SlideShare a Scribd company logo
1 of 16
Arrhythmias
Definition
Cardiac
dysrhythmia
(also
known
as
arrhythmia) is a term for any of a large and
heterogeneous group of conditions in which there
is abnormal electrical activity in the heart. The
heart beat may be too fast or too slow, and may
be regular or irregular.
Normal Sinus Rhythm
Sinus Bradycardia
ο‚ž

Treatment :- Adminstration of Atropine
(An Anticholinergic drug) pacemaker
therapy may require
Sinus Tachycardia
Treatment :- Treat the underlying Cause
Mainly Beta adrenergic blockers (Metaprolol
atenolol ) are used to reduce the HR and
decrease the myocardial oxygen consumptions
Premature atrial contraction
Treatment :- Depends on the patient symptoms
Withdrawal of sources like caffeine, and Betaadrenergic Blockers may be used
ο‚ž
Atrial Fibrillation
ο‚ž

Treatment :- Digoxin, Beta adrenergic blockers,
Calcium channel Blockers and antiarrythmic drug
such as cordarone some time cardioversion also
may be used
Junctional Arrhythmias
ο‚ž

Treatment :- Digoxin is Withheld in the absence of
digitalis. Beta adrenergic blockers, Calcium
channel Blockers and antiarrythmic drug such as
cordarone some time cardioversion also may be
used
Atrial Flutter
ο‚ž

Treatment :- Cardioversion, Digoxin, Beta
adrenergic blockers, Calcium channel Blockers
and antiarrythmic drug such as cordarone
First Degree A V Block
ο‚ž

Treatment :- There is no treatment for first degree
A V Block
Second Degree A V Block type I
Treatment :- Atropin e is used to increase the HR
Temporary Pace maker may used, close observation
is very important
Second Degree A V Block type II
ο‚ž

Treatment :- Both temporary and permanent pace
maker are used depends upon the situation.
Atropine and Dopamine can be used initially
Ventricular tachycardia
ο‚ž

Treatment :- Cordorone, pacemaker, defibrillation,
thrombolysis, angioplasty
Ventricular fibrillation
ο‚ž

Treatment :- CPR with ACLS measures, which
includes intubation, pacing, IV therapy,
defibrillation,
Asystole
ο‚ž

Treatment :- CPR with ACLS measures, which
includes intubation, pacing, IV therapy,
defibrillation,
Thank you

