SlideShare ist ein Scribd-Unternehmen logo
1 von 77
Downloaden Sie, um offline zu lesen
Cardiovascular Physiology and Monitoring,[object Object], Tariq AlZahrani  M.D,[object Object],Assistant professor ,[object Object], College of medicine,[object Object], King Saud University,[object Object]
CVS PSL and Monitoring
Coronary Circulation,[object Object],[object Object],      RCA,[object Object],LCA,[object Object],[object Object],      SAN ,[object Object],      AVN,[object Object],[object Object],(50-120mmHg),[object Object],      ADBP – LVEDP,[object Object]
Cardiac Cell Types,[object Object],• Electrical cells ,[object Object],Generate and conduct impulses rapidly,[object Object],• SA and AV nodes,[object Object],• Nodal pathways,[object Object],• No contractile properties,[object Object],• Muscle (myocardial) cells,[object Object], Main function is contraction,[object Object],• Atrial muscle,[object Object],• Ventricular muscle,[object Object],• Able to conduct electrical impulses,[object Object],• May generate its own impulses with certain types of stimuli,[object Object]
Atrio-ventricular (AV) node,[object Object],Sino-atrial,[object Object],(SA) node,[object Object],BUNDLE,[object Object],BRANCHES,[object Object],PURKINJE FIBERS,[object Object]
INTERCALATED  DISC  (TIGHT JUNCTION),[object Object]
Nerve impulse Terminology,[object Object],• Resting state,[object Object], The relative electrical charges found on each side of the membrane at rest,[object Object],• Net positive charge on the outside,[object Object],                • Net negative charge on the inside,[object Object],• Action Potential,[object Object],Change in the electrical charge caused by,[object Object],stimulation of a neuron,[object Object]
Action Potential Terms,[object Object],• Depolarization,[object Object],The sudden reversal of electrical charges,[object Object],across the neuron membrane, causing the,[object Object],transmission of an impulse,[object Object],• Minimum voltage must be met in order to do this,[object Object],• Repolarization,[object Object], Return of electrical charges to their original,[object Object],resting state,[object Object]
Automaticity (P Cells),[object Object],Prepotential,,[object Object],    Resting Potential, Diastolic Depolarization,[object Object],Action Potential,[object Object],Repolarization,[object Object],Distribution Of P Cells,[object Object],Factors That Affect Automaticity:,[object Object],Sympathetic and parasympathetic outflow will affect the prepotential phase,[object Object],Temperature,[object Object],RA  and SAN stretch,[object Object],Hormones,[object Object],Drugs,[object Object]
Conduction Speed,[object Object],A-V nodal conduction:,[object Object],One way conduction,[object Object],A-V nodal Delay (0.1 sec),[object Object],Factors Affecting Conductivity:,[object Object],Sympathetic and vagal infuince,[object Object],Temperature,[object Object],Hormons,[object Object],Ischemia,[object Object],Acidosis,[object Object],Drugs,[object Object]
PHASE,[object Object],Mechanical Response,[object Object],0 = Rapid Depolarization,[object Object],     (inward Na+ current)      ,[object Object],1 = Overshoot,[object Object],   (outward K+ current),[object Object],1,[object Object],2,[object Object],0,[object Object],2 = Plateau,[object Object],      (inward Ca++ current),[object Object],3 = Repolarization,[object Object],       (outward K+ current),[object Object],0,[object Object],MEMBRANE  POTENTIAL (mV),[object Object],4 = Resting Potential,[object Object],3,[object Object],(outward K+ current),[object Object],(inward Na+ current) ,[object Object],4,[object Object],-90,[object Object],TIME,[object Object]
