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CARDIAC ARRHYTHMIA

CARDIAC ARRHYTHMIA. Charn Sriratanasathavorn, MD,FACC Her Majesty Cardiac Center Siriraj Hospital, Mahidol University. SIMPLIFIED CARDIAC SYSTEM. ELECTRICAL. BLOOD SUPPLY. MUSCLE & VALVE. CARDIAC ARRHYTHMIA. Cardiac Arrhythmia Cardiac Bradyarrhythmia Cardiac Tachyarrhythmia.

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CARDIAC ARRHYTHMIA

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  1. CARDIAC ARRHYTHMIA Charn Sriratanasathavorn, MD,FACC Her Majesty Cardiac Center Siriraj Hospital, Mahidol University

  2. SIMPLIFIED CARDIAC SYSTEM ELECTRICAL BLOOD SUPPLY MUSCLE & VALVE

  3. CARDIAC ARRHYTHMIA • Cardiac Arrhythmia • Cardiac Bradyarrhythmia • Cardiac Tachyarrhythmia

  4. CARDIAC ARRHYTHMIA • Cardiac Arrhythmia • Normal cardiac conduction system

  5. NORMAL CARDIAC CONDUCTION SYSTEM • Impulse formation • Impulse conduction

  6. NORMAL CARDIAC CONDUCTION SYSTEM

  7. THE AUTOMACITY OF SINUS NODE

  8. ANS and Sinus Node Function

  9. NORMAL CARDIAC CONDUCTION SYSTEM • Impulse formation • Impulse conduction

  10. CARDIAC ARRHYTHMIA • Cardiac Arrhythmia • Normal cardiac conduction system • Cardiac arrhythmia mechanism

  11. Mechanism of Bradyarrhythmias • Abnormal impulse formation • decrease impulse formation • Abnormal impulse conduction • conduction block

  12. Mechanism of Tachyarrhythmia Abnormal impulse formation Abnormal impulse conduction Reentry Automaticity Triggered Enhanced Abnormal EADs DADs Anisotropy Anatomic Functional

  13. Mechanism of triggered arrhythmias

  14. Mechanism of triggered arrhythmias

  15. Reentry arrhythmias

  16. Reentry circuits

  17. Re-entry circuit

  18. CARDIAC ARRHYTHMIA • Cardiac Arrhythmia • Normal cardiac conduction system • Cardiac arrhythmia mechanism • Cardiac arrhythmia evaluation in clinical practice

  19. RELATIONSHIP OF INTRACELLULAR POTENTIAL TO SURFACE EKG

  20. การตรวจคลื่นไฟฟ้าหัวใจ (EKG, ECG)

  21. การตรวจคลื่นไฟฟ้าหัวใจ(12 Lead Electrocardiogram, 12 Lead ECG)

  22. SIMPLIFIED CARDIAC SYSTEM ELECTRICAL BLOOD SUPPLY ECG MUSCLE & VALVE

  23. คลื่นไฟฟ้าหัวใจขณะเกิดอาการคลื่นไฟฟ้าหัวใจขณะเกิดอาการ

  24. CAROTID SINUS HYPERSENSITIVITY

  25. Holter Monitoring ?

  26. ?

  27. Cardiac Arrhythmia monitoring system • Holter monitoring system • Event recording system • Loop recording system • Non implantable • Implantable

  28. การตรวจสมรรถภาพหัวใจด้วยการออกกำลัง(Exercise Stress Test)

  29. ABNORMAL HEART RATE RESPONSE

  30. Electrophysiologic study

  31. Prolonged Sinus node recovery time

  32. Atrioventricular Reciprocating Tachycardia (AVRT)

  33. Typical Atrioventricular Nodal Reentry tachycardia ( AVNRT)

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