Presentation
If atrial epicardial wires are present, pacing the atrium at a more rapid rate allows verification of AV conduction. [misc.medscape.com]
Rarely, some individuals without known cardiac disease (young adults, well conditioned athletes) may present with a PR >0.2s that is physiologic. In this clinical presentation, administration of atropine invariably shortens the PR interval. [clinicaladvisor.com]
Obviously, if a child or young adult presents with symptoms such as syncope, or has an abnormal ECG, the phenotype is present. [hawaii.edu]
Subjects were required to answer aloud within 5 s after the presentation of each problem. The order of presentation was two serial subtraction problems, six arithmetic problems, and three additional serial subtraction problems. [ms-se.com]
A 56 year old male presents to the emergency department with chest pains, nausea and vomiting. His temperature is 37.2, blood pressure 110/70, heart rate 50, respirations 20, and oxygen saturation normal on room air. [healio.com]
Cardiovascular
- Hypotension
Hypotension, or low blood pressure, is associated with increased nervous system activation and increased heart rate, but one type, hypovolemic hypotension, occurring after hemorrhage or certain drugs, induces a decrease in heart rate. [healthcentral.com]
The moment infero posterior MI occur it stimualtes the vagus and a prompt bradycardic response occur .Many times the classical hypotension /bradycardia reaction is simply a reflection of heightened vagal tone. [drsvenkatesan.com]
While atropine can be used to temporarily relieve the vagal hypertonicity, our patient is doing fine with no symptoms of bradycardia (which would be related to hypotension such as dizziness or syncope). [healio.com]
Eur J Pharmacol 1979; 59:287-91 Isaac L: Clonidine in the central nervous system: Site and mechanism of hypotensive action. [anesthesiology.pubs.asahq.org]
Dehydration causes decreased intravascular volume and predisposes to hypotension. [hawaii.edu]
Skin
- Increased Sweating
MAIN OUTCOME MEASURE: The number of syncopes/presyncopes (orthostatic hypotension, tachypnoea, increased sweating) during interventions. [easystand.com]
Workup
Rhythm
- Sinus Arrest
[…] syndrome (SSS)洞不全症候群 silent myocardial ischemia (SMI)無症候性心筋虚血 sinoatrial (SA) block洞房ブロック sinoatrial (SA) node洞房結節 sinus洞 sinus arrest洞停止 sinus bradycardia洞性徐脈 sinus node洞結節 sinus of Valsalvaバ[ヴァ]ルサルバ[ヴァ]洞 sinus rhythm洞調律 sinus tachycardia洞性頻脈 situs [tokyo-med.ac.jp]
Blocks
- AV Block Mobitz I
First Degree Heart Block: Prolonged PR interval 2. Second Degree Heart Block (Higher grade AV block): Mobitz Type I, Mobitz Type II B. Describe a diagnostic approach/method to the patient with this problem. [clinicaladvisor.com]
Treatment
1) 350-500 bpm 2) 60-170 bpm 3) Acute treatment: beta blocker, diltiazem, synchronized cardioversion; Chronic treatment: anticoagulation, ablation, flecanide, amiodarone Preventative treatment for post operative atrial fibrillation Preoperative beta [quizlet.com]
Digoxin is indicated in the treatment of atrial fibrillation, atrial flutter and heart failure (currently it is not a first line treatment). [pharmacologycorner.com]
Treatment In most instances, hypotension and fainting are relatively benign. If you feel all right, you do not have to do anything. Treatment depends on the initiating mechanisms. [healthcentral.com]
Understanding the causes of interpersonal disturbance within the disorder is, thus, important for developing treatments that can help ameliorate the misery defined by BPD. [grantome.com]
Prognosis
References Prognosis No evidence suggests increased mortality. Prognosis is good. Mortality/Morbidity The heart rate during a junctional rhythm often determines whether the patient has symptoms. [misc.medscape.com]
The prognosis of patients depends on the type of syndrome and the phenotype. [hawaii.edu]
Prevalence and prognosis of exercise-induced nonsustained ventricular tachycardia in apparently healthy volunteers. Am J Cardiol. 1984 Oct 1;54(7):762-4. [24]-Atwal S, Porter J, MacDonald P. [afpafitness.com]
