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• Cardiac Bradyarrhythmia
• Cardiac Tachyarrhythmia
CARDIAC ARRHYTHMIA
• Cardiac Arrhythmia
– Normal cardiac conduction system
NORMAL CARDIAC
CONDUCTION SYSTEM
• Impulse formation
• Impulse conduction
NORMAL CARDIAC
CONDUCTION SYSTEM
THE AUTOMACITY OF SINUS NODE
ANS and Sinus Node Function
NORMAL CARDIAC
CONDUCTION SYSTEM
• Impulse formation
• Impulse conduction
CARDIAC ARRHYTHMIA
• Cardiac Arrhythmia
– Normal cardiac conduction system
– Cardiac arrhythmia mechanism
Mechanism of Bradyarrhythmias
ECG
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คลืนไฟฟ้ าหัวใจขณะเกิด
อาการ
CAROTID SINUS
HYPERSENSITIVITY
Holter Monitoring
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Cardiac Arrhythmia monitoring system
Treatment
Cardiac Bradyarrhythmia-Rx
• Treatment strategy • Factors
• Short term Rx • Type of bradyarrhythmia
• Treat reversible /
underlying causes • Severity of symptoms
• Medication to increase
heart rate • Severity of underlying
• Temporary pacemaker cardiac pathology
• Long term Rx
• Permanent pacemaker • Severity of co-morbid
diseases
Cardiac Tachyarrhythmia - Rx Strategies
Short term treatment
Electrical Therapy in unstable patients
Cardioversion, Defibrillation
Control ventricular rate
Ventricular rate control
Rhythm control: Medical / Electrical
Identify and treat reversible causes
Long term treatment Considering factors
RF ablation Type of tachyarrhythmia
Medication Mechanism of tachyarrhythmia
Anticoagulation Underlying Cardiovascular
Devices (pacemaker, AICD) pathology
Surgery Local expertise
Patient factors
CARDIAC ARRHYTHMIA
• Cardiac Arrhythmia in general
– Normal cardiac conduction system
– Cardiac arrhythmia mechanism
– Cardiac arrhythmia evaluation in clinical
practice
– Cardiac arrhythmia treatment concept
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