| Sinus Rhythm | Sinus Bradycardia | Sinus Tachycardia | Sinus Arrythmia | Sinus Arrest | Sinus Block | Rate | 60 – 100 bpm | < 60 bpm | 101 – 180 bpm | Usually NL, maybe be or | Usually NL, but varies b/c of pause | Usually NL, but varies b/c of pause | Rhythm | P-P interval regularR-R interval regular | P-P interval regularR-R interval regular | P-P interval regularR-R interval regular | Irregular, phasic with respiration: R-R intervals shorten on Inspiration (HR ) & Lengthen on
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during clinic visits • He was able to record both episodes • We programmed the AHR diagnostics to detect relatively slow tachycardias which were indeed recorded . Pacemaker setup •RAAVD – OFF •SEARCH AV – OFF •MS- OFF •ACM & VCM – ON •SINUS PEREFERENCE –ON SINUS ON Patient Holter strip – Baseline Rhythm Tachycardia (the faster type ) in Holter strip Sudden termination of the tachycardia Episodes of AHR From the Pacemaker Memory Continued Episodes of AHR From the Pacemaker
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Personalizing Medicine By: Daniel Ostroff 12-09-2009 I believe it is absolutely essential to take steps to further personalize medicine. There are too many generalized treatments that may work for most patients, but still a great many patients with slight irregularities are not eligible because of these slight differences. For example, research is being done at the BIO5 Institute at the University of Arizona by Dr. Jonathan VandeGeest and his laboratory to switch
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ELECTROCARDIO-graphy (E.C.g.) Uses: - To detect arrhythmias To diagnose chamber hypertrophy To diagnose myocardial infarction Electrocardiogram is the graphic representation of electrical changes occurring in the cardiac muscle. It is recorded by using surface electrodes. These are of two types: Bipolar leads Unipolar leads Bipolar leads Lead I-Right wrist and left wrist Lead II –Right wrist and left ankle Lead III- Left wrist and left ankle Unipolar leads - Limb leads
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