The document discusses arrhythmias and their management. It begins by describing the normal electrical conduction system of the heart. It then defines arrhythmias as disorders of heart rhythm or rate caused by issues with electrical impulse formation or conduction. Various types of arrhythmias are classified based on the site of abnormal impulse formation or conduction, including sinus node arrhythmias, atrial arrhythmias, junctional arrhythmias, and ventricular arrhythmias. Treatment depends on restoring normal rhythm and addressing any underlying causes.
Heart arrhythmia, also known as irregular heartbeat or cardiac dysrhythmia, is a group of conditions where the heartbeat is irregular, too slow, or too fast. Arrhythmias are broken down into: Slow heartbeat: bradycardia. Fast heartbeat: tachycardia. Irregular heartbeat: flutter or fibrillation.
Heart arrhythmia, also known as irregular heartbeat or cardiac dysrhythmia, is a group of conditions where the heartbeat is irregular, too slow, or too fast. Arrhythmias are broken down into: Slow heartbeat: bradycardia. Fast heartbeat: tachycardia. Irregular heartbeat: flutter or fibrillation.
Definition of arrhythmia - background on cardiac physiology including conduction in heart - action potential - pathogensis of arrhythmia - causes and risk factors for arrhythmia- diagnosis of arrhythmia - symptoms of tachyarrhythmias and bradyarrhythmias - investigations for arrhythmia - treatment of arrhythmia - pharmacological and other modalities of therapy for arrhythmia - managment of different types of arrhythmias
Its a medical presentation describing how to approach to various cardiac arrhythmias in systematic way. Illustrated with more ECG photographs from standard sources.
Ventricular tachycardia (VT) is a broad complex tachycardia originating from a ventricular ectopic focus. It is defined as three or more ventricular extrasystoles in succession at a rate of more than 120 beats per minute (bpm). Accelerated idioventricular rhythm refers to ventricular rhythms with rates of 100-120 bpm
Definition of arrhythmia - background on cardiac physiology including conduction in heart - action potential - pathogensis of arrhythmia - causes and risk factors for arrhythmia- diagnosis of arrhythmia - symptoms of tachyarrhythmias and bradyarrhythmias - investigations for arrhythmia - treatment of arrhythmia - pharmacological and other modalities of therapy for arrhythmia - managment of different types of arrhythmias
Its a medical presentation describing how to approach to various cardiac arrhythmias in systematic way. Illustrated with more ECG photographs from standard sources.
Ventricular tachycardia (VT) is a broad complex tachycardia originating from a ventricular ectopic focus. It is defined as three or more ventricular extrasystoles in succession at a rate of more than 120 beats per minute (bpm). Accelerated idioventricular rhythm refers to ventricular rhythms with rates of 100-120 bpm
Tachy Arrhythmias - Approach to ManagementArun Vasireddy
Tachyarrhythmias are disorders of heart rhythm which may present with a tachycardia i.e. a heart rate >100 bpm.
This article provides an overview of tachyarrhythmias in general and goes on to cover the most common tachyarrhythmias in more detail. The acute management of tachyarrhythmias, in an emergency setting, will be covered in the 'Acute' section of the fastbleep website.
Tachyarrhythmias are clinically important as they can precipitate cardiac arrest, cardiac failure, thromboembolic disease and syncopal events. As such, they crop up time and time again in exam papers and on the wards.
Tachyarrhythmias are classified based on whether they have broad or narrow QRS complexes on the ECG. Broad is defined as >0.12s (or more than 3 small squares on the standard ECG). Narrow is equal to or less than 0.12s. Broad QRS complexes are slower ventricular depolarisations that arise from the ventricles. Narrow complexes are ventricular depolarisations initiated from above the ventricles (known as supraventricular). One important exception is when there is a supraventricular depolarisation conducted through a diseased AV node. This will produce wide QRS complexes despite the rhythm being supraventricular in origin.
