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Ventricular Arrhythmias
Ventricular Arrhythmias
 The heart normally depolarizes from
the top down
 When the impulse originates in the
ventricles, the process is reversed
and the hearts’ efficiency is greatly
reduced
Ventricular Arrhythmias
 Most serious heart arrhythmia
 The ventricles are the lowest site in
the conduction system
 The heart has lost its effectiveness
 The heart is functioning on its last level
of backup support
Ventricular Arrhythmias
There are five Ventricular Dysrhythmias
 Premature Ventricular Contractions
 Ventricular Tachycardia
 Ventricular Fibrillation
 Idioventricular Rhythm
 Asystole
Premature Ventricular Contractions
 Not a rhythm, but rather an ectopic
beat originating from an irritable
ventricular focus
 A PVC will come earlier than
expected in the cardiac cycle and
will interrupt the regularity of the
underlying rhythm
Premature Ventricular Contractions
 Because PVC’s originate in the
ventricles, the QRS complex will be
wider than normal
 There is no P wave preceding the
QRS complex
Premature Ventricular Contractions
 The QRS complex is usually in the
opposite direction of the T wave
Premature Ventricular Contractions
Compensatory pause
 The extra action potential causes
the SA node to become refractory
to generating its next scheduled
beat. Thus it must "skip a beat" and
it will resume exactly 2 P to P
intervals after the last normal sinus
beat.
Premature Ventricular Contractions
Unifocal PVC’s
 If a single focus in the ventricles
has become irritable and is the
source for the PVC’s, all the PVC’s
will look the same

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VENTRICULAR ARYTHMIAS.ppt

  • 2. Ventricular Arrhythmias  The heart normally depolarizes from the top down  When the impulse originates in the ventricles, the process is reversed and the hearts’ efficiency is greatly reduced
  • 3. Ventricular Arrhythmias  Most serious heart arrhythmia  The ventricles are the lowest site in the conduction system  The heart has lost its effectiveness  The heart is functioning on its last level of backup support
  • 4. Ventricular Arrhythmias There are five Ventricular Dysrhythmias  Premature Ventricular Contractions  Ventricular Tachycardia  Ventricular Fibrillation  Idioventricular Rhythm  Asystole
  • 5. Premature Ventricular Contractions  Not a rhythm, but rather an ectopic beat originating from an irritable ventricular focus  A PVC will come earlier than expected in the cardiac cycle and will interrupt the regularity of the underlying rhythm
  • 6. Premature Ventricular Contractions  Because PVC’s originate in the ventricles, the QRS complex will be wider than normal  There is no P wave preceding the QRS complex
  • 7. Premature Ventricular Contractions  The QRS complex is usually in the opposite direction of the T wave
  • 8. Premature Ventricular Contractions Compensatory pause  The extra action potential causes the SA node to become refractory to generating its next scheduled beat. Thus it must "skip a beat" and it will resume exactly 2 P to P intervals after the last normal sinus beat.
  • 9.
  • 10. Premature Ventricular Contractions Unifocal PVC’s  If a single focus in the ventricles has become irritable and is the source for the PVC’s, all the PVC’s will look the same