More Related Content

What's hot

Pharmacotherapy of cardiac arrhythmias
Pharmacotherapy of cardiac arrhythmiasPharmacotherapy of cardiac arrhythmias
Pharmacotherapy of cardiac arrhythmiasVikas Sharma
Β 
Arrythmia
ArrythmiaArrythmia
ArrythmiaAmen Ullah
Β 
Cardiac arrhythmias
Cardiac arrhythmiasCardiac arrhythmias
Cardiac arrhythmiasElhadi Hajow
Β 
treatment of Arrhythmia
treatment of Arrhythmiatreatment of Arrhythmia
treatment of ArrhythmiaBaqer Aliraqi
Β 
Antiarrythmia
AntiarrythmiaAntiarrythmia
AntiarrythmiaStacy A.J
Β 
Arrhythmia HEART
Arrhythmia HEARTArrhythmia HEART
Arrhythmia HEARTHazhar Ph
Β 
Disorders of cardiac conduction+heat blocks+pacemaker
Disorders of cardiac conduction+heat blocks+pacemakerDisorders of cardiac conduction+heat blocks+pacemaker
Disorders of cardiac conduction+heat blocks+pacemakerahmadsadiq16
Β 
Pharmacology dysrhythmias 2
Pharmacology dysrhythmias 2Pharmacology dysrhythmias 2
Pharmacology dysrhythmias 2shayiamk
Β 
History of arrhythmias
History of arrhythmiasHistory of arrhythmias
History of arrhythmiasasadsoomro1960
Β 
case study on arrythmia
case study on arrythmiacase study on arrythmia
case study on arrythmiaRomit Subba
Β 
Cardiac arrhythmias
Cardiac arrhythmiasCardiac arrhythmias
Cardiac arrhythmiasUnni Krishna
Β 
Beth talk at kottayam
Beth talk at kottayamBeth talk at kottayam
Beth talk at kottayamgsquaresolution
Β 
Cardiac rhythm disorders
Cardiac rhythm disordersCardiac rhythm disorders
Cardiac rhythm disordersLih Yin Chong
Β 
Bradyarrythmia
BradyarrythmiaBradyarrythmia
BradyarrythmiaPuneet Shukla
Β 
Cardiac arrythmias iml
Cardiac arrythmias  imlCardiac arrythmias  iml
Cardiac arrythmias imlBrian Shiluli
Β 
Peri operative arrhyth
Peri operative arrhythPeri operative arrhyth
Peri operative arrhythKrishna Kishore
Β 
Diagonosis and management of Arrhythmia final Dr. Onn Akbar Ali Adelaide Hilt...
Diagonosis and management of Arrhythmia final Dr. Onn Akbar Ali Adelaide Hilt...Diagonosis and management of Arrhythmia final Dr. Onn Akbar Ali Adelaide Hilt...
Diagonosis and management of Arrhythmia final Dr. Onn Akbar Ali Adelaide Hilt...Onn Akbar Ali MBBS ; FRACP; FCSANZ
Β 

What's hot (20)

Pharmacotherapy of cardiac arrhythmias
Pharmacotherapy of cardiac arrhythmiasPharmacotherapy of cardiac arrhythmias
Pharmacotherapy of cardiac arrhythmias
Β 
Arrythmia
ArrythmiaArrythmia
Arrythmia
Β 
Cardiac arrhythmias
Cardiac arrhythmiasCardiac arrhythmias
Cardiac arrhythmias
Β 
treatment of Arrhythmia
treatment of Arrhythmiatreatment of Arrhythmia
treatment of Arrhythmia
Β 
Antiarrythmia
AntiarrythmiaAntiarrythmia
Antiarrythmia
Β 
Arrhythmia HEART
Arrhythmia HEARTArrhythmia HEART
Arrhythmia HEART
Β 
Disorders of cardiac conduction+heat blocks+pacemaker
Disorders of cardiac conduction+heat blocks+pacemakerDisorders of cardiac conduction+heat blocks+pacemaker
Disorders of cardiac conduction+heat blocks+pacemaker
Β 
Pharmacology dysrhythmias 2
Pharmacology dysrhythmias 2Pharmacology dysrhythmias 2
Pharmacology dysrhythmias 2
Β 
History of arrhythmias
History of arrhythmiasHistory of arrhythmias
History of arrhythmias
Β 
Cardiac arrhythmias y2 oct 2010
Cardiac arrhythmias y2 oct 2010Cardiac arrhythmias y2 oct 2010
Cardiac arrhythmias y2 oct 2010
Β 
case study on arrythmia
case study on arrythmiacase study on arrythmia
case study on arrythmia
Β 
Cardiac arrhythmias
Cardiac arrhythmiasCardiac arrhythmias
Cardiac arrhythmias
Β 
Beth talk at kottayam
Beth talk at kottayamBeth talk at kottayam
Beth talk at kottayam
Β 
Cardiac rhythm disorders
Cardiac rhythm disordersCardiac rhythm disorders
Cardiac rhythm disorders
Β 
Bradyarrythmia
BradyarrythmiaBradyarrythmia
Bradyarrythmia
Β 
Arrhythmia
ArrhythmiaArrhythmia
Arrhythmia
Β 
Cardiac arrythmias iml
Cardiac arrythmias  imlCardiac arrythmias  iml
Cardiac arrythmias iml
Β 
Peri operative arrhyth
Peri operative arrhythPeri operative arrhyth
Peri operative arrhyth
Β 
Diagonosis and management of Arrhythmia final Dr. Onn Akbar Ali Adelaide Hilt...
Diagonosis and management of Arrhythmia final Dr. Onn Akbar Ali Adelaide Hilt...Diagonosis and management of Arrhythmia final Dr. Onn Akbar Ali Adelaide Hilt...
Diagonosis and management of Arrhythmia final Dr. Onn Akbar Ali Adelaide Hilt...
Β 
Bradycardias
BradycardiasBradycardias
Bradycardias
Β 