ACTION  POTENTIALS,[object Object],VENTRICULULAR,[object Object],CELL,[object Object],SAN,[object Object],1,[object Object],2,[object Object],0,[object Object],0,[object Object],0,[object Object],3,[object Object],0,[object Object],3,[object Object],4,[object Object],-50,[object Object],-50,[object Object],MEMBRANE  POTENTIAL (mV),[object Object],4,[object Object],-100,[object Object],-100,[object Object]
Cardiac Myocyte,[object Object],[object Object]
Ca++ Release
Excitation-Contraction Coupling,[object Object]
THE ANATOMY OF BLOOD VESSELS,[object Object],Layers:,[object Object],Tunica interna (intima),[object Object],Tunica media,[object Object],Tunica externa (adventitia),[object Object]
Comparison of Veins and Arteries,[object Object],Arteries:				Veins:	,[object Object]
The Distribution of Blood,[object Object]
Cardiac Output,[object Object],CO = SV x HR,[object Object],• The amount of blood ejected from the,[object Object],ventricle in one minute,[object Object],• Stroke volume,[object Object], Amount of blood ejected from the ventricle in,[object Object],one contraction,[object Object],• Heart rate,[object Object],The # of cardiac cycles in one minute,[object Object]
Determination of Stroke Volume,[object Object],• Preload,[object Object], Amount of blood delivered to the chamber,[object Object], Depend upon venous return to the heart,[object Object], Also dependent upon the amount of blood delivered to the ventricle by the atrium,[object Object],• Contractility,[object Object], The efficiency and strength of contraction,[object Object], Frank Starling’s Law,[object Object],• Afterload,[object Object], Resistance to forward blood flow by the vessel walls,[object Object]
• End-diastolic volume (110-120 mL),[object Object],• End-systolic volume (40-50 mL),[object Object],• Stroke volume (70 mL),[object Object],• Ejection fraction (60%),[object Object]
Pressure-Volume Loops,[object Object]
Volume Load  ►,[object Object],Pressure  Load ►,[object Object]
Regulation of Cardiovascular System,[object Object],Neural Mechanisms,[object Object],Vasoconstriction,[object Object],Vaosdilation,[object Object],Baroreceptors,[object Object],Chemoreceptors,[object Object]
Nerve Supply of the Conduction System,[object Object]
CVS PSL and Monitoring
HORMONAL  REGULATION,[object Object],Epinephrine & Norepinephrine,[object Object],From the adrenal medulla,[object Object],Renin-angiotensin-aldosterone,[object Object],Renin from the kidney,[object Object],Angiotensin, a plasma protein,[object Object],Aldosterone from the adrenal cortex,[object Object],Vasopressin (Antidiuretic Hormone-ADH),[object Object],        _  ADH from the posterior pituitary,[object Object],ANP  from RA,[object Object]
RENIN-ANGIOTENSIN-ALDOSTERONE MECHANISM,[object Object],Angiotensinogen (renin substrate),[object Object],Angiotensin,[object Object],		Aldosterone,[object Object],	Kidney,[object Object],sodium & water retention,[object Object], BP 		(Kidney),[object Object],		  Renin,[object Object],Vasoconstriction,[object Object],	Venoconstriction,[object Object]
VASOPRESSIN,[object Object],(ANTIDIURETIC  HORMONE),[object Object],	Hypothalamic,[object Object],Osmoreceptors,[object Object], BP via Posterior Pituitary		  Vasopressin (ADH),[object Object],			Vasoconstriction		  Water,[object Object],Venoconstriction	Retention,[object Object]
