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10393116
Hamad at the cooperative
Description
Mind Map on Hamad at the cooperative, created by shahid alzaghari on 16/09/2017.
Mind Map by
shahid alzaghari
, updated more than 1 year ago
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Created by
shahid alzaghari
almost 7 years ago
25
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Resource summary
Hamad at the cooperative
Hamad, 70 years old
Syncope
Cardiovascular
Electrical
Arrythmias
Mechanical
Aortic stenosis
Hypertrophic cardiomyopathy
Non-cardiovascular
Orthostatic hypotension
Untreated diabetes
Severe dehydration
Medications/ alcohols
Neurologic
Carotid sinus syndrome
CPR
Glasgow Coma Scale
History taking
1- introduction
2- W W Q Q A A B A
When
Where
Quality
Quantity
Aggravating
Alleviating
Beliefs
Associated symptoms
Chest pain
Fatigue
Dyspnea
Edema
Hemoptysis
ROS
Medical, Family and Social history
2-
ECG
Rhythm
Regular
Irregular
Rate
Bradycardia (<60)
Normal (60-100)
Tachycardia (>100)
Conduction
Waves
Segments
Intervals
Abnormal:
Paroxysmal Supraventricular tachycardia
Sinus tachycardia
Sinus bradycardia
First degree heart block
Second degree heart block
Third degree heart block
Atrial fibrillation
Ventricular fibrillation
Sick sinus syndrome
What is affected?
SA node
What is the cause?
idiopathic age-related fibrosis and cell atrophy or ischemia
What can it manifest as?
Bradycardia or asystolic pause
What can it lead to?
Dizziness and syncope
How does it happen?
The Na+ channels decrease which could potentially lead to SAN exit block
Relation to atrial tachycardia?
Diffuse atrial remodeling can be seen in some patients with SND which may predispose to the development of AF
Diagnosed by:
Holter monitor
Exercise testing
Intracardiac electropgysiologic tests
Signs and Symptoms:
Fatigue
Weakness
Dizziness
Lightheadness
Fainting
Short breath
Risk factors:
Controllable:
High Cholesterol
High BP
Diabetes
Smoking
Alcohol abuse
Stress
Certain medications
Non-controllable
Family history
Congenital heart disorders
Advancing age
Gender
Anti-arrhythmic drugs:
Class I
Na+ channel blockers
Ia
Quinidine
Procainamide
Disopyramide
Ib
Lidocaine
Mexiletime
Ic
Flecainide
Propafenone
Class !!
B blockers
Lipophilic
Propranolol
Mteoprolol
Hydrophilic
Atenolol
Class !!!
K+ channel blockers
Amiodarone
Dronedarone
Satolol
Dofetilide
Ibutilide
Class IV
Ca++ channel blockers
Verapamil
Diltiazem
Others
Digoxin
Adenosine
Pacemaker
Temporary
Heart attack
Emergency
Overdose
Heart surgery
Permanent
Long term problems
Indications
Acquired AV block
After myocardial infarction
Sinus node dysfunction
Hypertensive carotid sinus
Contraindications
Local infection at implantation site
Active systemic infection with bacteremia
Severe bleeding tendencies
Active anticoagulation therapy
Severe lung disease
Media attachments
Aa77e8ac836b7fdabb7a1d8ef65cac44 Cpr Procedure Cpr Instructions (binary/octet-stream)
Gcs 260x300 (binary/octet-stream)
280px Ekg Complex En.Svg (binary/octet-stream)
Pat (binary/octet-stream)
St (binary/octet-stream)
Sb (binary/octet-stream)
Severe First Degree P1 (binary/octet-stream)
Ecg 2nd Deg T2 Av Block (binary/octet-stream)
Images (binary/octet-stream)
Atrial15 (binary/octet-stream)
Screen Shot 2010 07 06 At 9.54.11 Pm (binary/octet-stream)
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