Viewers also liked

Antiarrythmic Drugs
Antiarrythmic DrugsAntiarrythmic Drugs
Antiarrythmic Drugsmaltiaziz24
Β 
Anti-Anginal Drugs
Anti-Anginal DrugsAnti-Anginal Drugs
Anti-Anginal DrugsUsman Saleem
Β 
Anti anginal drugs.
Anti anginal drugs.Anti anginal drugs.
Anti anginal drugs.anurag chanda
Β 
Antiarrhythmics
AntiarrhythmicsAntiarrhythmics
AntiarrhythmicsSunil Reddy D
Β 
CONGESTIVE HEART FAILURE - DRUGS WITHOUT POSITIVE IONOTROPY
CONGESTIVE HEART FAILURE - DRUGS WITHOUT POSITIVE IONOTROPYCONGESTIVE HEART FAILURE - DRUGS WITHOUT POSITIVE IONOTROPY
CONGESTIVE HEART FAILURE - DRUGS WITHOUT POSITIVE IONOTROPYBobby Prashanth
Β 
Dr fahad anti arrythmic drugs
Dr fahad anti arrythmic drugsDr fahad anti arrythmic drugs
Dr fahad anti arrythmic drugsMuhammad Saim
Β 
Antiarrhythmicdrug therapy Dr Vinay Verma
Antiarrhythmicdrug therapy       Dr Vinay Verma Antiarrhythmicdrug therapy       Dr Vinay Verma
Antiarrhythmicdrug therapy Dr Vinay Verma Dr Harikrishna Harindran
Β 
MBBS antiarrhythmics 2012
MBBS antiarrhythmics 2012MBBS antiarrhythmics 2012
MBBS antiarrhythmics 2012Rathnakar U P
Β 
anti-anginal drugs
anti-anginal drugs anti-anginal drugs
anti-anginal drugs jomanahadnan
Β 
Antiarrhythmic drugs
Antiarrhythmic drugsAntiarrhythmic drugs
Antiarrhythmic drugsNajaf-Farooq
Β 
Drug therapy of congestive heart failure
Drug therapy of congestive heart failureDrug therapy of congestive heart failure
Drug therapy of congestive heart failureDr Htet
Β 
Antiarrhythmic drugs
Antiarrhythmic drugsAntiarrhythmic drugs
Antiarrhythmic drugsNaser Tadvi
Β 
Anti arrhythmic drugs
Anti arrhythmic drugsAnti arrhythmic drugs
Anti arrhythmic drugsDr. Pooja
Β 

Viewers also liked (16)

