part VI

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ecg, electrocardiogram VI

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Simplified ECG part VI : 

Simplified ECG part VI Sayed Syleem , MSc Cardiologist Kafr Saad central hospital 2010

و في الأرضِ آياتٌ للموقنينَ * و في أنفُسِكم أفلا تُبْصِرونَ * : 

و في الأرضِ آياتٌ للموقنينَ * و في أنفُسِكم أفلا تُبْصِرونَ * الذاريات 20 و 21

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Pt. movement

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Loose lead

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Parkinsonism

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Electric noise

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Multifocal PVCs

ST segment ?!: 

ST segment ?!

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Osborn waves Hypothermia

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Subarachnoid haemorrhage Deep inverted T

Effect of some drugs: 

Effect of some drugs

Penicillin : 

Penicillin MECHANISM Rapid IV administratio ECG CHANGES prominent T waves and marked QT prolongation; ST segment changes, atrial fibrillation; junctional rhythm

Erythromycin : 

Erythromycin MECHANISM in ischemia or after digitalis administration  loss of potassium ECG CHANGES QT prolongation

Amantadine : 

Amantadine MECHANISM similar to TCAs: hypotension and arrhythmias ECG CHANGES Sinus tachycardia, PR , QRS, and QT prolongation, ectopic activity. Cardiac arrest, including ventricular tachycardia and TDP, may appear as long as 36 hours after ingestion of toxic doses

Lithium : 

Lithium MECHANISM Artial displacement of intracellular potassium sinus node dysfunction with bradycardia ECG CHANGES T wave abnormalities; first degree AV block, paroxysmal left bundle branch block; at toxic doses, may see QTc prolongation

TCAs : 

TCAs MECHANISM Possess anticholinergic activity, exert a direct myocardial depressant activity, and block noradrenaline reuptake in the heart ECG CHANGES increased heart rate, prolongation of the PR interval, intraventricular conduction disturbances, increase in QTc interval, and flattening of T waves

Carbamazepine : 

Carbamazepine MECHANISM Shortens action potential duration ECG CHANGES Sinus bradycardia , AV conduction disturbances may occur with therapeutic or modestly elevated plasma concentrations; tachycardia occurs in overdose; older patients or those with pre-existing conduction abnormalities are particularly vulnerable

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Q S T Tachycardia Pulmonary embolism

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Electric alternans Pericardial effusion

The END next..( Part VII): 

The END next..( Part VII)