عضو هیئت علمی دانشگاه علوم پزشکی بقیه الله

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Presentation transcript:

عضو هیئت علمی دانشگاه علوم پزشکی بقیه الله بسمه تعالی ECG INTERPRETATION تفسیر ECG مهدي صادقي شرمه عضو هیئت علمی دانشگاه علوم پزشکی بقیه الله MSSHERMEH@YAHOO.COM

دیس ریتمی های قلبی با منشاء گره دهلیزی بطنی MSSHERMEH@YAHOO.COM

MSSHERMEH@YAHOO.COM

Normal Sinus Rhythm(NSR) 1 - موج P داشته باشد. 2 - امواج P یک شکل و مثبت باشند . 3 - به ازای هر موج P یک کمپلکس QRS در مقابل آن داشته باشد . 4 - فاصله PR اینتروال طبیعی (20/0-12/0 ثانیه) و ثابت باشد . 5 - زمان کمپلکس QRS طبیعی (11/0-60/0 ثانیه) باشد . 6 - فواصل P-Pها با هم وفواصل R-Rها با هم مساوی باشد . 7 - فواصل P-Pها با فواصل R-Rها با هم مساوی باشد . 8 - تعداد ضربانات قلبی 100-60 در دقیقه باشد . MSSHERMEH@YAHOO.COM

AVN MSSHERMEH@YAHOO.COM

Premature junctional contraction (PJC) MSSHERMEH@YAHOO.COM

Junctional rhythm MSSHERMEH@YAHOO.COM

Accelerated junctional rhythm MSSHERMEH@YAHOO.COM

Junctional tachycardia MSSHERMEH@YAHOO.COM

MSSHERMEH@YAHOO.COM

درجه 1 درجه 2 درجه 3 CHB)) انواع A.V. BLOCK Mobitz Type 1 درجه 1 درجه 2 درجه 3 CHB)) Mobitz Type 1 Mobitz Type 2 انواع A.V. BLOCK MSSHERMEH@YAHOO.COM

First-degree AVblock MSSHERMEH@YAHOO.COM

Type I second-degree AVblock MSSHERMEH@YAHOO.COM

Type II second-degree AVblock MSSHERMEH@YAHOO.COM

High degree AVblock MSSHERMEH@YAHOO.COM

Third-degree AV block MSSHERMEH@YAHOO.COM

Complete AV dissociation MSSHERMEH@YAHOO.COM

موج P تنها Mobitz فاصله PR Type 2 مساوي است موج P زودرس نيست Mobitz بتدريج زياد ميشود موج P تنها فاصله PR مساوي نيست فاصله PR نامنظم است C.H.B موج P زودرس هست PAC with Block

تمرین

Junction Rhythm

Accelerated Junction Rhythm

Junction Rhythm

Sinus Bradycardia Junction Rhythm PJC

1 AVB

1AVB

Mobitz Type 1

Mobitz Type 2

Mobitz Type 2

CHB

Mobitz Type 2

CHB

A.V.Disociation