Antiarrythmic Drugs
Antiarrythmic DrugsAntiarrythmic Drugs
Antiarrythmic Drugs
Β 
Anti-Anginal Drugs
Anti-Anginal DrugsAnti-Anginal Drugs
Anti-Anginal Drugs
Β 
Antiarrythmic drugs part ii
Antiarrythmic drugs part iiAntiarrythmic drugs part ii
Antiarrythmic drugs part ii
Β 
Anti anginal drugs.
Anti anginal drugs.Anti anginal drugs.
Anti anginal drugs.
Β 
Antiarrhythmics
AntiarrhythmicsAntiarrhythmics
Antiarrhythmics
Β 
CONGESTIVE HEART FAILURE - DRUGS WITHOUT POSITIVE IONOTROPY
CONGESTIVE HEART FAILURE - DRUGS WITHOUT POSITIVE IONOTROPYCONGESTIVE HEART FAILURE - DRUGS WITHOUT POSITIVE IONOTROPY
CONGESTIVE HEART FAILURE - DRUGS WITHOUT POSITIVE IONOTROPY
Β 
Dr fahad anti arrythmic drugs
Dr fahad anti arrythmic drugsDr fahad anti arrythmic drugs
Dr fahad anti arrythmic drugs
Β 
Antiarrhythmicdrug therapy Dr Vinay Verma
Antiarrhythmicdrug therapy       Dr Vinay Verma Antiarrhythmicdrug therapy       Dr Vinay Verma
Antiarrhythmicdrug therapy Dr Vinay Verma
Β 
MBBS antiarrhythmics 2012
MBBS antiarrhythmics 2012MBBS antiarrhythmics 2012
MBBS antiarrhythmics 2012
Β 
anti-anginal drugs
anti-anginal drugs anti-anginal drugs
anti-anginal drugs
Β 
Antiarrhythmic drugs
Antiarrhythmic drugsAntiarrhythmic drugs
Antiarrhythmic drugs
Β 
Heart failure
Heart failureHeart failure
Heart failure
Β 
Drug therapy of congestive heart failure
Drug therapy of congestive heart failureDrug therapy of congestive heart failure
Drug therapy of congestive heart failure
Β 
Antiarrhythmic drugs - drdhriti
Antiarrhythmic drugs - drdhritiAntiarrhythmic drugs - drdhriti
Antiarrhythmic drugs - drdhriti
Β 
Antiarrhythmic drugs
Antiarrhythmic drugsAntiarrhythmic drugs
Antiarrhythmic drugs
Β 
Anti arrhythmic drugs
Anti arrhythmic drugsAnti arrhythmic drugs
Anti arrhythmic drugs
Β 

Similar to Arrythmias 2003

Drugs affecting the circulatory system
Drugs affecting the circulatory systemDrugs affecting the circulatory system
Drugs affecting the circulatory systemsharon49
Β 
Cardiac medication and its monitoring
Cardiac medication and its monitoringCardiac medication and its monitoring
Cardiac medication and its monitoringsmppk
Β 
Antiarrhythmics-updated.pptx
Antiarrhythmics-updated.pptxAntiarrhythmics-updated.pptx
Antiarrhythmics-updated.pptxdesktoppc
Β 
Cardiovascular drugs-Antihypertensive drugs
Cardiovascular drugs-Antihypertensive drugsCardiovascular drugs-Antihypertensive drugs
Cardiovascular drugs-Antihypertensive drugsPavithra Pavi
Β 
2 Drugs for IHD.pptx
2 Drugs for IHD.pptx2 Drugs for IHD.pptx
2 Drugs for IHD.pptxSani191640
Β 
2 Drugs for IHD.pptx
2 Drugs for IHD.pptx2 Drugs for IHD.pptx
2 Drugs for IHD.pptxSani191640
Β 
Cardiovascular drugs
Cardiovascular drugsCardiovascular drugs
Cardiovascular drugsidoon11
Β 
Cardiology
CardiologyCardiology
CardiologyMiami Dade
Β 
Drugs used in ischaemic heart disease 2
Drugs used in ischaemic heart disease 2Drugs used in ischaemic heart disease 2
Drugs used in ischaemic heart disease 2Pravin Prasad
Β 
Drugs in Ischemic Heart Disease-2
Drugs in Ischemic Heart Disease-2Drugs in Ischemic Heart Disease-2
Drugs in Ischemic Heart Disease-2Pravin Prasad
Β 
Chronic stable angina ppt.pptx
Chronic stable angina ppt.pptxChronic stable angina ppt.pptx
Chronic stable angina ppt.pptxJabbar Jasim
Β 

Similar to Arrythmias 2003 (20)

