG in athletes

Template:WikiDoc Sources

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 __NOTOC__
-{| class="infobox" style="float:right;"
+{{CMG}}; {{AE}} {{Rim}}
-|-
-| [[File:Siren.gif|30px|link=Arrhythmia resident survival guide]]|| <br> || <br>
-| [[Arrhythmia resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']]
-|}
-{| class="infobox" style="float:right;"
-|-
-| [[File:Critical_Pathways.gif|88px|link=Arrhythmia critical pathways]]|| <br> || <br>
-|}
-<!--{{Infobox_Disease
-| Bodystyle      = width:200em
-| Name           = Cardiac arrhythmia
-| Image          = EKG_VF.jpg
-| Caption        = Ventricular Fibrillation or V-Fib, <BR>an example of cardiac arrhythmia.
-}}
--->
-'''For patient information, click [[Cardiac arrhythmia (patient information)|here]]'''
-{{Cardiac arrhythmia}}
-{{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}
-{{SK}} Arrhythmia, dysrhythmia, abnormal heart rhythm
-==[[Cardiac arrhythmia overview|Overview]]==
-==[[Cardiac arrhythmia classification|Classification]]==
 {{familytree/start |summary=Arrhythmia}}
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 {{familytree/end}}
-==[[Cardiac arrhythmia pathophysiology|Pathophysiology]]==
-==[[Cardiac arrhythmia causes|Causes]]==
-==[[Cardiac arrhythmia differential diagnosis|Differentiating Cardiac arrhythmia from other Diseases]]==
-==[[Cardiac arrhythmia epidemiology and demographics|Epidemiology and Demographics]]==
-==[[Cardiac arrhythmia risk factors|Risk Factors]]==
-==[[Cardiac arrhythmia screening|Screening]]==
-==[[Cardiac arrhythmia natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
-==Diagnosis==
-[[Cardiac arrhythmia history and symptoms|History and Symptoms]] | [[Cardiac arrhythmia physical examination|Physical Examination]] | [[Cardiac arrhythmia laboratory findings|Laboratory Findings]] | [[Cardiac arrhythmia electrocardiogram|Electrocardiogram]] | [[Cardiac arrhythmia chest x ray|Chest X Ray]] | [[Cardiac arrhythmia CT|CT]] | [[Cardiac arrhythmia MRI|MRI]] | [[Cardiac arrhythmia echocardiography or ultrasound|Echocardiography or Ultrasound]] | [[Cardiac arrhythmia other imaging findings|Other Imaging Findings]] | [[Cardiac arrhythmia other diagnostic studies|Other Diagnostic Studies]]
-==Treatment==
-[[Cardiac arrhythmia medical therapy|Medical Therapy]] | [[Cardiac arrhythmia surgery|Surgery]] | [[Cardiac arrhythmia primary prevention|Primary Prevention]] | [[Cardiac arrhythmia secondary prevention|Secondary Prevention]] | [[Cardiac arrhythmia cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Cardiac arrhythmia future or investigational therapies|Future or Investigational Therapies]]
-==Case Studies==
-[[Cardiac arrhythmia case study one|Case #1]]
-==Related Chapters==
-*[[Clinical cardiac electrophysiology]]
-*[[Antiarrhythmic agents]]
-*[[Artificial pacemaker]]
-*[[Electrical conduction system of the heart]]
-*[[Implantable cardioverter-defibrillator]]
 {{Electrocardiography}}

Cardiac arrhythmia: Difference between revisions

Revision as of 15:14, 20 August 2013

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