CVS PSL and Monitoring
CVS PSL and Monitoring
CVS PSL and Monitoring
How To interpret ECG?,[object Object],1.  Rate?,[object Object],2. QRS Duration?,[object Object],3. Stability?,[object Object]
ECG limb leads,[object Object]
CVS PSL and Monitoring
Normal ECG,[object Object]
[object Object]
 QRS complex corresponds to ventricular  Depolarization
T wave corresponds to ventricular repolarization
Atrial repolarization record is masked by the larger QRS complex,[object Object]
Remember This 3, 3, 3 and 5,[object Object],P duration = 3 small sqs = 0.12 sec.,[object Object],P height = 3 small sqs = 0.12 sec.,[object Object],QRS duration=3 small sq=0.12 sec.,[object Object],P-R interval = 5 small sq = 0.2 sec. ,[object Object]
Right ventricular hypertrophy (precordial leads),[object Object]
Left ventricular hypertrophy (precordial leads),[object Object]
QRS voltage decrease,[object Object],• Myocardial infarction (decrease of,[object Object],      excitable myocardium mass),[object Object],• Fluids in the pericardium (short-circuits of,[object Object],      currents within pericardium),[object Object],• Pulmonary emphysema (excessive,[object Object],      quantities of air in the lungs),[object Object]
J-point:,[object Object],-Time point of completeddepolarization (zero reference),[object Object],-The junction of the QRS and the ST segment,[object Object],ST-segment shift –,[object Object],sign of current of,[object Object],injury,[object Object]
Injury currents: constant source,[object Object],• Mechanical trauma,[object Object],• Infectious process,[object Object],• Ischemia,[object Object]
Ischemia=ST depression or T-wave inversion,[object Object],   Represents lack of oxygen to myocardial tissue,[object Object]
Injury = ST elevation -- represents prolonged ischemia; significant when > 1 mm above the baseline of the segment in two or more leads,[object Object]
Infarct = Q wave— represented by first negative deflection after P wave; must be pathological to indicate MI,[object Object]
What part of the heart is affected ?,[object Object],[object Object],Inferior Wall,[object Object],I,[object Object],II,[object Object],III,[object Object],aVR,[object Object],aVL,[object Object],aVF,[object Object],V1,[object Object],V2,[object Object],V3,[object Object],V4,[object Object],V5,[object Object],V6,[object Object]
Which part of the heart is affected ?,[object Object],I,[object Object],II,[object Object],III,[object Object],aVR,[object Object],aVL,[object Object],aVF,[object Object],V1,[object Object],V2,[object Object],V3,[object Object],V4,[object Object],V5,[object Object],V6,[object Object],[object Object],Anterior Wall MI,[object Object]
What part of the heart is affected ?,[object Object],[object Object],Lateral wall of left ventricle,[object Object],I,[object Object],II,[object Object],III,[object Object],aVR,[object Object],aVL,[object Object],aVF,[object Object],V1,[object Object],V2,[object Object],V3,[object Object],V4,[object Object],V5,[object Object],V6,[object Object]
I, aVL, V5 + V6 = ,[object Object],    Lateral Wall = ,[object Object],    Circumflex Artery,[object Object],    Blockage,[object Object]
 Rate,[object Object],If regular: Divide 300/ number of large squares between 2 Rs = HR,[object Object],If irregular: count number of complexes in 6 sec. and multiply by 10,[object Object],   - Normal 60 -100,[object Object],   - Bradycardia < 60 ,[object Object],   - Tachycardia > 100,[object Object],P = Sinus,[object Object],No P = Non sinus,[object Object]
