SlideShare ist ein Scribd-Unternehmen logo
1 von 45
Downloaden Sie, um offline zu lesen
Arrhythmia ECG
Tachycardia
林亮宇
台大醫院 科部內
Tachycardia
Surpa-ventricular tachycardia
Ventricular tachycardia
Ventricular fibrillation
Supra-ventricular tachycardia
From atria
-Atrial tahycardia: 100-250/min
-Atrial flutter: 250-350/min
-Atrial fibrillation > 350/min
From AV junction: Junctional tachycardia
Atrioventricular nodal reentrant tachycardia
(AVNRT)
Atrioventricular reciprocating tachycardia (AVRT)
PSVT 之電生理分類:
1. 與 sinus node 有關者
sinus tachycardia
sinus node reentry tachycardia ( SAT )
2. 與 AV node 有關者
AV nodal reentry tachycardia ( AVNRT )
AV reentry tachycardia ( AVRT ) using
accessory pathway
Arrhythmia: ECG--- Tachycardia_20120902_北區
AVNRT: Slow-Fast (Common), Fast-Slow (Uncommon)
No “ P ” in Common Type, Clear “ P’ ” in Uncommon
Type
AV NODAL EXTENSIONSAV NODAL EXTENSIONS
CS OS
Anterior
extension Posterior
extension
Tricuspid
hinge
Pre-excitationPre-excitation
Anatomical locations of Right vs. Left Accessory Pathways
Pre-excitationPre-excitation
Wide-Complex Tachycardia, r/o VT
Sinus Rhythm AVRT, Antidromic
Ebstein’s Anomaly, WPW Syndrome
Avoid CCB, BB, digoxin
PSVT 之電生理分類 :
3. 與 atrial muscle 有關者
Atrial tachycardia
Atrial flutter
Atrial fibrillation
“AT” in A SSS Patient :
Focal AT in RA
Atrial flutter
Typical Atrial Flutter: circuit & ablation
IVCO-TA
isthmus
Focal to chaotic Atrial Fibrillation
Cont’d.
陣發 持續
Circumferential PV isolation by RFCA
Pappone C, Circulation 2000.
AVNRT, AVRT: carotid massage, adenosine, CCB, BB
AT, AF, Afib
Rate control: CCB, BB, digoxin, amiodarone
Rhythm control (within 48 hrs and for prophylatic):
-Class IA: quinidine
-Class IC: propafenone
-Class III: amiodarone
Cardioversion
Low perfusion
AF, Afib within 48 hrs (TEE/anticoagulant)
Prevention of embolism AF, Afib
RFCA for AVNRT, AVRT, AT, AF and Afib?
Management of SVT
Ventricular tachycardia
Idiopathic VT
-From RVOT
-From LV inferioapical septal region: ILVT
Organic VT
CAD
CHF
Cardiomyopathy: HCM, DCM,
VTVT
ECG of VT
Wide QRS complex (most VT)
Must be VT
VA block
Capture beat or fusion beat
Morphological criteria: favor VT
Precordial concordance
QRSd>140ms
VT: AV dissociationVT: AV dissociation
VT:VT:
positive &positive &
negativenegative
concordanceconcordance
Capture beatCapture beat
Idiopathic Ventricular TachycardiaIdiopathic Ventricular Tachycardia
DefinitionDefinition : ventricular arrhythmia that: ventricular arrhythmia that
originate in hearts without structuraloriginate in hearts without structural
diseasedisease
Right/ left ventricular outflow tract VTRight/ left ventricular outflow tract VT
(Adenosine- sensitive VT)(Adenosine- sensitive VT)
Left ventricular fascicular tachycardiaLeft ventricular fascicular tachycardia
(Verapamil- sensitive VT)(Verapamil- sensitive VT)
• MostMost
common:common:
RVOT,RVOT,
LBBB andLBBB and
inferior axisinferior axis
• LessLess
common:common:
LVOT:LVOT:
RBBB andRBBB and
inferior axisinferior axis
Idiopathic Left Ventricular Tachycardia
A-V Dissociation, RBBB and Superior Axis Favors VT,
Idiopathic Left Ventricular Tachycardia
A-V Dissociation, RBBB and Superior Axis Favors VT,
Management of VT
Idiopathic VT
-RVOT: adenosine or verapamil
-ILVT: verapamil
-Both amenable to RFCA
Organic VT
DC shock
Medication: Ib (lidocaine, mexitil), III (amiodarone, sotalol)
ICD, RFCA
Postulated Reentry Circuit in Post-Infarct VT (Stevenson WG, 1993)
Torsade de Pointes (TdP)
Long QT related
Early after depolarization (EAD)
R on T
Congenital or acquired (mostly drug)-
Female, 22 y/o
Torsade de PointesTorsade de Pointes
Management of TdP
Overdrive pacing
Isoproterenol
MgSO4
Beta-blockers
Remove offending agents
anti-histamine, antifungal, macrolide, AAD
With Structural heart disease
HCM, ARVD
Without structural heart disease
Long (short) QT syndrome: NA, KChannelopathy
Brugada syndrome: Na channel defect
Catecholaminergic polymoprhic VT: Ryanodine Rdefect
Hereditary SCD syndrome
Antzelevitch et al, JACC 2003; 41: 1665-71
Brugada Syndrome
Male, 32 y/o, Recurrent Seizures
Brugada Syndrome : VF
V1
II
V5
aVF
V4
V6
CPVT Catecholaminergic Polymorphic Ventricular Tachycardia
Ryanodine receptor ( RyR2 ) mutation, rise of Ca i
Bi-directional VT: digoxin intoxication
Ventricular FibrillationVentricular Fibrillation
ICDindication forSCDprevention in:
 Post-Infarction
 Cardiomyopathy, ARVD
 Heart failure
 Brugada /LQTS/CPVT/SQTS
 Idiopathic VF
Thank you for your
attention

