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10387548
HAMAD AT THE COOPERATIVE
Descrição
Mapa Mental sobre HAMAD AT THE COOPERATIVE, criado por Huwaida Fazel em 15-09-2017.
Mapa Mental por
Huwaida Fazel
, atualizado more than 1 year ago
Mais
Menos
Criado por
Huwaida Fazel
quase 7 anos atrás
81
0
0
Resumo de Recurso
HAMAD AT THE COOPERATIVE
demographics
Hamad, male, early 70s, retired for 10 years
presenting complaint: syncope
causes of syncope
cardiovascular causes
electrical causes
arrhythmia
mechanical causes
aortic stenosis
hypertrophic cardiomyopathy
non cardiovascular causes
orthostatic hypotension
untreated diabetes
severe dehydration
medication/alcohol
neurologic
carotid sinus syndrome
Glasgow coma scale
cardiac conduction system
CPR
Electrocardiogram
components
monitor
ECG graph
electrodes
locations of electrodes
leads
limb leads
chest leads
augmented leads
axis of the leads
consider the following to analyse
rhythm
rate
conduction
normal ECG
abnormal ECG
sinus tachycardia, sinus bradycardia, paroxysmal supraventricular tachycardia, paroxysmal ventricular tachycardia, first degree block, second degree block, third degree block, atrial fibrillation, ventricular fibrillation, etc.
SICK SINUS SYNDROME
SA node is affected
found in 1 in 600 CVD patients
cause
idiopathic age-related fibrosis and cell atrophy or ischemia leading to changes in the electrophysiology of the SAN, known as electrical remodeling
manifested as bradycardia or asystolic pause
pathophysiology
The Na+ channels normally present at the periphery of the SA node has been shown to decrease which could potentially lead to SAN exit block
diagnosis
Holter monitor
exercise tests
intracardiac electrophysiologic tests
asymptomatic but may show
fatigue
dizziness
weakness
short breath
faint
risk factors
controllable factors
high cholesterol
high BP
diabetes
smoking
alcohol abuse
stress
certain medications
non controllable factors
family history
congenital heart disorders
advancing age
gender
prognosis
having it with only bradycardia is a good prognosis
treatment:
antiarrhythmic drugs
pacemakers
risks of procedure
bleeding, damage to vessels, infection at incision, pneumothorax
precautions
Anexos de mídia
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Cpr Steps (binary/octet-stream)
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