Cardiac glycosides
Cardiac glycosidesCardiac glycosides
Cardiac glycosides
Β 
Drugs affecting the circulatory system
Drugs affecting the circulatory systemDrugs affecting the circulatory system
Drugs affecting the circulatory system
Β 
Angina Pectoris.pptx
Angina Pectoris.pptxAngina Pectoris.pptx
Angina Pectoris.pptx
Β 
Cardiac medication and its monitoring
Cardiac medication and its monitoringCardiac medication and its monitoring
Cardiac medication and its monitoring
Β 
Antiarrhythmics-updated.pptx
Antiarrhythmics-updated.pptxAntiarrhythmics-updated.pptx
Antiarrhythmics-updated.pptx
Β 
Cardiovascular drugs-Antihypertensive drugs
Cardiovascular drugs-Antihypertensive drugsCardiovascular drugs-Antihypertensive drugs
Cardiovascular drugs-Antihypertensive drugs
Β 
2 Drugs for IHD.pptx
2 Drugs for IHD.pptx2 Drugs for IHD.pptx
2 Drugs for IHD.pptx
Β 
2 Drugs for IHD.pptx
2 Drugs for IHD.pptx2 Drugs for IHD.pptx
2 Drugs for IHD.pptx
Β 
Cardiovascular drugs
Cardiovascular drugsCardiovascular drugs
Cardiovascular drugs
Β 
Anti arrhythmic drug
Anti arrhythmic drugAnti arrhythmic drug
Anti arrhythmic drug
Β 
arhythmia.pptx
arhythmia.pptxarhythmia.pptx
arhythmia.pptx
Β 
common cardiac arrhythmias.ppsx
common cardiac arrhythmias.ppsxcommon cardiac arrhythmias.ppsx
common cardiac arrhythmias.ppsx
Β 
Cardiology
CardiologyCardiology
Cardiology
Β 
Ccf
CcfCcf
Ccf
Β 
Ccf
CcfCcf
Ccf
Β 
Heart Failure
Heart FailureHeart Failure
Heart Failure
Β 
Drugs used in ischaemic heart disease 2
Drugs used in ischaemic heart disease 2Drugs used in ischaemic heart disease 2
Drugs used in ischaemic heart disease 2
Β 
Antianginal drugs (VK)
Antianginal drugs (VK)Antianginal drugs (VK)
Antianginal drugs (VK)
Β 
Drugs in Ischemic Heart Disease-2
Drugs in Ischemic Heart Disease-2Drugs in Ischemic Heart Disease-2
Drugs in Ischemic Heart Disease-2
Β 
Chronic stable angina ppt.pptx
Chronic stable angina ppt.pptxChronic stable angina ppt.pptx
Chronic stable angina ppt.pptx
Β 

More from Sanil Varghese

More from Sanil Varghese (20)

Traction
TractionTraction
Traction
Β 
Splints
SplintsSplints
Splints
Β 
Prosthetics
ProstheticsProsthetics
Prosthetics
Β 
Plaster casts
Plaster castsPlaster casts
Plaster casts
Β 
Osteoporosis
OsteoporosisOsteoporosis
Osteoporosis
Β 
Orthopedics radiography sanil
Orthopedics radiography sanilOrthopedics radiography sanil
Orthopedics radiography sanil
Β 
Orthopedic implants
Orthopedic implantsOrthopedic implants
Orthopedic implants
Β 
Orthopedic beds
Orthopedic bedsOrthopedic beds
Orthopedic beds
Β 
Myopathies
MyopathiesMyopathies
Myopathies
Β 
Musculoskeletal
MusculoskeletalMusculoskeletal
Musculoskeletal
Β 
Musculo skeletal disorders
Musculo skeletal disordersMusculo skeletal disorders
Musculo skeletal disorders
Β 
Gout
GoutGout
Gout
Β 
Fractures
FracturesFractures
Fractures
Β 
Braces
BracesBraces
Braces
Β 
Bones
BonesBones
Bones
Β 
Bone tumors
Bone tumorsBone tumors
Bone tumors
Β 
Peripheral nerve disrders
Peripheral nerve disrdersPeripheral nerve disrders
Peripheral nerve disrders
Β 
Peripheral nerve disorders
Peripheral nerve disordersPeripheral nerve disorders
Peripheral nerve disorders
Β 
Myasthenia gravis new
Myasthenia gravis newMyasthenia gravis new
Myasthenia gravis new
Β 
Meningitis
MeningitisMeningitis
Meningitis
Β 

