sinus tachycardia
DESCRIPTION
Sinus Tachycardia. 1- RHYTHM : regular 2-RATE : more than 100bpm . 3- P WAVE : normal (up right ,rounded ) 4-PR INTERVAL : normal 5- QRS COMPLEX : normal duration 6-ST SEGMENT : isoelectric 7- T WAVE : normal ( symmetric , rounded ) - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Sinus Tachycardia](https://reader036.vdocuments.us/reader036/viewer/2022081421/568164d8550346895dd71c95/html5/thumbnails/1.jpg)
Dr. Ahmad Tubaishat 1
Sinus Tachycardia
1- RHYTHM : regular 2-RATE : more than 100bpm .3- P WAVE : normal (up right ,rounded )4-PR INTERVAL : normal 5- QRS COMPLEX : normal duration 6-ST SEGMENT: isoelectric 7- T WAVE : normal ( symmetric , rounded ) 8-CONDUCTION : normal electrical path way
![Page 2: Sinus Tachycardia](https://reader036.vdocuments.us/reader036/viewer/2022081421/568164d8550346895dd71c95/html5/thumbnails/2.jpg)
Dr. Ahmad Tubaishat 2
Sinus Bradycardia
![Page 3: Sinus Tachycardia](https://reader036.vdocuments.us/reader036/viewer/2022081421/568164d8550346895dd71c95/html5/thumbnails/3.jpg)
Dr. Ahmad Tubaishat3
Sinus arrhythmia
1- RHYTHM : rate increased with inspiration ,decreased with expiration
2-RATE : varies between 50 -100 bpm .3- P WAVE : normal (up right ,rounded )4-PR INTERVAL : normal 5- QRS COMPLEX : normal duration 6-ST SEGMENT: isoelectric 7- T WAVE : normal ( symmetric , rounded ) 8-CONDUCTION : normal electrical path way
![Page 4: Sinus Tachycardia](https://reader036.vdocuments.us/reader036/viewer/2022081421/568164d8550346895dd71c95/html5/thumbnails/4.jpg)
Dr. Ahmad Tubaishat4
Sinus Arrest
![Page 5: Sinus Tachycardia](https://reader036.vdocuments.us/reader036/viewer/2022081421/568164d8550346895dd71c95/html5/thumbnails/5.jpg)
Dr. Ahmad Tubaishat 5
Atrial Flutter
![Page 6: Sinus Tachycardia](https://reader036.vdocuments.us/reader036/viewer/2022081421/568164d8550346895dd71c95/html5/thumbnails/6.jpg)
Dr. Ahmad Tubaishat6
Atrial Fibrillation
![Page 7: Sinus Tachycardia](https://reader036.vdocuments.us/reader036/viewer/2022081421/568164d8550346895dd71c95/html5/thumbnails/7.jpg)
Dr. Ahmad Tubaishat7
Paroxysmal Supraventricular Tachycardia (PSVT)
• 1- RATE: between (140 – 200) bpm .• 2- RHYTHM : R-R interval regular .• 3- P WAVE : absent or fused with QRS or T wave .• 4- P-R INTERVAL : absent .• 5- QRS COMPLEX : narrow < 0.06 second .• 6- T WAVE : peaked T wave .• 7- CONDUCTION : the ventricles is stimulated from some
where in the atria
![Page 8: Sinus Tachycardia](https://reader036.vdocuments.us/reader036/viewer/2022081421/568164d8550346895dd71c95/html5/thumbnails/8.jpg)
Dr. Ahmad Tubaishat8
Premature Ventricular Contraction
• Arise within an ectopic focus within the ventricle (no atrial activity).
