Ekg Para Medicos No-cardiologos Part 1
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Transcript of Ekg Para Medicos No-cardiologos Part 1
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ELECTROCARDIOGRAFIAPARAMEDICOS NO-CARDIOLOGOS
Dr. Gustavo Pérez Barraza
Anestesiología
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ANATOMIA DEL SISTEMA DE CONDUCCION CARDIACA
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EKG: DERIVACIONES ESTANDAR
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TRIANGULO DE EINTHOVEN
TRIANGULODE EINTHOVEN
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DERIVACIONES PRECORDIALES
DERIVACIONES PRECORDIALES
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COMPLEJOS E INTERVALOS DEL EKG
P-R: 0.12 a 0.20 seg.QRS: 0.08 a 0.11 segQ-T: 0.34 a 0.40 seg.
COMPLEJOSE INTERVALOS DEL EKG
VALORES NORMALES
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TIPOS DE EKG
EKG STANDARD DE 12 DERIVACIONESTRAZO DE RITMO*EKG DE ESFUERZO(PRUEBA DE ESF.)EKG AMBULATORIO 24HS (HOLTER)EKG DE SEÑAL PROMEDIADA (POTENCIALES TARDIOS)
* MONITORIZACION DE EKG (UTI)
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Sugerencia de pasos:
1. Ritmo2. Frecuencia3. Eje4. Ondas y segmentos5. Hipertrofia de cavidades6. Isquemia e infarto7. Misceláneos8. Síntesis.
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CALCULO DE F.C. EN EKG
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DETERMINACION DE RITMO 1
S IN U SA LS U P R A VE N TR IC U LA R
(AU R IC U LAR )
C O N P
N O D A L
Q R S N O R M A L
ID IO V E N TR IC U LA RM AR C A PA S O AR TIF IC IAL
(BU S C A R E S PIG A )
Q R S A N C H O
S IN P
R ITM O R E G U LA R
R ITM O C A R D IAC O
*
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DETERMINACION DE RITMO 2
ARRITMIA S INUSALTAQ. AURICULAR C /BLOQUEO
MARCAPASO MIGRATORIOBLOQUEO A / V
C O N P
F IB R ILA C IO N AU R IC U LA RF LU TTER A U R IC U LAR
Q R S N O R M AL
TAQ U IC AR D IA V EN TR IC U LARF .A . + BLO Q U EO D E R AM A
F IB R ILA C IO N VE N TR IC U LA R
Q R S AN C H O
SIN P
R ITM O IR R E G U LAR
R ITM O C AR D IA C O
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DETERMINACION DEL EJE ELECTRICO
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EJE CARDIACO (QRS) NORMAL
EJE CARDIACO(QRS)NORMAL
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EJE CARDIACO (QRS) DESVIADO A LA IZQUIERDA
EJE CARDICO (QRS)DESVIADO A LA IZQ.
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EJE CARDIACO (QRS) DESVIADO A LA DERECHA
EJE CARDIACO (QRS)DESVIADO A LA DERECHA
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EKG NORMAL
RITMO SINUSAL EKG NORMAL
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EKG NORMAl interferencia por actividad muscular
EKG NORMAL- INTERFERENCIA ACTIV. MUSCULAR
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EKG NORMAL(DEF.COND.IV)
EKG NORMAL
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EKG NORMAL-CABLES INVERTIDOS
EKG NORMAL – CABLES INVERTIDOS
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ARRITMIAS CARDIACAS
SUPRAVENTRICULARESNODALESVENTRICULARES
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TAQUICARDIA SINUSAL FC:175x’
TAQUICARDIA SINUSAL F.C.: 175x’
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TAQUICARDIA SINUSAL F.C.:175x’ (ONDAS P)
TAQUICARDIA SINUSAL F.C.: 175X’(ONDAS P)
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BRADICARDIA SINUSAL
BRADICARDIA SINUSAL
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ARRITMIA SINUSAL
ARRITMIA SINUSAL (RESPIRATORIA)
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EXTRASISTOLE SUPRAVENTRICULAR
EXTRASISTOLESUPRAVENTRICULAR
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EXTRASISTOLE SUPRA-VENTRICULAR C/ABERRANCIA
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FIBRILACION AURICULAR (CARACTERISTICAS)
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FIBRILACION AURICULAR RAPIDA
FIBRILACION AURICULAR RAPIDA
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CUAL ES EL RITMO?CUAL ES EL RITMO?
