Arritmias ventriculares en bigeminismo continuo: una forma atípica de arritmias idiopáticas. Ventricular arrhythmias in continuous bigeminism: an atypical form. Una manera que los latidos del corazón ectópicos pueden ser reducidos es resolviéndose qué lo está accionando e intentando reducir la causa. (1). En gente. Arritmias ventriculares como manifestación de sarcoidosis cardiaca primaria . ventricular sintomática (extrasístoles ventriculares y taquicardia ventricular) y .. FUNDAMENTO: Arritmias cardíacas son la mayor causa de muerte súbita tardía .
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Directory of Open Access Journals Sweden. Full Text Available Fundamento: Sudden death is the major cause of death among chagasic patients. A significant number of fatal events in patients without apparent heart disease and borderline electrocardiogram, but with contractile ventricular dysfunction, have been documented. This work aimed to determine the association between regional dysfunction and the presence of ventricular arrhythmia in chagasic patients without apparent heart disease.
Forty-nine patients with normal or borderline electrocardiogram were submitted to echocardiogram, exercise stress test and Holter. The presence of cardiac contractile alterations and complex ventricular arrhythmia was analyzed. Statistic analysis used the general Log-Linear model.
Arritmias y Riesgo Cardiovascular: Resumen Las Enfermedades Cardiovasculares son la principal causa de muerte en todo el mundo.
Dispositivos de asistencia ventricular: La insuficiencia cardiaca es una de las causas prevalentes de morbimortalidad en el mundo. Presentar las alternativas actuales de asistencia ventricular disponibles para los pacientes con falla cardiaca During pregnancy, there is an increase in metabolism, oxygen consumption, heart rate, stroke volume, cardiac output, blood volume and a decrease ventriclares blood pressure and peripheral resistance.
Contracciones ventriculares prematuras – Síntomas y causas – Mayo Clinic
Studies have shown that during this period the occurrence of cardiac arrhythmias is not uncommon. Fortunately, malignant arrhythmias are rare. Herein we report two young patients who presented with symptomatic right ventricular outflow tachycardia during pregnancy that required antiarrhythmic therapy. Possible pathophysiologic mechanisms are discussed. Ventricular arrhythmias usually appear as consequence of acute myocardial ischemia, responsible for most of sudden deaths.
Functional different electrical behavior of myocytes as well as biochemical different ionic concentrations during ischemia cardiac heterogeneity alter the ventricle electric performance and generate dispersion in the action potential repolarization that turns into functional substrate for the generation of fatal arrhythmias. In this work the experimental techniques for the study and detection of arrhythmias by re-entry are reviewed and a geometrical model of ischemia is validated in the presence of electrical heterogeneity in the trans-mural region of the ventricular wall.
For this purpose, bi-dimensional simulations of a detailed biophysical model were used and lobular re-entries in different configurations of the M cells of the ventricular wall were obtained.
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El sustrato comprende diferentes mecanismos, entre los que se encuentra el agrandamiento auricular izquierdo. Arritmias en el embarazo: Foram empregados 19 animais adultos, sadios, separados em dois grupos, caussas um de 10 G1 e outro de 09 G2.
Os resultados obtidos permitiram ventriculards que a levomepromazina e a acepromazina minimizam a arritmia ventricular induzida pela adrenalina, nas doses empregadas.
Se tomaron muestras de TSH al inicio y al cabo de tres meses de seguimiento. Aminodarone is one of the most widespread used antiarrhythmics, but in the same way it is a medicine with well known side-effects at multiple levels; one of the most important ones is described for the thyroid tissue.
Injury mechanisms are related, because of its structural similitude, to those of levothyroxine, with liberation of high iodine concentrations and induction of immune reactivity, among others. However, most patients remain in euthyrod state. This study describes thyroid function variation at short term in. Sympathetic overactivity and arrhythmias in tetanus: Full Text Available As a result of the advances in the control of pulmonary insufficiency in tetanus, the cardiovascular system has increasingly been shown to be a determining factor in morbidity and mortality but detailed knowledge of the cardiovascular complications in tetanus is scanty.
The 24h-Holter was carried out in order to detect arrhythmias and sympathetic overactivity in 38 tetanus patients admitted to an ICU. Sympathetic overactivity occurred in Half the patients had their sympathetic overactivity detected only by the Holter. The most frequent arrhythmias were isolated supraventricular There was no association of the arrhythmias with the clinical form of tetanus or with the presence of sympathetic overactivity.
The present study demonstrated that major cardiovascular dysfunction, particularly sympathetic overactivity, occurs in all forms of tetanus, even in the milder ones. This has not been effectively detected with traditional monitoring in ICU and may not be properly treated.
Ambos tipos de arritmias pueden responder a la digoxina, aunque algunas son refractarias a este medicamento.
A heart with a not much distensible structure, surrounded by a membrane, and only able to react with the heart rate for maintaining its cardiac output, has a narrow margin of tolerance in front of tachyarrhythmias. Se recolectaron los siguientes datos: O laudo deve ser redigido de forma clara e objetiva. Atrial fibrillation is the most common arrhythmia in clinical practice and carries significant implications in the population’s cardiovascular morbidity and mortality as well as in costs for the health systems.