Weitere ähnliche Inhalte

Was ist angesagt?

Approach to Arrhythmias
Approach to ArrhythmiasApproach to Arrhythmias
Approach to ArrhythmiasShreesh Bhat
 
Idiopathic Ventricular Tachycardia (VT)
Idiopathic Ventricular Tachycardia (VT)Idiopathic Ventricular Tachycardia (VT)
Idiopathic Ventricular Tachycardia (VT)M Usman Javed
 
Ventricular arrhythmias
Ventricular arrhythmiasVentricular arrhythmias
Ventricular arrhythmiasarnab ghosh
 
Tachyarrythmia diagnosis and management
Tachyarrythmia diagnosis and managementTachyarrythmia diagnosis and management
Tachyarrythmia diagnosis and managementHarshad Wankhade
 
Ventricular Rhythms - BMH/Tele
Ventricular Rhythms - BMH/TeleVentricular Rhythms - BMH/Tele
Ventricular Rhythms - BMH/TeleTeleClinEd
 
Ventricular tachycardia
Ventricular tachycardiaVentricular tachycardia
Ventricular tachycardiaSravan Kumar
 
Management of VENTRICULAR TACHYCARDIA (VT)
Management of VENTRICULAR TACHYCARDIA (VT)Management of VENTRICULAR TACHYCARDIA (VT)
Management of VENTRICULAR TACHYCARDIA (VT)Malleswara rao Dangeti
 
Tachyarrhythmia Management
Tachyarrhythmia ManagementTachyarrhythmia Management
Tachyarrhythmia ManagementSCGH ED CME
 
Dr ranjith mp,ventricular tachycardia in abnormal heart dr ranjith mp
Dr ranjith mp,ventricular tachycardia in abnormal heart dr ranjith mpDr ranjith mp,ventricular tachycardia in abnormal heart dr ranjith mp
Dr ranjith mp,ventricular tachycardia in abnormal heart dr ranjith mpdrranjithmp
 
Managing supraventricular tachyarrythmias
Managing supraventricular tachyarrythmiasManaging supraventricular tachyarrythmias
Managing supraventricular tachyarrythmiasDebajyoti Chakraborty
 
