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Related Concept Videos

Dysrhythmias VI: Management of Dysrhythmias01:25

Dysrhythmias VI: Management of Dysrhythmias

Dysrhythmia management involves a multifaceted approach, incorporating pharmacological treatments, medical procedures, surgical interventions, lifestyle modifications, and patient education.Pharmacological ManagementAntiarrhythmic Drugs:Class I (Sodium Channel Blockers): This class includes quinidine and procainamide, which reduce the speed of impulse conduction in the heart, stabilize the cardiac membrane, and control arrhythmias. Quinidine and procainamide are Class IA agents that prolong the...
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Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
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Dysrhythmias I: Introduction

Dysrhythmias refers to abnormalities in the heart's rhythm. They result from disruptions in the heart's electrical conduction system, which includes the sinoatrial(SA)node, atrioventricular(AV) node, the bundle of His, bundle branches, and Purkinje fibers.Definition and PathophysiologyDysrhythmias result from disorders of impulse formation, impulse conduction, or both. The heart contains specialized cells in the sinoatrial node, atrioventricular node, and the bundle of His and Purkinje fibers...
Dysrhythmias V: Evaluating Dysrhythmias01:30

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Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...
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Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
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Ablation of Ischemic Ventricular Tachycardia Using a Multipolar Catheter and 3-dimensional Mapping System for High-density Electro-anatomical Reconstruction
06:57

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Published on: January 31, 2019

[Rhythm control - cardioversion].

S Boveda1, E Marijon, A Deplagne

  • 1Département de Rythmologie, Clinique Pasteur, Avenue de Lombez, Toulouse cedex, France. s.boveda@clinique-pasteur.com

Annales De Cardiologie Et D'Angeiologie
|January 28, 2010
PubMed
Summary
This summary is machine-generated.

For persistent atrial fibrillation, pharmacological cardioversion is recommended, followed by electrical cardioversion if needed. Long-term anticoagulation and antiarrhythmic drugs are crucial after restoring sinus rhythm.

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Area of Science:

  • Cardiology
  • Electrophysiology

Context:

  • Persistent and symptomatic atrial fibrillation requires management strategies.
  • Current guidelines recommend pharmacological cardioversion under anticoagulation.
  • Direct-current cardioversion is an option if pharmacological methods fail.

Purpose:

  • To outline the management of persistent and symptomatic atrial fibrillation.
  • To detail the steps for cardioversion and subsequent long-term treatment.

Summary:

  • Pharmacological cardioversion is the initial step for persistent atrial fibrillation with adequate anticoagulation.
  • Electrical cardioversion is considered if sinus rhythm is not restored.
  • Long-term anticoagulation and antiarrhythmic drug therapy are essential post-cardioversion.

Impact:

  • Provides a clear treatment pathway for managing complex atrial fibrillation cases.
  • Highlights the importance of continued anticoagulation and antiarrhythmic therapy for long-term rhythm control and stroke prevention.