Supraventricular Rhythm,[object Object],Rate > 100.,[object Object],QRS: Narrow.,[object Object],Stable or unstable.,[object Object],Rate < 60.,[object Object],QRS: Narrow.,[object Object],Stable or unstable.,[object Object],Sinus bradycardia.,[object Object],1st degree HB.,[object Object],2nd degree HB.,[object Object],Complete HB.,[object Object],Sinus tachycardia.,[object Object],PSVT.,[object Object],Atrialflutter.,[object Object],Atrial fibrillations.,[object Object]
Supraventricular Rhythm: Tachycardia,[object Object],Sinus Tachycardia,[object Object]
Supraventricular Rhythm: Tachycardia,[object Object],Paroxysmal SVT,[object Object]
Supraventricular Rhythm: Tachycardia,[object Object],Atrial Flutter,[object Object]
Supraventricular Rhythm: Tachycardia,[object Object],Atrial Fibrillations,[object Object]
Supraventricular Rhythm: Bradycardia,[object Object],Normal Sinus Rhythm,[object Object],Sinus Bradycardia,[object Object]
Supraventricular Rhythm: Bradycardia,[object Object],1st Degree HB,[object Object]
Supraventricular Rhythm: Bradycardia,[object Object],2nd  Degree HB: Mobitz 1 Wenckebach.,[object Object],Progressive lengthening of the P-R interval with intermittent dropped beat. ,[object Object]
Supraventricular Rhythm: Bradycardia,[object Object],2nd  Degree HB: Mobitz 2,[object Object],Sudden drop of QRS without prior P-R changes,[object Object]
Supraventricular Rhythm: Bradycardia,[object Object],3rd Degree HB,[object Object]
The right bundle brunch block (precordial leads),[object Object]
Left bundle branch block (precordial leads),[object Object]
Characteristics of PVCs,[object Object],• QRS prolongation due to slower conduction in the,[object Object],    muscle fibers,[object Object],• QRS high amplitude due to lack of synchrony of,[object Object],    excitation of RV and LV which causes partial,[object Object],    neutralization of their contribution to the ECG,[object Object],• QRS and T-wave have opposite polarities, again due to slow conduction which causes repolarization to follow depolarization.,[object Object]
Ventricular Rhythm,[object Object],Idioventricular Rhythm.,[object Object]
Ventricular Rhythm,[object Object],Accelerated Idioventricular Rhythm.,[object Object]
Ventricular Rhythm,[object Object]
Ventricular Rhythm,[object Object]
Ventricular Rhythm,[object Object],Pacer Rhythm,[object Object]
 Stability,[object Object], * Stable patient: think of drug therapy.,[object Object], * Unstable patient: think of electric therapy.,[object Object]
Treatment,[object Object],Supraventricular Rhythm:,[object Object],Stable = Drugs ,[object Object],Adenosine.,[object Object],B blocker.,[object Object],Ca  channel blocker.,[object Object],Digoxin.,[object Object],Unstable = Electric,[object Object],DC, Synchronized,[object Object]
Treatment,[object Object],Ventricular Rhythm:,[object Object],Stable = Drugs ,[object Object],Amiodarone.,[object Object],Lidocaine.,[object Object],Procainamide.,[object Object],Unstable = Electric,[object Object],DC, Non Synchronized,[object Object]
CVS PSL and Monitoring
Normal Venous Tracing,[object Object],a ► Atrial Contraction,[object Object],c ► Isometric (V) Contraction,[object Object],x ►Mid-Systole,[object Object],v ►Venous Filling (Atrial),[object Object],y ►Rapid Filling (Ventricular),[object Object]

