医、技学院(华盛顿医疗手册培训-心律失常)解决方案.ppt

Cardiac Arrhythmias Jun Jiang Department of Cardiology Mechanisms of Arrhythmogenesis TACHYARRHYTHMIAS Definition Cardiac rhythms whose ventricular rate exceeds 100 beats per minute (bpm). Classification Narrow-Complex Tachyarrhythmia (QRS 120 milliseconds): Wide-Complex Tachyarrhythmia (QRS ≥ 120 milliseconds): History Palpitations (sudden onset or termination) Dyspnea, angina, lightheadedness or syncope and decreased level of consciousness Baseline symptoms that reflect poor LV function dyspnea on exertion Orthopnea paroxysmal nocturnal dyspnea lower extremity swelling History