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) |
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