• Vent. Conduction spreads more slowly through purkinje system wide QRS
• No preceding P wave, T wave opposite direction of the QRS.• Multiform PVCs: different contours; Multifocal PVCs: different
origin• Bigeminy: one normal QRS fowled by PVC; Trigeminy: 2 sinus
QRS fowled by PVC; Quadrigeminy: 3 sinus QRS fowled by PVC• Two PVCs in row: couplet, three in row: triplet (a short run of
VT)
![Page 9: Sinus Tachycardia](https://reader036.vdocuments.us/reader036/viewer/2022081421/568164d8550346895dd71c95/html5/thumbnails/9.jpg)
Dr. Ahmad Tubaishat9
Ventricular Tachycardia
![Page 10: Sinus Tachycardia](https://reader036.vdocuments.us/reader036/viewer/2022081421/568164d8550346895dd71c95/html5/thumbnails/10.jpg)
Dr. Ahmad Tubaishat10
Ventricular Fibrillation
![Page 11: Sinus Tachycardia](https://reader036.vdocuments.us/reader036/viewer/2022081421/568164d8550346895dd71c95/html5/thumbnails/11.jpg)
Dr. Ahmad Tubaishat 11
Junctional Rhythm
Lead II
![Page 12: Sinus Tachycardia](https://reader036.vdocuments.us/reader036/viewer/2022081421/568164d8550346895dd71c95/html5/thumbnails/12.jpg)
Dr. Ahmad Tubaishat12
Premature Junctional Contraction
Ectopic impulse from a focus in the AV junction, occur
prematurely, before the next sinus impulses.
Rate Normal P wave as with junctional rhythm.QRS normal
Conduction P-R interval < .12 secs if P waves are present.
RhythmPJC's occur early in the cycle of the baseline rhythm. A full compensatory pause may occur.
![Page 13: Sinus Tachycardia](https://reader036.vdocuments.us/reader036/viewer/2022081421/568164d8550346895dd71c95/html5/thumbnails/13.jpg)
Dr. Ahmad Tubaishat 13
First-degree AV block
• Prolongation of AV conduction• P wave: present and precedes each QRS• PR: constant but exceeds the upper limit (>0.2second)• Rate: 60 -100 bpm• Rhythm: regular with constant prolonged PR interval
![Page 14: Sinus Tachycardia](https://reader036.vdocuments.us/reader036/viewer/2022081421/568164d8550346895dd71c95/html5/thumbnails/14.jpg)
Dr. Ahmad Tubaishat 14
Second-degree AV block, Mobitz type I
• One or more of the atrial impulses fail to reach the ventricles• Progressive prolongation of PR interval flowed by missing QRS• Rate: 60 -100 bpm• Rhythm: regular atrial, irregular ventricular
![Page 15: Sinus Tachycardia](https://reader036.vdocuments.us/reader036/viewer/2022081421/568164d8550346895dd71c95/html5/thumbnails/15.jpg)
Dr. Ahmad Tubaishat 15
Second-degree AV block, Mobitz type II
• One or more of the atrial impulses fail to reach the ventricles
• Constant normal PR interval flowed by missing QRS• The block occur occasionally or in 2:1, 3:1 or 4:1 fashion• Rate: 60 -100 bpm• Rhythm: regular atrial, irregular or regular ventricular
depends on the AV block
![Page 16: Sinus Tachycardia](https://reader036.vdocuments.us/reader036/viewer/2022081421/568164d8550346895dd71c95/html5/thumbnails/16.jpg)
Dr. Ahmad Tubaishat 16
Second-degree AV block, Mobitz type II
• One or more of the atrial impulses fail to reach the ventricles
• Constant normal PR interval flowed by missing QRS• The block occur occasionally or in 2:1, 3:1 or 4:1 fashion• Rate: 60 -100 bpm• Rhythm: regular atrial, irregular or regular ventricular
depends on the AV block
![Page 17: Sinus Tachycardia](https://reader036.vdocuments.us/reader036/viewer/2022081421/568164d8550346895dd71c95/html5/thumbnails/17.jpg)
Dr. Ahmad Tubaishat17
Right Bundle Branch Block
![Page 18: Sinus Tachycardia](https://reader036.vdocuments.us/reader036/viewer/2022081421/568164d8550346895dd71c95/html5/thumbnails/18.jpg)
Dr. Ahmad Tubaishat18
Left Bundle Branch Block