Ventricular tachycardia by dr.muzahid
Ventricular tachycardia by dr.muzahidVentricular tachycardia by dr.muzahid
Ventricular tachycardia by dr.muzahidMuzahidulIslam37
 
ECG - Junctional Arrhythmia & Ventricular Arrhythmia
ECG - Junctional Arrhythmia & Ventricular ArrhythmiaECG - Junctional Arrhythmia & Ventricular Arrhythmia
ECG - Junctional Arrhythmia & Ventricular Arrhythmiaautumnpianist
 

Was ist angesagt? (20)

Approach to Arrhythmias
Approach to ArrhythmiasApproach to Arrhythmias
Approach to Arrhythmias
 
PSVT
PSVTPSVT
PSVT
 
Tachydysrhythmias
TachydysrhythmiasTachydysrhythmias
Tachydysrhythmias
 
Idiopathic Ventricular Tachycardia (VT)
Idiopathic Ventricular Tachycardia (VT)Idiopathic Ventricular Tachycardia (VT)
Idiopathic Ventricular Tachycardia (VT)
 
Ventricular arrhythmias
Ventricular arrhythmiasVentricular arrhythmias
Ventricular arrhythmias
 
Narrow complex tachycardias
Narrow complex tachycardiasNarrow complex tachycardias
Narrow complex tachycardias
 
Tachyarrythmia diagnosis and management
Tachyarrythmia diagnosis and managementTachyarrythmia diagnosis and management
Tachyarrythmia diagnosis and management
 
Ventricular arrhythmias
Ventricular arrhythmias Ventricular arrhythmias
Ventricular arrhythmias
 
Ventricular Rhythms - BMH/Tele
Ventricular Rhythms - BMH/TeleVentricular Rhythms - BMH/Tele
Ventricular Rhythms - BMH/Tele
 
Tachyarrhythmias
TachyarrhythmiasTachyarrhythmias
Tachyarrhythmias
 
Ventricular tachycardia
Ventricular tachycardiaVentricular tachycardia
Ventricular tachycardia
 
Management of VENTRICULAR TACHYCARDIA (VT)
Management of VENTRICULAR TACHYCARDIA (VT)Management of VENTRICULAR TACHYCARDIA (VT)
Management of VENTRICULAR TACHYCARDIA (VT)
 
Tachyarrhythmia Management
Tachyarrhythmia ManagementTachyarrhythmia Management
Tachyarrhythmia Management
 
Dr ranjith mp,ventricular tachycardia in abnormal heart dr ranjith mp
Dr ranjith mp,ventricular tachycardia in abnormal heart dr ranjith mpDr ranjith mp,ventricular tachycardia in abnormal heart dr ranjith mp
Dr ranjith mp,ventricular tachycardia in abnormal heart dr ranjith mp
 
Tachyarrythmia
TachyarrythmiaTachyarrythmia
Tachyarrythmia
 
Managing supraventricular tachyarrythmias
Managing supraventricular tachyarrythmiasManaging supraventricular tachyarrythmias
Managing supraventricular tachyarrythmias
 
Ventricular tachycardia by dr.muzahid
Ventricular tachycardia by dr.muzahidVentricular tachycardia by dr.muzahid
Ventricular tachycardia by dr.muzahid
 
ECG - Junctional Arrhythmia & Ventricular Arrhythmia
ECG - Junctional Arrhythmia & Ventricular ArrhythmiaECG - Junctional Arrhythmia & Ventricular Arrhythmia
ECG - Junctional Arrhythmia & Ventricular Arrhythmia
 
Ecg 4
Ecg 4Ecg 4
Ecg 4
 
Ecg & arrhythmias
Ecg & arrhythmiasEcg & arrhythmias
Ecg & arrhythmias
 

Andere mochten auch

ECG #14 - ID 123 - Atrial Tachycardia
ECG #14 - ID 123 - Atrial Tachycardia ECG #14 - ID 123 - Atrial Tachycardia
ECG #14 - ID 123 - Atrial Tachycardia Anas Nader
 
