Genetic Disorders of the Cardiac Impulse

Jul 10, 2016 by in CARDIOLOGY Comments Off on Genetic Disorders of the Cardiac Impulse

Fig. 19.1 Panels (a) and (b): Demonstrating long QTc 0.54 s in an 18-month-old boy with sensorineural deafness. Panel (c): Marked T-wave alternans. Panel (d): Spontaneous ventricular fibrillation, which self-terminated….

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Sudden Cardiac Death in the Young

Jul 10, 2016 by in CARDIOLOGY Comments Off on Sudden Cardiac Death in the Young

Sign/symptom Differential diagnosis for SCA Respiratory symptoms Hypertrophic cardiomyopathy (HCM), dilated cardiomyopathy, left ventricular outflow tract obstruction (LVOTO), restrictive or LV noncompaction cardiomyopathy Chest pain HCM, coronary anomalies, LVOTO, aortic…

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Atrioventricular Nodal Reentry Tachycardia

Jul 10, 2016 by in CARDIOLOGY Comments Off on Atrioventricular Nodal Reentry Tachycardia

Fig. 5.1 12-Lead electrocardiogram of AVNRT. Note that distinct P-waves are not visible Fig. 5.2 ECG leads I, II, and V5 and intracardiac electrograms in a 13-year-old girl with AVNRT…

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Syncope

Jul 10, 2016 by in CARDIOLOGY Comments Off on Syncope

Neurocardiogenic   Cardiac—Arrhythmia     Channelopathies     Complete heart block     Sick Sinus syndrome    Tachyarrhythmias—supraventricular and ventricular tachycardia  Cardiac—Structural     Cardiomyopathy—hypertrophic/dilated     Coronary artery anomalies…

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Persistent Junctional Reciprocating Tachycardia

Jul 10, 2016 by in CARDIOLOGY Comments Off on Persistent Junctional Reciprocating Tachycardia

Fig. 6.1 Drawing of normal atrioventricular conduction tissue and concealed slowly only conducting retrograde accessory pathway supporting PJRT Clinical and Electrocardiographic Findings Persistent junctional reciprocating tachycardia usually presents during childhood…

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Atrial Fibrillation

Jul 10, 2016 by in CARDIOLOGY Comments Off on Atrial Fibrillation

Fig. 9.1 Paroxysmal atrial fibrillation in a 17-year-old boy. Note the low amplitude fast waveforms (atrial fibrillatory waves) between the “irregularly irregular” QRS intervals. There are a few different QRS…

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Atrial Ectopic Tachycardias

Jul 10, 2016 by in CARDIOLOGY Comments Off on Atrial Ectopic Tachycardias

Fig. 10.1 12-Lead ECG from a 9-month-old boy with atrial ectopic tachycardia at 150 bpm. There is variable A-V conduction. The P-wave is large in many leads and has a…

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Pharmacology of Anti-arrhythmic Agents

Jul 10, 2016 by in CARDIOLOGY Comments Off on Pharmacology of Anti-arrhythmic Agents

Fig. 22.1 Ia lengthens the action potential (right shift); Ic does not significantly affect the action potential (no; Ib shortens the action potential (left shift) shift) Class I anti-arrhythmic agents…

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