ECG analysis on normal sinus rhythm and atrial arrhythmias.pptxcvkrishnapriya575
ECG play a vital role in healthcare industry. Analyzing a ECG is an hectic procedure hence this slide provide simple view about an ECG analysis on normal sinus rhythm and atrial arrhythmiasThe importance of ECG in the healthcare industry cannot be overstated. It is a crucial diagnostic tool that helps doctors and other medical professionals to accurately assess a patient's cardiac health. However, analyzing an ECG can be a complicated and time-consuming process, which is why this slide has been created to provide a simplified overview of ECG analysis for normal sinus rhythm and atrial arrhythmias. With this information, healthcare providers can quickly and easily interpret ECG results and make informed decisions about patient care.The importance of ECG in the healthcare industry cannot be overstated. It is a crucial diagnostic tool that helps doctors and other medical professionals to accurately assess a patient's cardiac health. However, analyzing an ECG can be a complicated and time-consuming process, which is why this slide has been created to provide a simplified overview of ECG analysis for normal sinus rhythm and atrial arrhythmias. With this information, healthcare providers can quickly and easily interpret ECG results and make informed decisions about patient care.
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
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- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
3. Electrical Activity of the Heart:
• Under normal circumstances, the conduction system
first stimulates contraction of the atria and then the
ventricles.
• The synchronization of the atrial and ventricular
events allows the ventricles to fill completely before
ventricular ejection, thereby maximizing cardiac
output.
• This synchronization is provided by the two
specialized electrical cells, the nodal cells and the
Purkinje cells, which help in automaticity,
excitability and conductivity.
4. • The SA node, the primary pacemaker of the
heart, is located at the junction of the superior
venacava and the right atrium.
• The normal sinus rhythm occurs when:
it originates in SA node
atrial and vantricular rates are regular
60-100 bpm
consistently configured P wave
PR interval 0.12-0.20 seconds, constant
QRS interval 0.04-0.10 seconds, constant
5.
6. • SA node initiate the action potential of the
heart followed by the a very specific sequence
and timing for the conduction of action
potentials to the rest of the heart.
• Atrial internodal tracts and atria
action potential spreads from the SA node to the
right and left atria via the atrial internodal
tracts.
simultaneously, the action potential is
conducted to the AV node.
7. • AV node
conduction velocity through the AV node is
considerably slower than the other cardiac
tissues.
Slow conduction through the AV node ensures
that the ventricles have sufficient time to fill with
the blood before they are activated and contract
Increase in conduction velocity of the AV node
can lead to decreased ventricular filling and
decreased stroke volume and cardiac output
8. • Bundle of His, Purkinje system, and
Ventricles
From the AV node, the action potential enters
the specialized conducting system of the
ventricles.
The action potential is first conducted to the
bundle of his through the common bundle. It
then invades the left and right bundle branches
and then the smaller bundles of the Purkinje
system.
Conduction through the His-Purkinje system is
extremely fast, and it rapidly distributes the
action potential to the ventricles.
9. • The electrical stimulation of the muscle cells of
the ventricles in turn causes the mechanical
contraction of the ventricles(systole). The cells
repolarize and ventricles then relax(dystole).
• Once an electrical cell generates an electrical
impulse, this electrical impulse causes the ions
to cross the cell membrane and causes the action
potential, also called depolarization.
• Repolarization is the return of the ions to their
previous resting state, which corresponds with
relaxation of the myocardial muscle
10. Arrhythmias:
• Arrhythmias (also referred as dysrhythmia) are
disorders of the formation or conduction(or both) of
the electrical impulses within the heart, altering the
heart rate, heart rhythm, or both and potentially
causing altered blood flow.
• Arrhythmias can cause sudden death, syncope, heart
failure, dizziness, palpitations or no symptoms at all.
11. Pathogenesis of Arrhythmia:
• Pathological heart disease
• Some physical conditions
• Other systemic disease
• Electrolyte disturbance and acid-base imbalance
• Physical and chemical factors and toxicosis
14. A. Abnormal Heart Pulse Formation
1. Sinus node arrhythmia:
a. Tachydysrhythmia
b. Bradydysrhythmia
15. a. Tachydysrhythmia:
• Heart rate>100 bpm
• P wave:normal and consistent, always in front of
QRS, but may be buried in the preceding T wave
• QRS and PR interval:normal
• Conduction:normal
• Rhythm:regular or slightly irregular
16. • The underlying causes include:
CHF
Hypoxia
Physical conditions:exercise, anxiety, alcohol,
stress, pain, increased temperature
Circulating catecholamines
• Its treatment includes indentification of the
underlying cause and correction.