Don’t Miss a Beat: Arrhythmia Detection for Preclinical ECG Research
Don’t Miss a Beat: Arrhythmia Detection for Preclinical ECG ResearchDon’t Miss a Beat: Arrhythmia Detection for Preclinical ECG Research
Don’t Miss a Beat: Arrhythmia Detection for Preclinical ECG ResearchInsideScientific
 
Basic ecg stripsnew
Basic ecg stripsnewBasic ecg stripsnew
Basic ecg stripsnewsunny3141
 
ACLS CE -Part I of III -ECG STRIP INTERPRETATION w Case Scenarios Supplemental
ACLS CE -Part I of III -ECG STRIP INTERPRETATION w Case Scenarios SupplementalACLS CE -Part I of III -ECG STRIP INTERPRETATION w Case Scenarios Supplemental
ACLS CE -Part I of III -ECG STRIP INTERPRETATION w Case Scenarios SupplementalImhotep Virtual Medical School
 
How to use an Automated External Defibrillator (AED)
How to use an Automated External Defibrillator (AED)How to use an Automated External Defibrillator (AED)
How to use an Automated External Defibrillator (AED)First Response Training, LLC
 
Tutorial in Basic ECG for Medical Students
Tutorial in Basic ECG for Medical StudentsTutorial in Basic ECG for Medical Students
Tutorial in Basic ECG for Medical StudentsChew Keng Sheng
 
Arrhythmias general
Arrhythmias generalArrhythmias general
Arrhythmias generalAdarsh
 
Supraventricular tachycardias
Supraventricular tachycardiasSupraventricular tachycardias
Supraventricular tachycardiasPraveen Nagula
 
Cardiac arrhythmias
Cardiac arrhythmiasCardiac arrhythmias
Cardiac arrhythmiasElhadi Hajow
 
pulseless electrical activity bradycardia Nov 2014
pulseless electrical activity bradycardia Nov 2014pulseless electrical activity bradycardia Nov 2014
pulseless electrical activity bradycardia Nov 2014mansoor masjedi
 

Andere mochten auch (20)

Ectopic Paroxysmal Atrial Tachycardia
Ectopic Paroxysmal Atrial Tachycardia  Ectopic Paroxysmal Atrial Tachycardia
Ectopic Paroxysmal Atrial Tachycardia
 
ECG #14 - ID 123 - Atrial Tachycardia
ECG #14 - ID 123 - Atrial Tachycardia ECG #14 - ID 123 - Atrial Tachycardia
ECG #14 - ID 123 - Atrial Tachycardia
 
Don’t Miss a Beat: Arrhythmia Detection for Preclinical ECG Research
Don’t Miss a Beat: Arrhythmia Detection for Preclinical ECG ResearchDon’t Miss a Beat: Arrhythmia Detection for Preclinical ECG Research
Don’t Miss a Beat: Arrhythmia Detection for Preclinical ECG Research
 
Ventricular fibrillation eMedicine Article
Ventricular fibrillation eMedicine ArticleVentricular fibrillation eMedicine Article
Ventricular fibrillation eMedicine Article
 
ECG PART 5
ECG PART 5ECG PART 5
ECG PART 5
 
ECG PART 7
ECG PART 7ECG PART 7
ECG PART 7
 
Pulseless algorithm
Pulseless algorithmPulseless algorithm
Pulseless algorithm
 
WCT
WCTWCT
WCT
 
Works Contract
Works ContractWorks Contract
Works Contract
 
ECG: Multifocal Atrial Tachycardia
ECG: Multifocal Atrial TachycardiaECG: Multifocal Atrial Tachycardia
ECG: Multifocal Atrial Tachycardia
 
Basic ecg stripsnew
Basic ecg stripsnewBasic ecg stripsnew
Basic ecg stripsnew
 
ACLS CE -Part I of III -ECG STRIP INTERPRETATION w Case Scenarios Supplemental
ACLS CE -Part I of III -ECG STRIP INTERPRETATION w Case Scenarios SupplementalACLS CE -Part I of III -ECG STRIP INTERPRETATION w Case Scenarios Supplemental
ACLS CE -Part I of III -ECG STRIP INTERPRETATION w Case Scenarios Supplemental
 
