Module 1

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Indian dental academy

Salud y medicina Empresariales

ECG Rhythm Interpretation
Module I
ECG Basics
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INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com

INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com
www.indiandentalacademy.com

Course Objectives
• To recognize the normal rhythm of the
heart - “Normal Sinus Rhythm.”
• To recognize the 13 most common
rhythm disturbances.
• To recognize an acute myocardial
infarction on a 12-lead ECG.
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Learning Modules
• ECG Basics
• How to Analyze a Rhythm
• Normal Sinus Rhythm
• Heart Arrhythmias
• Diagnosing a Myocardial Infarction
• Advanced 12-Lead Interpretation
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Normal Impulse Conduction
Sinoatrial node
AV node
Bundle of His
Bundle Branches
Purkinje fibers
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Impulse Conduction & the ECG
Sinoatrial node
AV node
Bundle of His
Bundle Branches
Purkinje fibers
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The “PQRST”
• P wave - Atrial
depolarization
• T wave - Ventricular
repolarization
• QRS - Ventricular
depolarization
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The PR Interval
Atrial depolarization
+
delay in AV junction
(AV node/Bundle of His)
(delay allows time for
the atria to contract
before the ventricles
contract) www.indiandentalacademy.com

Pacemakers of the Heart
• SA Node - Dominant pacemaker with an
intrinsic rate of 60 - 100 beats/minute.
• AV Node - Back-up pacemaker with an
intrinsic rate of 40 - 60 beats/minute.
• Ventricular cells - Back-up pacemaker
with an intrinsic rate of 20 - 45 bpm.
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The ECG Paper
• Horizontally
– One small box - 0.04 s
– One large box - 0.20 s
• Vertically
– One large box - 0.5 mV
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The ECG Paper (cont)
• Every 3 seconds (15 large boxes) is
marked by a vertical line.
• This helps when calculating the heart
rate.
NOTE: the following strips are not marked
but all are 6 seconds long.
3 sec 3 sec
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End of Module I
ECG Basics
Proceed to Module I Practice Quiz
on WebCT
www.indiandentalacademy.com

Thank you
For more details please visit
www.indiandentalacademy.com
www.indiandentalacademy.com

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DrMohamed Assadawy

In this lecture on circulatory shock, Dr. Faiza, an Assistant Professor of Physiology, delves into the profound implications of inadequate blood flow throughout the body, leading to tissue damage. The session begins by defining circulatory shock and elucidating its physiological causes, including decreased cardiac output, diminished blood volume, decreased vascular tone, obstruction to blood flow, excess metabolic rate, and abnormal perfusion patterns. Dr. Faiza categorizes shock into various types, such as cardiogenic shock, hypovolemic shock, neurogenic shock, obstructive shock, anaphylactic shock, and septic shock, and explores the pathophysiological basis of each. Furthermore, the lecture examines the stages of shock, from the non-progressive phase where compensatory mechanisms aim for full recovery to the progressive phase where shock worsens steadily without intervention, potentially leading to irreversible damage. Dr. Faiza discusses therapeutic interventions for shock, including replacement therapy, blood and plasma transfusion, sympathomimetic drugs, and other adjunctive treatments like head-down positioning, oxygen therapy, and glucocorticoids.

Circulatory Shock, types and stages, compensatory mechanisms

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Circulatory Shock, types and stages, compensatory mechanisms

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Module 1

1. ECG Rhythm Interpretation Module I ECG Basics www.indiandentalacademy.com INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com

2. INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com

3. Course Objectives • To recognize the normal rhythm of the heart - “Normal Sinus Rhythm.” • To recognize the 13 most common rhythm disturbances. • To recognize an acute myocardial infarction on a 12-lead ECG. www.indiandentalacademy.com

4. Learning Modules • ECG Basics • How to Analyze a Rhythm • Normal Sinus Rhythm • Heart Arrhythmias • Diagnosing a Myocardial Infarction • Advanced 12-Lead Interpretation www.indiandentalacademy.com

5. Normal Impulse Conduction Sinoatrial node AV node Bundle of His Bundle Branches Purkinje fibers www.indiandentalacademy.com

6. Impulse Conduction & the ECG Sinoatrial node AV node Bundle of His Bundle Branches Purkinje fibers www.indiandentalacademy.com

7. The “PQRST” • P wave - Atrial depolarization • T wave - Ventricular repolarization • QRS - Ventricular depolarization www.indiandentalacademy.com

8. The PR Interval Atrial depolarization + delay in AV junction (AV node/Bundle of His) (delay allows time for the atria to contract before the ventricles contract) www.indiandentalacademy.com

9. Pacemakers of the Heart • SA Node - Dominant pacemaker with an intrinsic rate of 60 - 100 beats/minute. • AV Node - Back-up pacemaker with an intrinsic rate of 40 - 60 beats/minute. • Ventricular cells - Back-up pacemaker with an intrinsic rate of 20 - 45 bpm. www.indiandentalacademy.com

10. The ECG Paper • Horizontally – One small box - 0.04 s – One large box - 0.20 s • Vertically – One large box - 0.5 mV www.indiandentalacademy.com

11. The ECG Paper (cont) • Every 3 seconds (15 large boxes) is marked by a vertical line. • This helps when calculating the heart rate. NOTE: the following strips are not marked but all are 6 seconds long. 3 sec 3 sec www.indiandentalacademy.com

12. End of Module I ECG Basics Proceed to Module I Practice Quiz on WebCT www.indiandentalacademy.com

13. Thank you For more details please visit www.indiandentalacademy.com www.indiandentalacademy.com