17.
18. b. Bradydysrhythmia:
• Heart rate<60 bpm (40-59 bpm)
• P wave:normal
• Conduction: PR interval normal or slightly
prolonged at slower rates
• This rhythm is seen as a normal variation in
athletes, during sleep, or in response to a vagal
maneuver.
• Treatment includes:
Treat the underlying cause,
Atropine,
Isuprel, or
Artificial pacing if patient is hemodynamically
compromised
19.
20. Sick sinus syndrome(SSS):
• SSS or sinoatrial disease is usually caused by
idiopathic fibrosis of the sinus node.
• Other causes include IHD, cardiomyopathy, or
myocarditis.
• Patients present episodes of sinus bradycardia,
sinus arrest, paroxysmal supraventricular
tachycardia or tachy-brady syndrome.
22. a. Atrial Flutter:
• Atrial flutter is caused by a re-entrant rhythm in
either the right or left atrium.
• Typically initiated by a premature electrical
impulse arising in the atria, atrial flutter is
propagated due to differences in refractory periods
of atrial tissue. This creates electrical activity that
moves in a localized self-perpetuating loop.
• Atrial flutter makes a very distinct "sawtooth"
pattern on an ECG.
24. b. Atrial fibrillation:
• Most common abnormal heart rhythm.
• Rate: atrial rate usually between 400-650 bpm
• P wave: not present; wavy baseline is seen instead
• QRS: normal
• Rhythm:irregularly irregular(hallmark of this
dysrhythmia)
• S/S: irregular palpitations, fatigue, malaise,
shortness of breathe, sweating, chest pain
• Treatment includes:
Digoxin to slow the conduction rate
Cardioversion may also be necessary
25.
26. 3. Atrioventricular Junctional
Arrhythmia:
a. Premature junctional complex
b. Juctional rhythm
c. Non-paroxysmal junctional tachycardia
d. Atrioventricular nodal reentry tachycardia
27. a. Premature Junctional Complex
• It is an impulse that starts in the AV nodal area
before the next normal sinus impulse reaches the
AV node.
• Causes: digitalis toxicity, heart failure, and CAD
• P wave: may be absent, may follow the QRS or
may occur before the QRS.
• PR interval<0.12 seconds
• Treatment: according to the underlying cause
28.
29. b. Junctional Rhythm:
• It occurs when the AV node, instead of the SA
node, becomes the pacemaker of the heart.
• When the SA node slows, or when the impulse
cannot be conducted through the AV node then the
AV node automatically discharges an impulse.
• A junctional rhythm not caused by complete heart
block has the following features:
30. • The treatment is the same as for sinus bradycardia. Emergency
pacing may be required.
31. c. Non-paraoxysmal Junctional
Tachycardia:
• Junctional tachycardia is caused by enhanced
automaticity in the junctional area, resulting in
rhythm similar to junctional rhythm, except at a rate
of 70-140 bpm.
• Non-paroxysmal junctional tachycardia is a related
but rare pattern of arrhythmia that can be observed
in the setting of digoxin toxicity .
• Cardioversion is not effective as it causes increase in
the ventricular rate.
32.
33. d. Atrioventricular Nodal Reentry
Tachycardia(AVNRT):
• It occurs when an impulse is conducted to an area
in the AV node that causes the impulse to be
rerouted back into the same area over and over
again at a very fast rate.
• Each time the impulse is conducted through this
area, it is also conducted down into the ventricles,
causing a fas ventricular rate.
34. • AV rate: atrial rate usually 150-250; ventricular
rate usually 120-200
• AV rhythm: regular; sudden onset and
termination of tachycardia
• P wave:usually very difficult to disern
• PR interval: if P wave is infront of the QRS, the
PR interval is less than 0.12 seconds.
35.
36. 4. Ventricular Arrhythmia:
a. Premature ventricular complex
b. Ventricular tachycardia
c. Ventricular fibrillation
d. Idioventricular rhythm
e. Ventricular asystole