Arrhythmia and drug

Automatic
Sinus tachycardia sinus arrhythmia

Reentry
Atrial utter Atrial brillation AVNRT (aterio-ventricular nodal reentry) AVRT (aterio-ventricular reentry) Ventricular tachycardia

AVNRT

AVRT

Trigger automatically
Atrial brillation Multifocal atrial tachycardia Ventricular tachycardia Torse de pointe

Trigger automatically

SA node P wave atrium P wave junctional P wave AV QRS 2 (3) ventricular QRS

 arrhythmia
Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS ( AV /ventricle
)

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

Brady

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

Brady

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

Brady

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

Atrial utter

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

tachy atrium

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

sinus tachycardia

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

tachy sinus

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

sinus arrhythmia

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

sinus

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

Atrial utter

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

tachycardia atrium

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

Atrial brillation

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

tachycardia atrium

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

junctional tachycardia AVNRT

AVNRT
SA node QRS P wave AV

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

tachycardia junction

P wave QRS

junctional tachycardia AVNRT

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

tachycardia junction

Wolf parkinson white (antidromic AVRT)

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

normal yes

Wolf parkinson white (antidromic AVRT)

accessory QRS wide

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

Wolf parkinson white (antidromic AVRT)

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

normal sinus

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

ventricular tachycardia

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

tachycardia junction??

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

ventricular brillation

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

tachycardia junction??

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

Atria brillation with rapid ventricular response

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

tachycardia atrium

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

Wolf parkinson white with AF

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

tachycardia junction??

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

AVNRT

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

tachycardia junction

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

Torse de pointe

Bradycardia or Tachycardia Sinus rhythm/atrium/junction QRS

tachycardia junction??

Hypokalemia Parasympathetic Prolong QT syndrome

Atrium / ventricle Atrial utter Atrial brillation Ventricular tachycardia ** antidromic AVRT Atrium / ventricle Na dependent Na block / K efux SA/AV node Ca dependent Ca block / K efux / B block Atrium / ventricle Na dependent Na block / K efux Na block / K efux Class I na blocker Class III mix (amiodarone)

SA/AV node Sinus tachycardia Sinus arrhythmia AVNRT AVRT orthodromic Ca block / K efux / B block Class II Ca dependent Class III Ca block / K efux / B block Class IV adenosine SA/AV node

AF/ atrial utter

Ventricular rate > 100 control 100 AV node block AV node (ca block/ K efux/
beta block)

control cardio version atrium SA node

( na block/K efux)

Class I (Na block)

Class IA Quinidine (prolong QT/antiparasym effect)

Class II (Beta blocker)

propanolol /atenolol beta action potential phase SA AV sinus tachycardia

Class IB Lidocaine (only ventricle) Class IC ecainide Propafenone (ventricle

and atrium)

Class III amiodarone

mix effect na block / ca blook / K efux prolong QT hypotension Half-life

Class IV (ca block)

non-dihydropyridine (Verapamil / diltiazem) Ca block (AV node/ SA node)

Adenosine

Digoxin
1. Na K Atpase

Block Ca (AV/SA node) half-life

Ca cell --> SA AV /
2. parasym effect K efux --> prolong QT ( SA AV node) 3. 4. TI

Magnesium

torse de pointe