Rcp 2010 electrocardiografia clinica. lobitoferoz13

ELECTROCARDIOGRAFIA CLINICA DR. JOSE ALBERTO CHIROQUE RAMOS MEDICO INTERNISTA DPTO. DE EMERGENCIA Y UCI - HVLE DOCENTE DE MEDICINA - U.C.V. TRUJILLO

Electrocardiografía clínica ,[object Object],[object Object]

Electrocardiografía Clínica ,[object Object],[object Object]

BASES ELECTROFISIOLOGICAS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

BASES ELECTROFISIOLOGICAS ,[object Object],Cl - K + Na + Proteinas Iones LIC LEC Na + 15 145 K + 150 4 Cl - 5 120 Ca ++ 10 -7 2 K + Ca ++ Na + Cl -

BASES ELECTROFISIOLOGICAS ,[object Object],- 90 mV K + Na + Proteinas Potencial de reposo - LIC M E M B R A N A + LEC Na + Cl -

COMPONENTES DE LA MEMBRANA ESTRUCTURA LIPOPROTEICA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

POTENCIAL DE ACCION ,[object Object],[object Object],[object Object],[object Object],+ 20 mV Na + K + Cl - Proteinas M E M B R A N A Na + K + Cl - Ca ++

POTENCIAL DE ACCION FASE 1 : REPOLARIZACION RAPIDA TEMPRANA ,[object Object],[object Object],[object Object],[object Object],0 mV Na + K + Cl - Ca ++ Proteínas M E M B R A N A Na + K + Cl – Ca ++

POTENCIAL DE ACCION FASE 2 : MESETA ,[object Object],[object Object],[object Object],Bomba Na /K 0 mV Na + K + Cl - Ca ++ Proteínas M E M B R A N A Na + K + Cl - Ca ++

POTENCIAL DE ACCION FASE 3 : REPOLARIZACION RAPIDA FINAL ,[object Object],[object Object],[object Object],- 90 mV Na K+ Proteinas Cl Ca M E M B R A N A Na + K Cl - Ca

POTENCIAL DE ACCION FASE 4 : POTENCIAL DE REPOSO ,[object Object],[object Object],[object Object],Bomba Na/K Bomba Na/Ca - 90 mV Na K Proteinas Cl Ca M E M B R A N A Na K Cl Ca

SISTEMA DE EXCITACIÓN -CONDUCCION DEL CORAZON ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

SISTEMA DE CONDUCCION DEL CORAZON NODO SINUSAL NODO AURICULOVENT HAZ DE HIS RED DE PURKINJE

REPRESENTACION DEL CICLO CARDIACO

CICLO CARDIACO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ELECTROCARDIOGRAMA NORMAL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

EKG NORMAL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

EKG NORMAL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

EKG NORMAL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MEDICIONES DEL PAPEL DEL EKG : 0.04 0.20 SEG. 1 mm 5 mm 0.20 SEG. 5 mm 1 mm

Derivaciones del EKG ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

UBICACIÓN DE LA ZONA DE INFARTO aVR II III aVL VF I       aVR II III aVL VF I Cara Inferior II, III, aVF Art Coronaria Derecha Rama descendente posterior Cara lateral I,aVL,V5,V6 Art. Coronaria Izq. Rama circunfleja V 3 V 4 Art.Coronaria Izq. Desc. Ant. Izq Rama Septal Art.Coronaria Izq. Desc. Ant. Izq Rama Diagonal S E P T U M Cara anterior V 1 V 2 A N T

CARACTERISTICAS DEL EKG ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

RITMO SINUSAL NORMAL ,[object Object],[object Object],[object Object],[object Object],[object Object]

CALCULO DE LA FRECUENCIA : ,[object Object],[object Object],[object Object],[object Object],[object Object]

EJE ELECTRICO DEL CORAZON ,[object Object],[object Object],[object Object],[object Object]

EJE ELECTRICO ,[object Object],[object Object],[object Object]

0°(DI) -30° -60° -90° -120° -150° 180° +30° +60° +90°(DIII) +120° +150° EJE ELECTRICO NORMAL DEL CORAZON

Ejemplo : DI = R + 9 y S – 4 = + 5 DIII = R +3 y S – 7 = -- 4 Graficamos en las coordenadas : 0° - 90° + 90° 180° - 40°

UTILIDAD DEL EKG : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CRECIMIENTO AURICULAR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

SOBRECARGA AURICULAR DERECHA ,[object Object],[object Object],[object Object],[object Object],[object Object]

SOBRECARGA AURICULAR IZQUIERDA ,[object Object],[object Object],[object Object],[object Object],[object Object]

HIPERTROFIAS VENTRICULARES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HIPERTROFIA VENTRICULAR IZQUIERDA ,[object Object],[object Object],[object Object]

HIPERTROFIA VENTRICULAR IZQUIERDA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HIPERTROFIA VENTRICULAR DERECHA ,[object Object],[object Object]

HIPERTROFIA VENTRICULAR DERECHA ,[object Object],[object Object],[object Object],[object Object],[object Object]

ALTERACIONES DE LA CONDUCCION INTRAVENTRICULAR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

BLOQUEO DE RAMA DERECHA DEL HAZ DE HIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

BLOQUEO DE RAMA IZQUIERDA - HAZ DE HIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CAUSAS DE BCRIHHH ,[object Object],[object Object],[object Object],[object Object]

BLOQUEO ANTERIOR IZQUIERDO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

BLOQUEO POSTERIOR IZQUIERDO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

TERAPIA ELECTRICA : DESFIBRILACION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DESFIBRILACION : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DESFIBRILACION : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DESFIBRILACION :PROCEDIMIENTO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CARDIOVERSION SINCRONIZADA : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CARDIOVERSION : Procedimiento ,[object Object],[object Object],[object Object],[object Object],[object Object]

Rcp 2010 electrocardiografia clinica. lobitoferoz13

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