Step-Up to Medicine by Steven S. Agabegi, Elizabeth D. Agebegi
By Steven S. Agabegi, Elizabeth D. Agebegi
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Extra info for Step-Up to Medicine
R a d i of r eq u en c y c a th e te r a b la t io n o f e i th e r t h e AV n o de o r t he ac ce ss o r y t r a ct ( d e pe n di n g o n wh i c h is th e acc e ss or y p a th wa y) i s p re f e r re d i f e pi s od es ar e r e c ur r e nt an d s ym pt om a ti c . Wolff-Parkinson-White Syndrome A. General characteristics A n ac ce ss o r y c o nd uc t io n p a th wa y f r o m a t r ia to ven t r ic le s c au se s p r em a tu re ve n t ri cu l ar e xc i t a t io n b ec a us e i t l ack s t h e d el a y s e en in th e A V n o de .
3rd Ed. 24 Paroxysmal Supraventricular Tachycardia (PSVT) A. General characteristics P a t h op h ysi ol o g y (m os t of t e n d ue t o r ee n t r y) o A V n o da l r e en t r an t t a ch yc a r di a T wo p a t h wa ys ( on e f a st a n d t h e o th e r s lo w) w i t hi n t h e AV n o d e , so t he r e e n tr a nt ci r c u it is wi t h in t h e A V no d e Mo s t c om mo n c a us e o f su p r a ven t r ic ul a r t ac h ya r rh yt h mi a ( S V T) I n i ti a te d o r te r mi n at e d by P A C s E C G : n a r r ow Q R S c om pl e x es wi t h n o d is c er n ib le P wa ve s ( P wa ve s ar e b u r ie d wi t hi n th e Q R S c om p le x) .
BRADYARRHYTHMIAS Sinus Bradycardia S i n us ra t e < 6 0 b pm : c li nic a ll y si g ni f ic an t wh e n r a te is pe r si st e nt l y < 45 bpm C a u se s i nc lu d e is ch e mi a, i nc r ea se d vag a l t on e , an t i ar r h yt hm ic d ru gs ; m a y b e a no r ma l f i n di ng in t ra i ne d a t hl e tes . C a n be as ym pt om a ti c ; pa t i en ts ma y co mp l ai n o f f a t ig u e, in a bi li t y t o e xe r ci s e, an g in a , o r s yn c op e A t r o pi n e c an el e va te th e s in us r at e b y b l ock i ng va g al st im u la t io n t o t h e s in o a t ri al no d e.