Dab tsi yog torsades de pointes ECG?
Dab tsi yog torsades de pointes ECG?

Video: Dab tsi yog torsades de pointes ECG?

Video: Dab tsi yog torsades de pointes ECG?
Video: ECG course: Torsades de Pointes, Dr. Sherif Altoukhy 2024, Lub Xya hli ntuj
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Torsades tsib pointes yog daim ntawv tshwj xeeb ntawm polymorphic ventricular tachycardia hauv cov neeg mob nrog QT ncua ntev. Nws yog qhov tshwj xeeb los ntawm nrawm, tsis xwm yeem QRS txoj kab ua haujlwm, uas zoo li tig ib ncig ntawm lub tshuab electrocardiogram ( ECG ) lub hauv paus. Kev kuaj mob yog los ntawm ECG.

Ntxiv mus, torsades de pointes txhais li cas?

Torsades tsib pointes los yog torsade tsib pointes (TdP) (Fab Kis: [t ?? sad d? Pw? ~ T], txhais ua "twisting of peaks"), yog ib hom kev txawv txav ntawm lub plawv tsis xws luag tau ua rau mob plawv tuag sai. Nws yog polymorphic ventricular tachycardia uas nthuav tawm cov yam ntxwv sib txawv ntawm electrocardiogram (ECG).

Tsis tas li, puas yog torsades de pointes lub suab tsis txaus ntseeg? Torsades tsib pointes Nws yog ventricular tachycardia. Hauv cov neeg mob tsis ruaj khov, cardiovert. Hauv qhov tsis muaj zog, defibrillate. (Lub polymorphic xwm ntawm sib dhos tej zaum yuav cuam tshuam nrog lub defibrillator lub peev xwm los synchronize, yog li cardioversion yuav tsis tuaj yeem ua tau.

Tom qab ntawd, koj txheeb xyuas Torsades de Pointes li cas?

Torsades tsib pointes qee zaum tuaj yeem kuaj mob los ntawm kev ntsuas tus neeg cov tshuaj calcium, magnesium, thiab potassium. Txawm li cas los xij, kev kuaj mob feem ntau yog siv lub tshuab electrocardiogram lossis EKG.

Cov tsos mob thiab kuaj mob

  1. lub plawv palpitations.
  2. kiv taub hau.
  3. xeev siab.
  4. txias txias.
  5. mob hauv siab
  6. ua tsis taus pa.
  7. plawv dhia ceev.
  8. ntshav siab.

Cov tshuaj twg xaiv rau torsades de pointes?

Kev kho mob ntawm torsade tsib pointes suav nrog: isoproterenol infusion, lub plawv dhia nrawm, thiab atropine txhaj tshuaj. Intravenous magnesium sulfate, ib hom tshuaj kho tshiab rau torsade tsib pointes , tau raug pov thawj kom ua tau zoo heev thiab tam sim no suav tias yog kev kho mob ntawm xaiv rau qhov arrhythmia no.

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