Dr Tom Mabin Vergelegen Mediclinic Somerset WestJanuary 2015 for the Helderberg Cardiac support group
Electrics of the heart AV Node
Conduction system of the heart(electrics)
plumbing…arteries angiogram
electrics….ECG….
Normal(sinus) heart rhythm
12 leads to the full ECG
Heart speed fast slow
Atrial fibrillation
Heart block
Ectopic beats
ventricular tachycardia/fibrillation
The irregular heart beat Diagnosis and management so much depends on the patient and the underlying heart condition
26 Athlete Pulse meter Irregular heart beat Healthy heart reassure ; no meds
75 Palpitations Weight loss No meds Atrial fibrillation THYROID ENLARGED TREAT THYROID
32 Intermittent palpitations Healthy heart ATRIAL TACHCARDIA ABLATION cured
78 BP meds for 20 years Palpitations Atrial fibrillation MEDICATION WARFARIN(or similar) ? ABLATION+PACEMAKER
Electrics of the heart AV Node
Atrial fibrillation Causes:- Hypertension Age Coronary disease Valve disease Heart failure Lung disease Excess thyroid innocent Treatment >65 years: WARFARIN Medication Occasionally pacemaker <65 years Medication Ablation Occasionally: Warfarin
Atrial fibrillation Irregular heart rate Top chambers(atria) chaotic Stagnation in atria Small clots Embolise = 15% stroke/year…. Reduced by ½ with WARFARIN or NOAC
Slow pulse:heart block 86 Healthy Blackouts HR 30/min =heart block PACEMAKER
81 Previous heart attack Heart failure Blackouts = serious problem VENTRICULAR TACHYCARDIA DEFIBRILLATOR
The irregular heart beat Diagnosis and management so much depends on the patient and the underlying heart condition