However, the knowledge of the pathophysiology of the arrhythmia and the emergence of new alternative therapies have changed the perspective in the management of this disease. We realize a review of recent developments in etiological and physiological concepts of the arrhythmia, as well as a review of the classification schemes and thrombohemorrhagic risk assessment in addition to the new advances in pharmacological and interventional therapies.
Se acoplaron los c Full Text Available Objetivos: Estudio prospectivo, descriptivo, tipo serie de casos. Principales medidas de resultados: I cardiac catheterisation, including coronary arteriography and pulmonary Call your doctor if your baby or child: Tires easily when eating or playing Is not gaining Risk factors Ventricular septal defects may run in families and sometimes may occur with other The evidence of the ventricular myocardial band VMB has revealed unavoidable coherence and mutual coupling of form and function in the ventricular myocardium, making it possible to understand the principles governing electrical, mechanical and energetical events within the human heart.
From the earliest Erasistratus’ observations, principal mechanisms responsible for the ventricular filling have still remained obscured. Contemporary experimental and clinical investigations unequivocally support the attitude that only powerful suction force, developed by the normal ventricles, would be able to produce an efficient filling of the ventricular cavities. The true origin and the precise time frame for generating such force are still controversial.
Elastic recoil and muscular contraction were the most commonly mentioned, but yet, still not clearly explained mechanisms involved in the ventricular suction.
Classical concepts about timing of successive mechanical events during the cardiac cycle, also do not offer understandable insight into the mechanism of the ventricular filling.
The net result is the current state of insufficient knowledge of systolic and particularly diastolic function of normal and diseased heart. Here we summarize experimental evidence and theoretical backgrounds, which could be useful in understanding the phenomenon of the ventricular filling. Anatomy of the VMB, and recent proofs for its segmental electrical extraslstoles mechanical activation, undoubtedly indicates that ventricular filling is the consequence of an active muscular contraction.
Contraction of the ascendent segment of the VMB, with simultaneous shortening and rectifying of its fibers, produces the paradoxical increase of the ventricular volume and lengthening of its long axis. Specific spatial arrangement caausas the ascendent segment fibers, their interaction with adjacent descendent segment fibers, elastic elements and intra-cavitary blood volume hemoskeletonexplain the physical principles.
Left ventricular function in right ventricular overload. This study clarified regional and global functions of the distorted left ventricle due to right ventricular overload by gated radionuclide ventriculography RNV. Right ventricular systolic pressure RVSP was The end-systolic LAO view of the left ventricle was halved into septal and free-wall sides. The end-diastolic halves were determined in the same plane. Systolic function of the septal half of the left ventricle was disturbed by right ventricular overload.
Arrhythmogenic right ventricular dysplasia. The arrhythmogenic right ventricular dysplasia is a condition predominantly well defined with arrhythmic events. We analyze three cases diagnosed xe the group.
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These cases were presented as ventricular tachycardia with a morphology of xausas bundle branch block, presenting one of them aborted sudden death in evolution. The baseline electrocardiogram and signal averaging were abnormal in two of the three cases, like the echocardiogram. The electrophysiological study was able to induce in the three patients with sustained monomorphic ventricular tachycardia morphology of left bundle branch block.
The definitive diagnosis was made by right ventriculography in two cases and magnetic resonance imaging in the other. Treatment included antiarrhythmic drugs in the three cases and the placement of an automatic defibrillator which survived a sudden death Author. Left Ventricular Assist Devices. Full Text Available Audience: The audience for this classic team-based learning cTBL session is emergency medicine residents, faculty, and students; although this topic is applicable to internal medicine and family medicine residents.
A left extraeistoles assist device LVAD is a mechanical circulatory support device that can be placed in critically-ill patients who have poor left ventricular function. After LVAD implantation, patients have improved quality of life. Left- ventricular assist device patients may present to the emergency department ED with severe, life-threatening conditions. It is essential that emergency physicians have a good understanding of LVADs and their complications. Upon completion of this cTBL module, the learner will be able to: The method for this didactic session is cTBL.
Systolic left ventricular function according to left ventricular concentricity and dilatation in hypertensive patients. Left ventricular hypertrophy [LVH, high left ventricular ventriculades LVM ] is traditionally classified as concentric or eccentric based on left ventricular relative wall thickness. We evaluated left ventricular systolic function in a new four-group LVH classification based on left ventricular dilatation Cardiomyopathy Merck Manual Consumer Version: Overview of Abnormal Heart Rhythms Orphanet: Arrhythmogenic right ventricular cardiomyopathy Orphanet: Familial isolated arrhythmogenic right ventricular Measurement of ventricular function using Doppler ultrasound.
Doppler has wide application in the evaluation of valvular heart disease. The need to know ventricular function is a much more common reason for an echocardiographic evaluation.