Term
| Fast Action Potential dependent on ? |
|
Definition
|
|
Term
| Slow AP dependent on what |
|
Definition
|
|
Term
| Examples of Supraventricular Arrhythmias |
|
Definition
-Sinus Bradycardia (<60bpm) -Sinus Tachycardia (>100) -Atrial Flutter (>300, stable reentry) -Atrial Fibrillation (>400, disorganized reentry) -PSVT (reentry w/in AV node, Ca2+ channel blockers) |
|
|
Term
| Examples of Ventricular Arrhythmias |
|
Definition
-Premature ventricular contractions (dangerous in pts w/ cardiac disease) -Ventricular Tachycardia -Ventricular Fibrillation (cardioversion, shock) -Toursades de Pointe |
|
|
Term
| When does a Early after depolarization occur |
|
Definition
duration of AP is elongated, can be drug induced |
|
|
Term
| When does Late after depolarization DAD occur |
|
Definition
| Overload of excess calcium |
|
|
Term
|
Definition
-Anticholinergics - Atropine -B-agonist- Isoproterenol -Pacemaker |
|
|
Term
| How Tx Tachycardia pharmacologically if automaticity induced |
|
Definition
| Dec. Phase 4 automaticity so class I-IV |
|
|
Term
| Tx Tachycardia pharmacologically if Reentry induced |
|
Definition
*Interrupt circuit by slowing conduction -Fast AP - Na channel blockers -Slow AP - Calcium channel blockers or Beta-blockers *Or increase Refractory period -K channel blockers |
|
|
Term
| How tx tachycardia if drugs ineffective |
|
Definition
| Cardioversion and ablation |
|
|
Term
| Example of Na Channel block |
|
Definition
Procainamide Lidocaine (minimal) Flecainide (strong) |
|
|