Recently uploaded

Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
Β 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
Β 
Night 7k to 12k Navi Mumbai Call Girl Photo πŸ‘‰ BOOK NOW 9833363713 πŸ‘ˆ ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo πŸ‘‰ BOOK NOW 9833363713 πŸ‘ˆ ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo πŸ‘‰ BOOK NOW 9833363713 πŸ‘ˆ ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo πŸ‘‰ BOOK NOW 9833363713 πŸ‘ˆ ♀️ night ...aartirawatdelhi
Β 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
Β 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
Β 
Book Paid Powai Call Girls Mumbai π– ‹ 9930245274 π– ‹Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai π– ‹ 9930245274 π– ‹Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai π– ‹ 9930245274 π– ‹Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai π– ‹ 9930245274 π– ‹Low Budget Full Independent H...Call Girls in Nagpur High Profile
Β 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
Β 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...Garima Khatri
Β 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...perfect solution
Β 
The Most Attractive Hyderabad Call Girls Kothapet π– ‹ 6297143586 π– ‹ Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet π– ‹ 6297143586 π– ‹ Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet π– ‹ 6297143586 π– ‹ Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet π– ‹ 6297143586 π– ‹ Will You Mis...chandars293
Β 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
Β 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
Β 
Night 7k to 12k Chennai City Center Call Girls πŸ‘‰πŸ‘‰ 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls πŸ‘‰πŸ‘‰ 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls πŸ‘‰πŸ‘‰ 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls πŸ‘‰πŸ‘‰ 7427069034⭐⭐ 100% Genuine E...hotbabesbook
Β 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
Β 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
Β 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
Β 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...narwatsonia7
Β 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
Β 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...narwatsonia7
Β 
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
Β 

Recently uploaded (20)

Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Β 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Β 
Night 7k to 12k Navi Mumbai Call Girl Photo πŸ‘‰ BOOK NOW 9833363713 πŸ‘ˆ ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo πŸ‘‰ BOOK NOW 9833363713 πŸ‘ˆ ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo πŸ‘‰ BOOK NOW 9833363713 πŸ‘ˆ ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo πŸ‘‰ BOOK NOW 9833363713 πŸ‘ˆ ♀️ night ...
Β 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Β 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Β 
Book Paid Powai Call Girls Mumbai π– ‹ 9930245274 π– ‹Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai π– ‹ 9930245274 π– ‹Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai π– ‹ 9930245274 π– ‹Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai π– ‹ 9930245274 π– ‹Low Budget Full Independent H...
Β 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Β 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
Β 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
Β 
The Most Attractive Hyderabad Call Girls Kothapet π– ‹ 6297143586 π– ‹ Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet π– ‹ 6297143586 π– ‹ Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet π– ‹ 6297143586 π– ‹ Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet π– ‹ 6297143586 π– ‹ Will You Mis...
Β 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Β 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Β 
Night 7k to 12k Chennai City Center Call Girls πŸ‘‰πŸ‘‰ 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls πŸ‘‰πŸ‘‰ 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls πŸ‘‰πŸ‘‰ 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls πŸ‘‰πŸ‘‰ 7427069034⭐⭐ 100% Genuine E...
Β 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Β 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Β 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Β 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Β 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Β 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Β 
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Β 

Arrythmias 2003