Más contenido relacionado

Was ist angesagt?

Chapter 15 - The Cardiovascular System - Part 1
Chapter 15 -  The Cardiovascular System - Part 1Chapter 15 -  The Cardiovascular System - Part 1
Chapter 15 - The Cardiovascular System - Part 1biol2074
 
Anatomy cardiac
Anatomy cardiacAnatomy cardiac
Anatomy cardiacLyhour Suk
 
Physiology of cardiovascular system
Physiology of cardiovascular systemPhysiology of cardiovascular system
Physiology of cardiovascular systemhailelias enawgaw
 
Human heart anatomy and physiology Part -1
Human heart anatomy and physiology Part -1Human heart anatomy and physiology Part -1
Human heart anatomy and physiology Part -1Ritu Sharma
 
Cardiovascular System
Cardiovascular SystemCardiovascular System
Cardiovascular Systemwhitchur
 
The Cardiovascular System
The Cardiovascular SystemThe Cardiovascular System
The Cardiovascular Systemlevouge777
 
Cardiovascular system
Cardiovascular systemCardiovascular system
Cardiovascular systemNisha Mhaske
 
Transport
TransportTransport
Transportmiaceh
 
Cardio vascular system Anatomy and physiology
Cardio vascular system Anatomy and physiology Cardio vascular system Anatomy and physiology
Cardio vascular system Anatomy and physiology Shafici Almis
 
Cardiovascular system
Cardiovascular systemCardiovascular system
Cardiovascular systemAnn Alcid
 
Dr. Sabir Hussain---CVS Notes
Dr. Sabir Hussain---CVS NotesDr. Sabir Hussain---CVS Notes
Dr. Sabir Hussain---CVS NotesDrSabirHussain
 
Seminar cvs physiology
Seminar cvs physiologySeminar cvs physiology
Seminar cvs physiologyShampy Sharma
 
Cardiovascular System
Cardiovascular SystemCardiovascular System
Cardiovascular Systemraj kumar
 
The circulatory system complete Info ppt
The circulatory system complete Info pptThe circulatory system complete Info ppt
The circulatory system complete Info pptDr. Armaan Singh
 
Cardio vascular system
Cardio vascular systemCardio vascular system
Cardio vascular systemudaya rajitha
 
Anatomy and physiology of the heart by Adeboye Oluwajuyitan
Anatomy and physiology of the heart by Adeboye OluwajuyitanAnatomy and physiology of the heart by Adeboye Oluwajuyitan
Anatomy and physiology of the heart by Adeboye OluwajuyitanAdeboye Oluwajuyitan
 

Was ist angesagt? (20)

Chapter 15 - The Cardiovascular System - Part 1
Chapter 15 -  The Cardiovascular System - Part 1Chapter 15 -  The Cardiovascular System - Part 1
Chapter 15 - The Cardiovascular System - Part 1
 
Anatomy cardiac
Anatomy cardiacAnatomy cardiac
Anatomy cardiac
 
Physiology of cardiovascular system
Physiology of cardiovascular systemPhysiology of cardiovascular system
Physiology of cardiovascular system
 
Human heart anatomy and physiology Part -1
Human heart anatomy and physiology Part -1Human heart anatomy and physiology Part -1
Human heart anatomy and physiology Part -1
 
Cardiovascular System
Cardiovascular SystemCardiovascular System
Cardiovascular System
 
The Cardiovascular System
The Cardiovascular SystemThe Cardiovascular System
The Cardiovascular System
 
Cardiovascular system
Cardiovascular systemCardiovascular system
Cardiovascular system
 
Transport
TransportTransport
Transport
 
Cardio vascular system Anatomy and physiology
Cardio vascular system Anatomy and physiology Cardio vascular system Anatomy and physiology
Cardio vascular system Anatomy and physiology
 
Cardiovascular system
Cardiovascular systemCardiovascular system
Cardiovascular system
 
Unit 1 transport systems in animals
Unit 1 transport systems in animalsUnit 1 transport systems in animals
Unit 1 transport systems in animals
 
Dr. Sabir Hussain---CVS Notes
Dr. Sabir Hussain---CVS NotesDr. Sabir Hussain---CVS Notes
Dr. Sabir Hussain---CVS Notes
 
Anatomy and Physiology of the Heart
Anatomy and Physiology of the HeartAnatomy and Physiology of the Heart
Anatomy and Physiology of the Heart
 
Cardio vascular system
Cardio vascular systemCardio vascular system
Cardio vascular system
 
Cardiovascular system
Cardiovascular systemCardiovascular system
Cardiovascular system
 
Seminar cvs physiology
Seminar cvs physiologySeminar cvs physiology
Seminar cvs physiology
 
Cardiovascular System
Cardiovascular SystemCardiovascular System
Cardiovascular System
 
The circulatory system complete Info ppt
The circulatory system complete Info pptThe circulatory system complete Info ppt
The circulatory system complete Info ppt
 
Cardio vascular system
Cardio vascular systemCardio vascular system
Cardio vascular system
 
