147-202 trastornos del ritmo

7/23/2019 147-202 Trastornos Del Ritmo

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Trastorno

s del

RitmoDr. Rafael Muoz Muoz


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Second-Degree AV block, Mobitz I

Rhythm:Regular atrial rhythm; irregular ventricular rhythm

Rate: Atrial: 72 Ventricular: 50

P wave:Sinu ! "ave are #reent$

PR:!r%greively lengthen &r%m 0$20 t% 0$30 ec%n'$

!RS:0$06 ( 0)08 ec%n'$

"ote:S* egment 'e#rei%n i #reent$


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Second-Degree AV block, Mobitz I

Rhythm: Regular atrial rhythm; irregular ventricular rhythm

Rate:Atrial: 75 Ventricular: 60

P wave: Sinu ! "ave are #reent$

PR: !r%greively lengthen &r%m 0$24 t% 0$38 ec%n'$

!RS: 0$08 ec%n'$

"ote: S* egment 'e#rei%n i #reent$

#omment: +%%' e,am#le %& gr%u# -eating$


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$lo%&eo AV de eg&ndo grado, Mobitz II

Ritmo:atrial y ventricular regular$

'rec&encia: Atrial: 82 Ventricular: 41

(nda P: 2 %n'a ! inuale #%r ca'a c%m#le.% /RS$

PR: 0$16 egun'% c%ntante$

!RS: 0$14 egun'%


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M($I)* +:

1$ !aue in -aic ventricular rhythm$

2$ !)! regularity unchange' ! "ave %ccur %n

time$

3$ ! "ave c%n&igurati%n ame a inu -eat$

4$ !R interval %& -aic rhythm varie$


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$lo%&eo AV de eg&ndo grado, Mobitz II

Ritmo:atrial y ventricular regular$

'rec&encia:Atrial: 123 Ventricular 41$

(nda P:3 %n'a ! inuale #ara ca'a c%m#le.% /RS$

PR:0$24 ( 0$26 egun'% c%ntante$

!RS:0$12 egun'%$


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$lo%&eo AV de tercer grado

Ritmo: atrial regular y ritm% ventricular$

'rec&encia: Atrial: 88 Ventricular: 38

(nda P:#reencia 'e %n'a ! inual; ritm% in relacin al /RS e

enc%ntr c%m#le.% /RS y %n'a * ec%n'i'a$

PR:varia-le

!RS:0$08 a 0$10 egun'%


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$lo%&eo de tercer grado AV

Ritmo:atrial regular y ritm% ventricular$

'rec&encia atrial:72 'rec&encia ventric&lar: 40

(nda P: %n'a ! inuale; ritm% n% c%ntante en relacin a l%

c%m#le.% /RS$

PR: varia-le

!RS: 0$12 egun'%


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Ventric&lar )achycardia

Rhythm: Regular

Rate: 150

P wave: %ne i'enti&ie'

PR: %t meaura-le

!RS: 0$14 ( 0$16 ec%n'


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Ventric&lar 'ibrillation coare wave orm./

Rhythm: ha%tic$

Rate: 0 n% /RS c%m#le,e are #reent$P wave: %ne; "ave 'e&lecti%n are cha%tic an' vary in ie

ha#e an' height$

PR: %t meaura-le$

!RS:A-ent$


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Ventric&lar l&tter

Rhythm: Regular

Rate: 375

P wave: %t een

PR: %t meaura-le

!RS: 0$12 ( 0$14

#omment: Ventricular &lutter i a &%rm %& ventricular tachycar'ia$ *he

ventricular rate i % &at the /RS c%m#le, have a a"t%%th a##earance$


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Ventric&lar )achycardia )orade de 0oint.

Rhythm: Regular

Rate: 250


PR: %t meaura-le

!RS: 0$12 ( 0$22 ec%n' %me much "i'er than %ther

#omment: *hy ti#e %& ventricular tauicar'ia i calle' t%ra'e 'e #%int t"it %&

#%int$ *he /RS change &%rm negative t% #%itive #%larty an' a##ear t% t"it ar%un'

the i%electric line$ t i a%ciate' "ith #r%l%nge' /* interval an' i re&ract%ry t%

antiarrhytmic$ ntraven%u magneium %r %ver'rive #acing ha -een ucce&ul in the

treamtment %& thi rhythm$


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1lectrical cardioverion o ventric&lar tachycardia to in& rhythm/


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Idioventric&lar Rhythm

Rhythm: Regular$

Rate: 44

P wave:A-ent$

PR: %t meaura-le$

!RS: 0$32 ec%n'$


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Ventric&lar 'ibrillation ine wave orm.

Rhythm: cha%tic$

Rate: 2 n% /RS c%m#le,e are #reent

P wave:A-ent; "ave 'e&lecti%n are cha%tic an' vary in ie

ha#e an' height$

PR:%t meaura-le

!RS:A-ent$


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Accelerated Idioventric&lar Rhythm

Rhythm: Regular$

Rate: 84


PR: %t meaura-le$

!RS: 0$16 ec%n'$


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(ne 3ide Ventric&lar #om0le4 chaging to ventric&lar Standtill

Rythm:0

Rate:0

P wave:%ne i'enti&ie'$

PR:%t meaura-le

!RS:0$28 ec%n' %r "i'er$


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"ormal Sin& Rhythm with 10iode o Accelerated Idioventric&lar Rhythm

Rhythm: aic rhythm regular; AVR -aically regular %&& -y 2 uare

Rate: 79 -aic rhythm; AVR rate ar%un' 80$

P wave: Sinu ! "ave "ith -aic rhythm; n%ne "ith AVR

PR interval: 0$12 ( 0$16 ec%n'

!RS: 0$06)0$08 ec%n' -aic rhythm; 0$12 ec%n' AVR


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Sin& $radycardia with 'irt Degree AV $lock

Rhythm:regular$

Rate:48

P wave:Sinu ! "ave #reent; %ne ! t% each /RS$PR:0$28 t% 0$32 ec%n' remain c%ntant$

!RS:0$08 t% 0$10 ec%n'$

"ote:A "ave i #reent$


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"ormal Sin& Rhythm with (ne PA# #hanging to Ventric&lar Standtill

Rythm:aic rhythm regular

Rate:aic rhythm 100

P wave:Sinu ! "ave are #reent$

PR:0$16 ( 0$18 ec%n' -aic rhythm

!RS:0$06 ec%n' -aic rhythm$


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Atrial 'ibrillation with a $&rt o Ventric&lar )achycardia

Rhythm: aic rhythm irregular; ventricular tachycar'ia regular$

Rate: 160 -aic rhythm 250 V* rate$

P wave: i-rillati%n "ave in -aic rhythm; n%ne "ith V*$

PR: %t meaura-le$

!RS: 0$08 ( 0$10 ec%n' -aic rhythm; 0$12 ec%n' V*$


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DI''1R1")IA)I(" (' )51 "("#("D6#)1D PA# 'R(M M($I)* I

"oncond&cted PA#

1$ !aue in -aic ventricular rhythm$

2$ !)! regularity interru#te' ! "ave %ccur #rematurely$

3$ ! "ave c%n&igurati%n 'i&&erent &r%m inu -eat$

4$ !R interval %& -aic rhythm remain c%ntant$

147-202 trastornos del ritmo

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