[…] emission tomography (PET)ポジトロン放射計断層撮影[法] potential(1)潜在性 【形】 (2)電位 precordial pain前胸[部]痛 preload前負荷 premature beat期外収縮 premature ventricular contraction心室期外収縮 pressure overload圧負荷 prevalence有病率、頻度 primary一次、原発[性] 【形】 proarrhythmia催不整脈 procedure 手技、手順、処置方法 prognosis [tokyo-med.ac.jp]
Etiology
Autonomic etiology of syncope is by far the most common. [hawaii.edu]
Laboratory testing PR> 0.2 s The type of PR abnormalities can be diagnosed via EKG analysis and the etiology is usually determined by history. [clinicaladvisor.com]
The etiology of complete heart-block. Br Med K 1963; 2:1149. [acls.com]
[…] is incessant and symptomatic, then radiofrequency ablation via a percutaneous approach is indicated. [6] References Consultations Symptomatic cases may benefit from a consultation with a cardiologist and/or an electrophysiologist to better define the etiology [misc.medscape.com]
Epidemiology
Self-report measures Outcome measures included the 10-item Center for Epidemiologic Studies Depression Scale (CESD-10), [19] a version of the Perceived Stress Scale (PSS) [20] that asked about the last week instead of the last month, the Social Connectedness [ijoy.org.in]
Alteration in calcium metabolism in the sarcoplasmic reticulum causes accelerated junctional rhythm. [1] References Epidemiology Frequency United States Junctional rhythms are common in patients with sick sinus syndrome or in patients who have significant [misc.medscape.com]
Epidemiological evidence indicates that physical activity is associated with a reduced risk of coronary heart disease ( 7,63,80 ). A number of mechanisms may be responsible for this effect of physical activity. [ms-se.com]
Pathophysiology
From: Principles of Pharmacology: The Pathophysiologic Basis of Drug Therapy, 2nd edition. D.Golan Digoxin Digoxin is a selective inhibitor of the plasma membrane sodium pump. [pharmacologycorner.com]
References Pathophysiology The junctional rhythm initiates within the AV nodal tissue. Accelerated junctional rhythm is a result of enhanced automaticity of the AVN that supersedes the sinus node rate. [misc.medscape.com]
Pathophysiology of arrhythmias and sudden cardiac arrest Patients with channelopathies have abnormal depolarization or repolarization in the cardiac action potential. [hawaii.edu]
This is not the case in patients with underlying cardiac pathophysiologic disease. [clinicaladvisor.com]
[…] clinical significance 2) QRS > 0.12 seconds; RSR' in V5-V6; implies CAD, HTN, LVH Causes of pericardial tamponade Trauma Infection Perforation of ventricle Special conditions (collagen disease, renal failure) ("TIPS") Pulsus paradoxus: 1) Definition 2) Pathophysiology [quizlet.com]
Prevention
Once recognized, the management of hereditary arrhythmia syndromes focuses on primary prevention of arrhythmias and sudden cardiac arrest, and secondary prevention of sudden cardiac death. [hawaii.edu]
[…] sometimes genetic counsellors Types of therapy for hypotonia There are several types of therapy for hypotonia, these include physiotherapy, occupational therapy and so forth. (1-4) Physiotherapy Regular physiotherapy is important to improve muscle tone and prevent [news-medical.net]
This knowledge can be used to develop prevention and treatment efforts that target these specific processes. Public Health Relevance Borderline personality disorder (BPD) is a severe and debilitating psychiatric disorder. [grantome.com]
Aldosterone stimulation of the sodium pump may lead to perivascular fibrosis that experimentally may be prevented by digoxin administration Therapeutic doses of digoxin have a predominantly parasympathomimetic action on atrial myocardium, slowing conduction [forums.studentdoctor.net]
Khalsa, PhD, assistant professor in the Division of Sleep Medicine at Brigham and Women’s Hospital, supports a study to investigate whether Kripalu Yoga prevents or diminishes high school students’ use of illicit substances. [kripalu.org]