How to use an Automated External Defibrillator (AED)
How to use an Automated External Defibrillator (AED)How to use an Automated External Defibrillator (AED)
How to use an Automated External Defibrillator (AED)
 
Tutorial in Basic ECG for Medical Students
Tutorial in Basic ECG for Medical StudentsTutorial in Basic ECG for Medical Students
Tutorial in Basic ECG for Medical Students
 
Arrhythmias general
Arrhythmias generalArrhythmias general
Arrhythmias general
 
Supraventricular tachycardias
Supraventricular tachycardiasSupraventricular tachycardias
Supraventricular tachycardias
 
ECG easy way
ECG easy way ECG easy way
ECG easy way
 
Samir Rafla - ECG arrhythmia for medical students
Samir Rafla - ECG arrhythmia for medical studentsSamir Rafla - ECG arrhythmia for medical students
Samir Rafla - ECG arrhythmia for medical students
 
Cardiac arrhythmias
Cardiac arrhythmiasCardiac arrhythmias
Cardiac arrhythmias
 
pulseless electrical activity bradycardia Nov 2014
pulseless electrical activity bradycardia Nov 2014pulseless electrical activity bradycardia Nov 2014
pulseless electrical activity bradycardia Nov 2014
 

Ähnlich wie Arrhythmia: ECG--- Tachycardia_20120902_北區

ECG Atrial and Junctional rhythms Dr Sarfaraz
ECG Atrial and Junctional rhythms  Dr SarfarazECG Atrial and Junctional rhythms  Dr Sarfaraz
ECG Atrial and Junctional rhythms Dr SarfarazSarfaraz Ahmad
 
Approach to qrs wide complex tachycardias copy
Approach to qrs wide complex tachycardias   copyApproach to qrs wide complex tachycardias   copy
Approach to qrs wide complex tachycardias copyAbhishek kasha
 
2 cardiac emergencies
2 cardiac emergencies2 cardiac emergencies
2 cardiac emergenciesachsan raider
 
Wide complex Tachycardia by Dr. Vaibhav Yawalkar
Wide complex Tachycardia by Dr. Vaibhav YawalkarWide complex Tachycardia by Dr. Vaibhav Yawalkar
Wide complex Tachycardia by Dr. Vaibhav Yawalkarvaibhavyawalkar
 
2006 terni, convegno regionale, l'ablazione della fibrillazione atriale. il r...
2006 terni, convegno regionale, l'ablazione della fibrillazione atriale. il r...2006 terni, convegno regionale, l'ablazione della fibrillazione atriale. il r...
2006 terni, convegno regionale, l'ablazione della fibrillazione atriale. il r...Centro Diagnostico Nardi
 
2019 esc guidelines for the management of patients
2019 esc guidelines for the management of patients2019 esc guidelines for the management of patients
2019 esc guidelines for the management of patientsVijay Yadav
 
Cardiac arrhythmia
Cardiac arrhythmiaCardiac arrhythmia
Cardiac arrhythmiaAshok Dutta
 
Wide complex tachycardia
Wide complex tachycardiaWide complex tachycardia
Wide complex tachycardiaAmir Mahmoud
 
Coronary arterio venous fistula
Coronary arterio venous fistulaCoronary arterio venous fistula
Coronary arterio venous fistulachaitu207
 
TACHYARRYTHMIAS 11 MAY 23.pptx
TACHYARRYTHMIAS 11 MAY 23.pptxTACHYARRYTHMIAS 11 MAY 23.pptx
TACHYARRYTHMIAS 11 MAY 23.pptxDrAJ35
 
EKG dasar, aritmia SVT, VT, AV block.ppt
EKG dasar, aritmia SVT, VT, AV block.pptEKG dasar, aritmia SVT, VT, AV block.ppt
EKG dasar, aritmia SVT, VT, AV block.pptabdullahmushlih3
 
