Barbara Furry, RN-BC, MS, CCRN, FAHA Director The Center ... · Barbara Furry, RN-BC, MS, CCRN,...
Transcript of Barbara Furry, RN-BC, MS, CCRN, FAHA Director The Center ... · Barbara Furry, RN-BC, MS, CCRN,...
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Awesome Advanced Arrhythmias!
Presented By: Barbara Furry, RN-BC, MS, CCRN, FAHA
Director The Center of Excellence in EducationDirector of HERO
Follow me on Twitter!CEE Med Updates@BarbaraFurryRNLike me on Facebook!
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Elderly women with no history of heart disease.
1 Taller left peak ("rabbit-ear") in V1 5 rS or QS in V62 Delayed nadir (>0.07 s) in V1 6 S deeper than 15 mm in V63 Axis in "no-man's-land" 7 Independent P waves or fusion beats4 Concordance, positive or negative 8 No RS complex in any V lead
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An 89-year old woman with complaining of feeling weak and dizzy for the past week.
1 Sinus tachycardia 5 Atrial tachycardia with ventricular aberration2 AV nodal reentrant tachycardia 6 Ventricular tachycardia3 Orthodromic tachycardia 7 Left bundle-branch block4 Atrial flutter with 2:1 AV conduction 8 Junctional tachycardia with retrograde conduction
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A 62 year old man with a history of hypertrophic cardiomyopathy, ventricular tachycardia and an ICD.
1 Taller left peak (“rabbit-ear”) in V1 5 rS or QS in V62 Delayed nadir (>0.07 s) in V1 6 S deeper than 15 mm in V63 Axis in “no man’s land” 7 Independent P waves or fusion beats4 Concordance, positive or negative 8 No RS complex in any V lead
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A 77-year old woman who has been having bouts of palpitations, sometimes with lightheadedness for many years.
1 AV nodal reentrant tachycardia (AVNRT) 5 Atrial flutter with 2:1 AV conduction2 Orthodromic tachycardia (OT) 6 Atrial flutter with 1:1 AV conduction3 AVNRT with ventricular aberration 7 Ectopic atrial tachycardia4 OT with ventricular aberration 8 Ectopic junctional tachycardia
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1 Taller left peak (“rabbit-ear”) in V1 5 rS or QS in V62 Delayed nadir (>0.07 s) in V1 6 S deeper than 15 mm in V63 Axis in “no-man’s land” 7 Independent P waves or fusion beats4 Concordance, positive or negative 8 No RS complex in any V lead
A 65 year old woman who complained of SOB and an irregular heart beat.
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A 62-year old woman who noticed bouts of "heart-thumping" during which she felt lethargic.
1 Taller left peak (“rabbit-ear”) in V1 5 rS or QS in V62 Delayed nadir (>0.07 s) in V1 6 S deeper than 15 mm in V63 Axis in “no-man’s land” 7 Independent P waves or fusion beats4 Concordance, positive or negative 8 No RS complex in any V lead
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A 64-year old woman aware of her rapid heart beat with throbbing in her neck.
1 AV nodal reentrant tachycardia (AVNRT) 5 Atrial flutter with 2:1 AV conduction2 Orthodromic tachycardia (OT) 6 Ectopic junctional tachycardia3 Atrial tachycardia 7 Atrial tachycardia with ventricular aberration4 Atrial tachycardia with 2:1 AV conduction 8 Sinus tachycardia with 2:1 AV block
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A 75-year old man who recently complained of an uncomfortably rapid heart beat and some irregularity.
1 Taller left peak (“rabbit-ear”) in V1 5 rS or QS in V62 Delayed nadir (>0.07 s) in V1 6 S deeper than 15 mm in V63 Axis in “no-man’s land” 7 Independent P waves or fusion beats4 Concordance, positive or negative 8 No RS complex in any V lead
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A 38-year old man was aware of cardiac irregularity but had no other symptoms referable to his heart.
1 Taller left peak (“rabbit-ear”) in V1 5 rS or QS in V62 Delayed nadir (>0.07 s) in V1 6 S deeper than 15 mm in V63 Axis in “no-man’s land” 7 Independent P waves or fusion beats4 Concordance, positive or negative 8 No RS complex in any V lead
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This 50 year old patient is asymptomatic
1 Acute cor pulmonale 5 Left anterior hemiblock2 Acute pericarditis 6 Myxedema3 Chronic cor pulmonale 7 Pericardial effusion4 Hypertrophic cardiomyopathy 8 WPW syndrome
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Brugada Syndrome Type 1
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Brugada Syndrome Type 2
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Brugada Syndrome Type 3
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To ReviewEKG Clues That Favor VT
1. Taller left peak (“rabbit-ear”) in V12. Delayed nadir (>0.07 s) in V13. Axis in “no-man’s land” 4. Concordance, positive or negative5. rS or QS in V66. S deeper than 15 mm in V67. Independent P waves or fusion beats8. No RS complex in any V lead