ARRITMIAS QUE DEBEMOS CONOCER #ECG

**Taquicardias ventriculares (TV)**

1. No hay ondas P o, si se ven, no siempre preceden inmediatamente a un QRS.
2. Complejos QRS anchos.
3. Taquicardia (frecuencia cardiaca >100 latidos por minuto).
4. Ritmo ventricular regular.
**Fibrilacin ventricular**
1. Estado premortem.
2. No hay frecuencia cardaca.
3. No hay ondas P.
4. No hay complejos QRS.
5. Actividad catica en la lnea de base.
6. Puede ser gruesa o fina
**Fibrilacin auricular**
1. Ausencia de una onda P (dado que las aurculas no se estimulan desde el nodo SA).
2. Actividad catica en la lnea base (por las mltiples fuentes de conduccin o focos).
3. Complejos QRS irregulares (ya que el nodo AV trata de regular la frecuencia cardiaca).
4. Complejos QRS estrechos o sin cambios (porque el sistema de conduccin ventricular no
se ve afectado)
5. Ondas f (minsculas).
**Flutter auricular**
1. Suele asociarse a cardiopata, hipertensin arterial o broncopata crnica. Es frecuente que
se desencadene durante el IAM o la crisis anginosa.
2. Se producen estmulos en la aurcula a frecuencias que varan entre 240 y 340 veces por
minuto, siendo corriente una frecuencia media de 300 por minuto (aleteo auricular).
3. La relacin de las ondas de flutter por cada QRS puede ser 2:1, 3:1 o 4:1.
4. En el ECG no hay ondas P, y a lo largo de la lnea isoelctrica se ven las denominadas
ondas F en forma de dientes de sierra!!!
5. Origina en la mayor parte de las ocasiones una frecuencia ventricular regular (bloqueo nodal
fijo).
6. A veces, el flutter auricular representa un paso previo a la fibrilacin auricular.
7. Si el paciente est hemodinmicamente estable, pueden probarse frmacos, pero en
general el flutter es rebelde y con frecuencia requiere cardioversin sincronizada, que ser
rpida y electiva si hay estabilidad hemodinmica.
8. En el flutter tpico se utiliza tambin la sobreestimulacin auricular (estimular la aurcula
durante un corto tiempo y con un catter en su interior a frecuencia superior a la del flutter, con
un estimulador especial). Al cortar la estimulacin, cede con frecuencia el flutter auricular.

Simple Present
arise
awake
be
bear
beat
become
begin
bend
bet
bite
bleed
blow
break
bring
build
burn
burst
buy
catch
choose
cling
come
cost
creep
cut
deal
dig
dive
do
draw
dream
drink
drive
eat
fall
feed
feel
fight
find
fit
flee

Simple Past
arose
awoke
was, were
bore
beat
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bit
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dug
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Past Participle
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awoken
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fling
fly
forbid
forget
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give
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grow
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hear
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quit
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flung
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rise
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swear
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swing
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think
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upset
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wind
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wring
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