Anatomy and physiology of the heart by Adeboye Oluwajuyitan
Anatomy and physiology of the heart by Adeboye OluwajuyitanAnatomy and physiology of the heart by Adeboye Oluwajuyitan
Anatomy and physiology of the heart by Adeboye Oluwajuyitan
 

Ähnlich wie CVS PSL and Monitoring

Cardiology 2.1. ECG or EKG - by Dr. Farjad Ikram
Cardiology 2.1. ECG or EKG - by Dr. Farjad IkramCardiology 2.1. ECG or EKG - by Dr. Farjad Ikram
Cardiology 2.1. ECG or EKG - by Dr. Farjad IkramFarjad Ikram
 
Electrocardiography basics 2022
Electrocardiography basics 2022Electrocardiography basics 2022
Electrocardiography basics 2022Best Doctors
 
Anti arrhythmic drug thereapy
Anti arrhythmic drug thereapy Anti arrhythmic drug thereapy
Anti arrhythmic drug thereapy Dr. Pravin Wahane
 
tachyarrythmias d
tachyarrythmias dtachyarrythmias d
tachyarrythmias dRavi Kanth
 
Ecg basics & cardicac physiology
Ecg basics & cardicac physiologyEcg basics & cardicac physiology
Ecg basics & cardicac physiologySubhanjan Das
 
arrhythmia-211205224744.pdf33333333333333
arrhythmia-211205224744.pdf33333333333333arrhythmia-211205224744.pdf33333333333333
arrhythmia-211205224744.pdf33333333333333DatDanid
 
Basics of ECG.ppt dr.k.subramanyam
Basics of ECG.ppt dr.k.subramanyamBasics of ECG.ppt dr.k.subramanyam
Basics of ECG.ppt dr.k.subramanyamAdarsh
 
Approach to bradyarrythmias1
Approach to bradyarrythmias1Approach to bradyarrythmias1
Approach to bradyarrythmias1Bhargav Kiran
 
PERIOPERATIVE ARRYTHMIAS
PERIOPERATIVE ARRYTHMIASPERIOPERATIVE ARRYTHMIAS
PERIOPERATIVE ARRYTHMIASashishnair22
 
ECG Final Proff.Sumit Kr Ghosh Dept of Internal Medicine Medical College 88 C...
ECG Final Proff.Sumit Kr Ghosh Dept of Internal Medicine Medical College 88 C...ECG Final Proff.Sumit Kr Ghosh Dept of Internal Medicine Medical College 88 C...
ECG Final Proff.Sumit Kr Ghosh Dept of Internal Medicine Medical College 88 C...Chirantan MD
 
Ventricular Rhythms - BMH/Tele
Ventricular Rhythms - BMH/TeleVentricular Rhythms - BMH/Tele
Ventricular Rhythms - BMH/TeleTeleClinEd
 
Antiarrhythmic drugs class Bidya.pdf
Antiarrhythmic drugs class Bidya.pdfAntiarrhythmic drugs class Bidya.pdf
Antiarrhythmic drugs class Bidya.pdfSaishDalvi
 
ECG interpretation: the basics
ECG interpretation: the basicsECG interpretation: the basics
ECG interpretation: the basicsJamie Ranse
 

Ähnlich wie CVS PSL and Monitoring (20)

Ecg made easy
Ecg made easyEcg made easy
Ecg made easy
 
Cardiology 2.1. ECG or EKG - by Dr. Farjad Ikram
Cardiology 2.1. ECG or EKG - by Dr. Farjad IkramCardiology 2.1. ECG or EKG - by Dr. Farjad Ikram
Cardiology 2.1. ECG or EKG - by Dr. Farjad Ikram
 
Electrocardiography basics 2022
Electrocardiography basics 2022Electrocardiography basics 2022
Electrocardiography basics 2022
 