TACHYARRHYTHMIA
TACHYARRHYTHMIATACHYARRHYTHMIA
TACHYARRHYTHMIASMSRAZA
 

Ähnlich wie Arrhythmia: ECG--- Tachycardia_20120902_北區 (20)

ECG Atrial and Junctional rhythms Dr Sarfaraz
ECG Atrial and Junctional rhythms  Dr SarfarazECG Atrial and Junctional rhythms  Dr Sarfaraz
ECG Atrial and Junctional rhythms Dr Sarfaraz
 
SVT-Alogarythm
SVT-AlogarythmSVT-Alogarythm
SVT-Alogarythm
 
Approach to qrs wide complex tachycardias copy
Approach to qrs wide complex tachycardias   copyApproach to qrs wide complex tachycardias   copy
Approach to qrs wide complex tachycardias copy
 
2 cardiac emergencies
2 cardiac emergencies2 cardiac emergencies
2 cardiac emergencies
 
Valvular heart disease cardiology club 11 18 2015
Valvular heart disease cardiology club 11 18 2015Valvular heart disease cardiology club 11 18 2015
Valvular heart disease cardiology club 11 18 2015
 
Wide complex Tachycardia by Dr. Vaibhav Yawalkar
Wide complex Tachycardia by Dr. Vaibhav YawalkarWide complex Tachycardia by Dr. Vaibhav Yawalkar
Wide complex Tachycardia by Dr. Vaibhav Yawalkar
 
Avrt and avnrt
Avrt and avnrtAvrt and avnrt
Avrt and avnrt
 
Supraventricular tacchycardias
Supraventricular tacchycardias Supraventricular tacchycardias
Supraventricular tacchycardias
 
2006 terni, convegno regionale, l'ablazione della fibrillazione atriale. il r...
2006 terni, convegno regionale, l'ablazione della fibrillazione atriale. il r...2006 terni, convegno regionale, l'ablazione della fibrillazione atriale. il r...
2006 terni, convegno regionale, l'ablazione della fibrillazione atriale. il r...
 
2019 esc guidelines for the management of patients
2019 esc guidelines for the management of patients2019 esc guidelines for the management of patients
2019 esc guidelines for the management of patients
 
Cardiac arrhythmia
Cardiac arrhythmiaCardiac arrhythmia
Cardiac arrhythmia
 
Wide complex tachycardia
Wide complex tachycardiaWide complex tachycardia
Wide complex tachycardia
 
Coronary arterio venous fistula
Coronary arterio venous fistulaCoronary arterio venous fistula
Coronary arterio venous fistula
 
TACHYARRYTHMIAS 11 MAY 23.pptx
TACHYARRYTHMIAS 11 MAY 23.pptxTACHYARRYTHMIAS 11 MAY 23.pptx
TACHYARRYTHMIAS 11 MAY 23.pptx
 
Arrthymia (dr suresh)
Arrthymia (dr suresh)Arrthymia (dr suresh)
Arrthymia (dr suresh)
 
EKG dasar, aritmia SVT, VT, AV block.ppt
EKG dasar, aritmia SVT, VT, AV block.pptEKG dasar, aritmia SVT, VT, AV block.ppt
EKG dasar, aritmia SVT, VT, AV block.ppt
 
TACHYARRHYTHMIA
TACHYARRHYTHMIATACHYARRHYTHMIA
TACHYARRHYTHMIA
 
Ecg fundamentals
Ecg fundamentalsEcg fundamentals
Ecg fundamentals
 
Arrythmias and ek gs 1
Arrythmias and ek gs 1Arrythmias and ek gs 1
Arrythmias and ek gs 1
 
Cardiovascular System
Cardiovascular SystemCardiovascular System
Cardiovascular System
 

Mehr von Taiwan Heart Rhythm Society

The clinical application of intracardiac echocardiography in cardiac
The clinical application of intracardiac echocardiography in cardiacThe clinical application of intracardiac echocardiography in cardiac
The clinical application of intracardiac echocardiography in cardiacTaiwan Heart Rhythm Society
 