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FIBRILACION AURICULAR LENTA
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FLUTTER AURICULAR (CARACTERISTICAS)
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ONDAS “F” FLUTTER ATRIAL
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FLUTTER AURICULAR
FLUTTER AURICULAR
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TSVP
TAQUICARDIA SUPRAVENTRICULAR PAROXISTICA(TSVP)
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TAQ. AURICULAR CON BLOQUEO
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TAQUICARDIA AURICULAR MULTIFOCAL
TAQUICARDIA AURICULAR MULTIFOCAL
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EXTRASISTOLE NODAL
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RITMO NODAL
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RITMO NODAL ACELERADO
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TAQUICARDIA NODAL
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EXTRASISTOLES VENTRICULARES UNIFOCALES
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PAUSAS COMPENSATORIAS CVP
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PAUSAS POST-CAP Y POST-CVP
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EXTRAS VENTRICULARES INTERPOLADAS
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EXTRASISTOLES VENTRICULARES-FUSIONES
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BIGEMINISMO VENTRICULAR
BIGEMINISMO VENTRICULAR
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FENOMENO DE R SOBRE T
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EXTRA VENTRICULAR EN PAR
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EXTRA VENTRICULAR TRIPLE O COLGAJO DE TAQ.VENT.
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PARASISTOLE VENTRICULAR
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CUAL ES EL RITMO?
CUAL ES EL RITMO?
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RITMO NODAL ACELERADO, ONDAS P RETROGRADAS
RITMO NODAL ACELERADO
ONDAS P RETROGRADAS
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TAQUICARDIA VENTRICULAR
TAQUICARDIA VENTRICULAR
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TAQ. VENT. ONDAS P DISOCIADAS
TAQUICARDIA VENTRICULAR
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TAQ. VENTRICULARTAQUICARDIA VENTRICULAR
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TAQ. VENTRICULAR ONDAS P DISOCIADAS
TAQUICARDIA VENTRICULAR
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TAQ. VENT. BI-DIRECCIONAL
TAQUICARDIA VENTRICULAR BI-DIRECCIONAL
CABLE SUELTO
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TORSADE DE POINTSTORSADE DE POINTS
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FIBRILACION VENTRICULAR
FIBRILACION VENTRICULAR
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RITMO IDIOVENTRICULAR(RCP)
RITMO IDIOVENTRICULAR (R.C.P.)
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TAQUICARDIA VENTRICULAR?
TAQUICARDIA VENTRICULAR?
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NO, TSVP CON ABERRANCIA
NO, TSVP CON ABERRANCIA
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HEMIBLOQUEO ANTERIOR IZQUIERDO
HEMIBLOQUEO ANTERIOR IZQUIERDO
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HEMIBLOQUEO POST. IZQ.
HEMIBLOQUEOPOSTERIOR IZQUIERDO
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BLOQUEO DE RAMA DERECHA Y HEMIBLOQUEO ANT. IZQ.
BLOQUEO DE RAMA DERECHA YHEMIBLOQUEO ANTERIOR IZQUIERDO
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BLOQUEO DE RAMA IZQ.BLOQUEO DE RAMA IZQUIERDA
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BLOQUEO TRI-FASCICULAR: BRDER+B A/V 1+ HBPI
BLOQUEO TRI-FASCICULAR: BRDER+ B A/V 1+ HBPI
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RITMOS CARDIACOS LENTOS
RITMOS CARDIACOS LENTOS
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BLOQUEO SINO-ATRIAL
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BLOQUEO A/V DE 1ER GRADO
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BLOQUEO A/V DE 2o GRADO MOBITZ 1 (WENCKEBACH)
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BLOQUEO A/V DE 2o GRADO MOBITZ 1 (WENCKEBACH)
BLOQUEO A/V DE 2o GRADO MOBITZ 1
WENCKEBACH
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BLOQUEO A/V DE 2o GRADO MOBITZ 2
BLOQUEO A/V DE 2o GRADO MOBITZ 2
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BLOQUEO A/V DE 2o GRADO MOBITZ 2
BLOQUEO A/V DE 2o GRADO MOBITZ 2
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BLOQUEO A/V DE 2o GRADO?
BLOQUEO A/V DE 2o GRADO?
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BLOQUEO A/V DE 2o GRADO AVANZA A 3er GRADO
BLOQUEO A/V DE 2o GRADO AVANZA A 3erGRADO
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DISOCIACION A/V