Anti arrhythmic drug thereapy
Anti arrhythmic drug thereapy Anti arrhythmic drug thereapy
Anti arrhythmic drug thereapy
 
tachyarrythmias d
tachyarrythmias dtachyarrythmias d
tachyarrythmias d
 
Ecg basics & cardicac physiology
Ecg basics & cardicac physiologyEcg basics & cardicac physiology
Ecg basics & cardicac physiology
 
arrhythmia-211205224744.pdf33333333333333
arrhythmia-211205224744.pdf33333333333333arrhythmia-211205224744.pdf33333333333333
arrhythmia-211205224744.pdf33333333333333
 
Arrhythmia
ArrhythmiaArrhythmia
Arrhythmia
 
PHIS502CVf(1).ppt
PHIS502CVf(1).pptPHIS502CVf(1).ppt
PHIS502CVf(1).ppt
 
Basics of ECG.ppt dr.k.subramanyam
Basics of ECG.ppt dr.k.subramanyamBasics of ECG.ppt dr.k.subramanyam
Basics of ECG.ppt dr.k.subramanyam
 
Heart
HeartHeart
Heart
 
Approach to bradyarrythmias1
Approach to bradyarrythmias1Approach to bradyarrythmias1
Approach to bradyarrythmias1
 
Arrhythmias
ArrhythmiasArrhythmias
Arrhythmias
 
PERIOPERATIVE ARRYTHMIAS
PERIOPERATIVE ARRYTHMIASPERIOPERATIVE ARRYTHMIAS
PERIOPERATIVE ARRYTHMIAS
 
ECG Final Proff.Sumit Kr Ghosh Dept of Internal Medicine Medical College 88 C...
ECG Final Proff.Sumit Kr Ghosh Dept of Internal Medicine Medical College 88 C...ECG Final Proff.Sumit Kr Ghosh Dept of Internal Medicine Medical College 88 C...
ECG Final Proff.Sumit Kr Ghosh Dept of Internal Medicine Medical College 88 C...
 
Ventricular Rhythms - BMH/Tele
Ventricular Rhythms - BMH/TeleVentricular Rhythms - BMH/Tele
Ventricular Rhythms - BMH/Tele
 
Antiarrhythmic drugs class Bidya.pdf
Antiarrhythmic drugs class Bidya.pdfAntiarrhythmic drugs class Bidya.pdf
Antiarrhythmic drugs class Bidya.pdf
 
ECG interpretation: the basics
ECG interpretation: the basicsECG interpretation: the basics
ECG interpretation: the basics
 
Ecg fundamentals
Ecg fundamentalsEcg fundamentals
Ecg fundamentals
 
ECG Analysis
ECG AnalysisECG Analysis
ECG Analysis
 

Mehr von Khalid

Introduction to medical ethics
Introduction to medical ethics	Introduction to medical ethics
Introduction to medical ethics Khalid
 
Physiological Changes In Pregnancy
Physiological Changes In Pregnancy	Physiological Changes In Pregnancy
Physiological Changes In Pregnancy Khalid
 
Diabetes Mellitus
Diabetes MellitusDiabetes Mellitus
Diabetes MellitusKhalid
 
Pulmonary Embolism
Pulmonary Embolism	Pulmonary Embolism
Pulmonary Embolism Khalid
 
Shock
Shock	Shock
Shock Khalid
 
Role of anesthesiologist in pre-opertive period
Role of anesthesiologist in pre-opertive period	Role of anesthesiologist in pre-opertive period
Role of anesthesiologist in pre-opertive period Khalid
 
Introduction to Regional
Introduction to Regional	Introduction to Regional
Introduction to Regional Khalid
 
General Anesthesia
General AnesthesiaGeneral Anesthesia
General AnesthesiaKhalid
 
Fluids
Fluids		Fluids
Fluids Khalid
 
Emergency Medicine
Emergency Medicine		Emergency Medicine
Emergency Medicine Khalid
 