Oral anticoagulants in patients with atrial fibrillation
Oral anticoagulants in patients with atrial fibrillationOral anticoagulants in patients with atrial fibrillation
Oral anticoagulants in patients with atrial fibrillationTaiwan Heart Rhythm Society
 

Mehr von Taiwan Heart Rhythm Society (20)

Arrhythmia news 045.pdf
Arrhythmia news 045.pdfArrhythmia news 045.pdf
Arrhythmia news 045.pdf
 
photo.pptx
photo.pptxphoto.pptx
photo.pptx
 
Arrhythmia news no.44
Arrhythmia news no.44Arrhythmia news no.44
Arrhythmia news no.44
 
Thrs arrhythmia news
Thrs arrhythmia newsThrs arrhythmia news
Thrs arrhythmia news
 
Arrhythmia news 042
Arrhythmia news 042Arrhythmia news 042
Arrhythmia news 042
 
Picture
PicturePicture
Picture
 
Arrhythmia news no.41
Arrhythmia news no.41Arrhythmia news no.41
Arrhythmia news no.41
 
Arrhythmia news no.40
Arrhythmia news no.40Arrhythmia news no.40
Arrhythmia news no.40
 
Arrhythmia news 039
Arrhythmia news 039Arrhythmia news 039
Arrhythmia news 039
 
Challenging and Unknown ECGs (2)
Challenging and Unknown ECGs (2)Challenging and Unknown ECGs (2)
Challenging and Unknown ECGs (2)
 
Arrhythmia news 038
Arrhythmia news 038Arrhythmia news 038
Arrhythmia news 038
 
Photos
PhotosPhotos
Photos
 
Arrhythmia news 037
Arrhythmia news 037Arrhythmia news 037
Arrhythmia news 037
 
Arrhythmia news no.36
Arrhythmia news no.36Arrhythmia news no.36
Arrhythmia news no.36
 
The clinical application of intracardiac echocardiography in cardiac
The clinical application of intracardiac echocardiography in cardiacThe clinical application of intracardiac echocardiography in cardiac
The clinical application of intracardiac echocardiography in cardiac
 
Comprehensive management
Comprehensive managementComprehensive management
Comprehensive management
 
Arrhythmia news 035
Arrhythmia news 035Arrhythmia news 035
Arrhythmia news 035
 
Oral anticoagulants in patients with atrial fibrillation
Oral anticoagulants in patients with atrial fibrillationOral anticoagulants in patients with atrial fibrillation
Oral anticoagulants in patients with atrial fibrillation
 
THRS allied professional training course
THRS allied professional training courseTHRS allied professional training course
THRS allied professional training course
 
Pictures
PicturesPictures
Pictures
 

Kürzlich hochgeladen

blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project reportNARMADAPETROLEUMGAS
 
Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets barmohitRahangdale
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...Sujoy Dasgupta
 
pA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologypA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologyDeepakDaniel9
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfDolisha Warbi
 
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxNaveenkumar267201
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptxWINCY THIRUMURUGAN
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptPradnya Wadekar
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfMedicoseAcademics
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyZurück zum Ursprung
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationMedicoseAcademics
 
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.aarjukhadka22
 
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...Shubhanshu Gaurav
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu Medical University
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyMedicoseAcademics
 
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D.  Bawankar.pptPharmacokinetic Models by Dr. Ram D.  Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D. Bawankar.pptRamDBawankar1
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfHongBiThi1
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsMedicoseAcademics
 
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaSujoy Dasgupta
 

Kürzlich hochgeladen (20)

blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project report
 
Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets bar
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
 
pA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologypA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacology
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
 
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
 
Biologic therapy ice breaking in rheumatology, Case based approach with appli...
Biologic therapy ice breaking in rheumatology, Case based approach with appli...Biologic therapy ice breaking in rheumatology, Case based approach with appli...
Biologic therapy ice breaking in rheumatology, Case based approach with appli...
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.ppt
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdf
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturally
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
 
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
 
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before Pregnancy
 
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D.  Bawankar.pptPharmacokinetic Models by Dr. Ram D.  Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functions
 
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
 

Arrhythmia: ECG--- Tachycardia_20120902_北區