Friday, November 8, 2013

Bradyarrhythmias(心搏過慢)

症狀/併發症(symptom/complication)
@tired
@short of breath
@dizziness
病因(etiology)
type
|Sinus node dysfunction, 70%: parasympathetic excited
||High vagal tone: Marathoner
||drugs
|||AV node blocking agents
||||beta blocker
||||Ca2+ blockade
||||antiarrhythmic drugs (for tachycardia): type Ic and type III
||||anti-HTN drugs
||||alpha-methyldopa
||||cimetidine
||||lithium
||Hypothermia
||Hyperkalemia
|Hypothyrodism
||Increased intracranial pressure ,IICP
||Sick sinus syndrome: SA node stop more than 3 seconds

資料來源:塔夫茨大學
|Heart block, 30%: conductive route is blocked
檢查/準則(examination/criteria)
#ECG
##Sinus node dysfunction
###looks like normal blood rate is slow
###Junctional rhythm(交界區心律): SA node complete suppression due to drugs and hyperkalemia, every QRS is produced by AV node

資料來源:drsvenkatesan
治療(treatment)
$Atropine(抗迷走神經的藥物)
$Isoproterenol(擬交感神經藥物)
$Trans-chest pacing, TCP
$Temporary Pacemaker, TPM
$Transvenous temporary pacemaker
$Permanent pacemaker, PPM
鑑別診斷(Differential Diagnosis)

流行病學(Epidemiology)

=bradycardia
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