Patient Monitoring
Patient Monitoring	Patient Monitoring
Patient Monitoring Khalid
 
Diagnosis and Management of Shock
Diagnosis and Management of Shock		Diagnosis and Management of Shock
Diagnosis and Management of Shock Khalid
 
Patient Monitoring
Patient Monitoring	Patient Monitoring
Patient Monitoring Khalid
 
Blood Transfusion
Blood Transfusion	Blood Transfusion
Blood Transfusion Khalid
 
Airway Evaluation and Management
Airway Evaluation and Management	Airway Evaluation and Management
Airway Evaluation and Management Khalid
 
Medical Literature
Medical Literature		Medical Literature
Medical Literature Khalid
 
Airway Evaluation and Management
Airway Evaluation and Management		Airway Evaluation and Management
Airway Evaluation and Management Khalid
 
Opioids Drugs
Opioids DrugsOpioids Drugs
Opioids DrugsKhalid
 
Opioids
Opioids		Opioids
Opioids Khalid
 
Interpretation OF PFT
Interpretation OF PFT		Interpretation OF PFT
Interpretation OF PFT Khalid
 

Mehr von Khalid (20)

Introduction to medical ethics
Introduction to medical ethics	Introduction to medical ethics
Introduction to medical ethics
 
Physiological Changes In Pregnancy
Physiological Changes In Pregnancy	Physiological Changes In Pregnancy
Physiological Changes In Pregnancy
 
Diabetes Mellitus
Diabetes MellitusDiabetes Mellitus
Diabetes Mellitus
 
Pulmonary Embolism
Pulmonary Embolism	Pulmonary Embolism
Pulmonary Embolism
 
Shock
Shock	Shock
Shock
 
Role of anesthesiologist in pre-opertive period
Role of anesthesiologist in pre-opertive period	Role of anesthesiologist in pre-opertive period
Role of anesthesiologist in pre-opertive period
 
Introduction to Regional
Introduction to Regional	Introduction to Regional
Introduction to Regional
 
General Anesthesia
General AnesthesiaGeneral Anesthesia
General Anesthesia
 
Fluids
Fluids		Fluids
Fluids
 
Emergency Medicine
Emergency Medicine		Emergency Medicine
Emergency Medicine
 
Patient Monitoring
Patient Monitoring	Patient Monitoring
Patient Monitoring
 
Diagnosis and Management of Shock
Diagnosis and Management of Shock		Diagnosis and Management of Shock
Diagnosis and Management of Shock
 
Patient Monitoring
Patient Monitoring	Patient Monitoring
Patient Monitoring
 
Blood Transfusion
Blood Transfusion	Blood Transfusion
Blood Transfusion
 
Airway Evaluation and Management
Airway Evaluation and Management	Airway Evaluation and Management
Airway Evaluation and Management
 
Medical Literature
Medical Literature		Medical Literature
Medical Literature
 
Airway Evaluation and Management
Airway Evaluation and Management		Airway Evaluation and Management
Airway Evaluation and Management
 
Opioids Drugs
Opioids DrugsOpioids Drugs
Opioids Drugs
 
Opioids
Opioids		Opioids
Opioids
 
Interpretation OF PFT
Interpretation OF PFT		Interpretation OF PFT
Interpretation OF PFT
 

CVS PSL and Monitoring

  • 1.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 27.
  • 28.
  • 29.
  • 33.
  • 34.
  • 36.
  • 37.
  • 38. QRS complex corresponds to ventricular Depolarization
  • 39. T wave corresponds to ventricular repolarization
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55.
  • 56.
  • 57.
  • 58.
  • 59.
  • 60.
  • 61.
  • 62.
  • 63.
  • 64.
  • 65.
  • 66.
  • 67.
  • 68.
  • 69.
  • 70.
  • 71.
  • 72.
  • 73.
  • 74.
  • 75.
  • 77.
  • 80.