Cardiovascular
ECG Alteraciones
Electrocardiograma: alteraciones
1) Sinus Tachycardia
Sinus tachycardia occurs when impulses originate at the SA node at a rate greater than 100 beats per minute in adults.   It may or may not be clinically significant, and is not in itself indicative of cardiac disease. (For example, sinus tachycardia may be associated with fever or exercise.)
sintachy.GIF (5844 bytes)
2) Sinus Bradycardia
Sinus bradycardia occurs when impulses originate at the SA node at a rate of less than 60 beats per minute. Sinus bradycardia is not necessarily indicative of cardiac disease, and is often seen in athletes and during sleep.
sinbrady.GIF (2637 bytes)
3) Atrioventricular (AV) block
Partial AV block occurs when AV node damage prevents some atrial impulses from being transmitted to the ventricles.  In the particular case illustrated, every second P wave is not followed by QRS and T waves, producing 2:1 AV block.  It is said that there are "dropped beats" of the ventricles.
block1.gif (6838 bytes)

Complete AV block:  When the condition that is causing poor conduction in the AV node becomes severe, there is a complete block of the impulses from the atria to the ventricles.   There is no synchronization between atrial and ventricular electrical activity.  The ventricles have "escaped" from atrial control, and are beating at their own natural rate.

block2.gif (5581 bytes)
4) Premature Contractions
A premature contraction occurs when the heart contracts prior to the time when normal contraction is expected.  Most premature contractions are due to ectopic foci in the heart, which emit abnormal impulses at abnormal times during the cardiac rhythm.
atrialpremcontract.GIF (7206 bytes)
5) Ventricular Fibrillation
In ventricular fibrillation, multiple impulses are traveling in all directions through the ventricles.  If left untreated, ventricular fibrillation results in death within about 2-4 minutes.  Although electric shock can initiate ventricular fibrillation, a very strong electrical current passed through the ventricles for a short period of time can actually stop fibrillation.  By stimulating all parts of the ventricles simultaneously and putting them in the same state of refractoriness, the S-A node or some other part of the heart becomes the pacemaker when the heart starts to beat again.
ventrfibril.GIF (3025 bytes)