Puas yog hypokalemia ua rau T wave inversion?
Puas yog hypokalemia ua rau T wave inversion?

Video: Puas yog hypokalemia ua rau T wave inversion?

Video: Puas yog hypokalemia ua rau T wave inversion?
Video: ECG course: T wave inversion, Dr. Sherif Altoukhy 2024, Lub rau hli ntuj
Anonim

Hypokalemia . Zoo ib yam li nce qib potassium, qib qis potassium tuaj yeem ua rau myocardial arrhythmias thiab tseem ceeb ectopy. EKG hloov pauv ua tau suav nrog nce amplitude thiab dav ntawm P yoj , T wave ua tsaug thiab inversion , tseem ceeb U nthwv dej thiab pom tau ntev QT ncua sijhawm vim kev sib koom ua ke ntawm T thiab U yoj.

Ib yam li ntawd, ECG hloov pauv hauv hypokalemia yog dab tsi?

ECG hloov suav nrog flattening thiab inversion ntawm T waves nyob rau hauv me me hypokalemia , ua raws QT ncua ncua sijhawm, pom U nthwv dej thiab mob ST nyuaj siab4 nyob rau hauv hnyav dua hypokalemia . Mob hnyav hypokalemia tseem tuaj yeem ua rau lub plawv dhia tsis xws li Torsades de points thiab ventricular tachycardia.

Yuav ua li cas hypokalemia ua rau QT prolongation? Cov qib poov tshuaj qis dua 3,0 mmol / l ua tseem ceeb Q-T lub sijhawm ncua ntev nrog kev pheej hmoo tom ntej ntawm torsade des pointes, ventricular fibrillation thiab mob plawv tuag sai. Cov qib poov tshuaj ntau dua 6,0 mmol / l ua Peaked T waves, wider QRS komplexes thiab tej zaum yuav ua rau bradycardia, asystole thiab tam sim ntawd tuag.

Hais txog qhov no, qhov inverted T yoj qhia li cas?

T yoj inversion tsawg dua 5 hli tseem tuaj yeem sawv cev rau myocardial ischaemia, tab sis tsis hnyav dua li Wellens's syndrome. ST thiab T tsis Cov kev hloov pauv yuav tsis pom meej hauv hypertrophic cardiomyopathy, tab sis yog tias muaj ST thiab T vuag kev hloov qhia hnyav hypertrophy lossis ventricular systolic tsis ua haujlwm.

Puas muaj electrolytes qis ua rau EKG txawv txav?

Ib tsis sib npaug nyob rau hauv electrolyte cov zaub mov xws li potassium, sodium, calcium, lossis magnesium tuaj yeem ua tau ua ib txawv txav EKG nyeem ntawv.

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