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| You should record whether all the deflections are the same, as some variations may be normal. | | You should record whether all the deflections are the same, as some variations may be normal. |
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| Variation in P-wave | | Variation in P-wave |
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| May indicate variable conduction | | May indicate variable conduction |
| May indicate electrical alternans | | May indicate electrical alternans |
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− | *Is there a P for every QRS?
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− | *Is there a QRS for every P?
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− | *Are they all reasonably related?
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− | *Are they all the same?
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− | *Is rhythm regular or irregular?
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− | *Is the arrhythmia regularly irregular or irregularly irregular?
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− | Six frontal plane leads
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− | Chest leads?
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| No P to every QRS. | | No P to every QRS. |
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| If P-P interval is relatively consistent, R-R interval is relatively consistent but P-R interval is highly variable then you have Atrioventricular dissociation | | If P-P interval is relatively consistent, R-R interval is relatively consistent but P-R interval is highly variable then you have Atrioventricular dissociation |
| Where atrioventricular dissociation occurs the origin of the ventricular depolarisation must be within the ventricle or the AV junction | | Where atrioventricular dissociation occurs the origin of the ventricular depolarisation must be within the ventricle or the AV junction |
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− | P-R interval
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− | P wave duration
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− | QRS duration
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− | QT interval
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| Alterations in intervals: | | Alterations in intervals: |
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| Drugs | | Drugs |
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− | Summary: | + | ==Summary== |
| ECG represents electrical activity recorded at the skin surface as a consequence of depolarisation and repolarisation | | ECG represents electrical activity recorded at the skin surface as a consequence of depolarisation and repolarisation |
| Unique in ability to provide information about cardiac rhythm | | Unique in ability to provide information about cardiac rhythm |
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| Normal organised pattern of depolarisation and repolarisation of the heart leads to regular detectable potential differences between points on skin surface | | Normal organised pattern of depolarisation and repolarisation of the heart leads to regular detectable potential differences between points on skin surface |
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| + | *Is there a P for every QRS? |
| + | *Is there a QRS for every P? |
| + | *Are they all reasonably related? |
| + | *Are they all the same? |
| + | *Is rhythm regular or irregular? |
| + | *Is the arrhythmia regularly irregular or irregularly irregular? |
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| [[Category:Monitoring Anaesthesia]] | | [[Category:Monitoring Anaesthesia]] |
| [[Category: To Do - Siobhan Brade]] | | [[Category: To Do - Siobhan Brade]] |