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cvmini03 - Coggle Diagram

- - - - drug、disease
  - - - narrow qrs complex
    - - wide qrs
  - - - diziness
      - altered mental status
      - syncope
    - - ischemia (angina)
- - - - release of natriuretic peptides that cause posttachycardia diuresis
      - 診斷
        
        P wave is seen at the end of the QRS complex as a pseudo-r′ in lead V1 and pseudo-S waves in leads II, III, and aVF（p波被蓋住→sa node罷工
        retrograde p wave
        
        narrow qrs (小於2.5小格
        
        visible in the jugular venous pulse
        
        narrow qrs ‹120
        regular
        有p波
        心房心室跳動一致
        rp比pr短 avnrt avrt rp<70ms
      - 治療
        
        Chronic therapy with these medications or flecainide is an option if prophylactic therapy is needed.
        
        Catheter ablation
        
        破壞α pathway
        
        oral beta blocker, verapamil, or diltiazem
        
        刺激迷走神經，阻斷av node
        
        carotid massage
        
        valsalva maneuver
        
        adenosine
        
        medication
        vagal maneuver
        catheter ablation
        cardioversion
        adenosine
        ccb
        beta blocker
        avrt用到的antidromic藥物
        adenosine 促進k抑制ca avn速度下降
        ccb verapamil diltiazem 作用avn
        β1 blocker 抑制交感 san avn esmolol metoprolol
        lbutilide plateau時間延長
        
        vagal maneuver
        baroreceptor vegal nerve cad pad emboli釋放
        catheter ablation
        咖啡喝酒抽菸
        stress tired
        藥物asthma 安非他命
      - 生理
        
        α β pathway，α slow不反應期短 β fast不反應期長
      - 症狀（不會致命
        
        palpitation
        
        shortness of breath
        
        syncope
        
        dizziness
        
        palpitation
        填充期短 syncope
        angina chest pain
        難以呼吸
        發汗
    - - 透過accessory pathway，常見就是wpw