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Topic: Sinus rhythm


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 Glossary, Cincinnati Children's Hospital Medical Center
The "good" cholesterol that promotes breakdown and removal of cholesterol from the body.
Also refers to a procedure that eliminates extra electrical pathways within the heart that cause fast or irregular heart rhythms.
A medication that opens up blood vessels, making it easier for the heart to pump blood forward to the body; also used to lower blood pressure.
http://www.cincinnatichildrens.org/health/heart-encyclopedia/glossary.htm

  
 sinusbrady
Sinus bradycardia occurs when the hearts rate is slower than 60 beats per minute.
The pulse volume may be greater due to a greater stroke volume and an increased diastolic run-off time (longer time for blood to flow away from the heart).
http://sprojects.mmi.mcgill.ca/cardiophysio/sinusbrady.htm

  
 ACC/AHA/ESC Guidelines for the Management of Patients with Atrial Fibrillation: Management
Addition of an antiarrhythmic drug to enhance the likelihood that sinus rhythm will be restored and maintained may perturb the intensity of anticoagulation beyond the intended therapeutic range, raising the risk of bleeding or thromboembolic complications.
Thus, sinus rhythm can be restored in a substantial proportion of patients by direct-current cardioversion, but the rate of relapse is high unless concomitant antiarrhythmic drug therapy is given ( Figure 13).
These authors developed a scheme expressing the likelihood of success to facilitate clinical decision making and improve cost-effectiveness by avoiding cardioversion in patients unlikely to sustain sinus rhythm.
http://www.acc.org/clinical/guidelines/atrial_fib/VIII_management.htm

  
 News - CHEST: Postoperative Coumadin Not Necessary For Patients in Sinus Rhythm
There were 5 strokes in the atrial fibrillation patients discharged without coumadin and 4 strokes in the atrial fibrillation patients receiving coumadin at discharge.
During 15 years of follow-up, "only 2% of the sinus rhythm patients developed stroke, and none of those strokes occurred during the first 6 months postprocedure, the 'early stroke' that coumadin is supposed to prevent."
Gerald M. Lawrie, MD, clinical professor of surgery, Baylor College of Medicine, Houston, Texas, said that his institution is no longer requiring discharge coumadin therapy for patients who undergo mitral valve repair.
http://www.docguide.com/news/content.nsf/news/8525697700573E1885256F3A0066E5F5

  
 MCOMSDOCTORS NETWORK - ECG SVT
The rate is slower than that of the underlying sinus rate.
This failure to conduct may be variable or may occur in a repeating pattern, such as 2:1, 3:1, 4:1 or Wenckebach.
However, in contrast to atrial fibrillation, distinct P waves are present.
http://mcomsdoctors.8m.com/ecgsvt.html

  
 Hospital Practice: Cardiac Arrhythmia
If it is important to restore sinus rhythm sooner or anticoagulation therapy is contraindicated, a transesophageal echocardiogram can be performed to look for evidence of thrombus in the left atrial appendage.
Once sinus rhythm has been restored, physicians must decide whether to attempt to maintain sinus rhythm with antiarrhythmic drug therapy.
In the meantime, it is our practice to attempt to restore and maintain sinus rhythm in nearly every patient with atrial fibrillation.
http://www.hosppract.com/issues/1999/0901/gold.htm

  
 eMedicine - Sinus Bradycardia : Article by Mark Livingston, MD
In patients with sinus bradycardia secondary to therapeutic use of digitalis, beta-blockers, or calcium channel blockers, simple discontinuation of the drug, along with monitored observation, often are all that is necessary.
In sick sinus syndrome, drug therapy approaches have been relatively disappointing.
Other causes of sinus bradycardia are related to increased vagal tone.
http://www.emedicine.com/emerg/topic534.htm

  
 A-Fib 101 [From the Atrial Fibrillation Page]
Sometimes, cardioversion is done in conjunction with antiarrhythmic medications to reduce the likelihood of recurrence of the AF.
Persistent AF on the other hand, becomes the primary heart rhythm and it is usually unresponsive to medical therapy or other non-pharmacologic interventions such as electrical cardioversion.
This allows for maximal fine-tuning of the pacemaker to meet the needs of the patient.
http://members.aol.com/mazern/afib101.htm

  
 Normal heart rhythm
Specialized conduction pathways within the ventricle rapidly conduct the wave of depolarization throughout the ventricles to elicit ventricular contraction.
This intrinsic rhythm is strongly influenced by autonomic nerves, with the vagus nerve being dominant over sympathetic influences at rest.
This "vagal tone" brings the resting heart rate down to 60-80 beats/minute.
http://www.oucom.ohiou.edu/CVPhysiology/A002.htm

  
 Supraventricular Tachycardia
Four hundred eight patients with accessory pathway-mediated tachyarrhythmia and atrioventricular nodal reentrant tachycardia underwent coronary arteriography for a coronary sinus venogram before electrophysiologic study and radiofrequency ablation.
Three left free wall pathways were ablated by transseptal approach, a right posteroseptal pathway was ablated from the inferior vena cava, and a left posteroseptal pathway was approached from the inferior vena cava into the coronary sinus.
Ablation of intraatrial reentrant tachycardias after the Senning or Mustard procedure is feasible using concealed entrainment mapping techniques, but requires a detailed knowledge of the individual surgical anatomy and the ability to approach the pulmonary venous atrium.
http://www.pediheart.org/searches/topic/svt.htm

  
 Present treatment options for atrial fibrillation -- Lairikyengbam et al. 79 (928): 67 -- Postgraduate Medical Journal
This technique has been more widely practised than many other
Chronic atrial fibrillation is associated with embolic stroke
of Rhythm Management) trial enrolled 4060 patients with an average
http://pgmj.bmjjournals.com/cgi/content/full/79/928/67

  
 Atrial fibrillation is associated with a lower exercise capacity in male chronic heart failure patients -- Pardaens et ...
Improved ventilatory response to exercise after cardioversion of chronic atrial fibrillation to sinus rhythm.
Exercise intolerance is an important consequence of chronic heart failure.
The patients with atrial fibrillation in the present study might have had a lower exercise capacity because they had had chronic
http://www.heartjnl.com/cgi/content/full/78/6/564

  
 Digitalis for treatment of congestive heart failure in patients in sinus rhythm (Cochrane Review)
Digitalis for treatment of congestive heart failure in patients in sinus rhythm (Cochrane Review).
Digitalis for treatment of congestive heart failure in patients in sinus rhythm (Cochrane Review)
Objectives: To examine the effectiveness of digitalis glycosides in treating CHF in patients with normal sinus rhythm.
http://www.update-software.com/abstracts/ab002901.htm

  
 Respiratory Systolic Pressure Variability During Atrial Fibrillation and Sinus Rhythm -- Pitzalis et al. 34 (5): 1060 ...
Example of univariate (left) and bivariate (right) spectral analysis of cardiorespiratory signals in a subject after cardioversion to sinus rhythm.
Heart rate control of blood pressure variability in children: a study in subjects with fixed ventricular pacemaker rhythm.
Chandler ST, Trewby PN, Is respiratory sinus arrhythmia present in atrial fibrillation?
http://hyper.ahajournals.org/cgi/content/full/34/5/1060

  
 Indian Pacing and Electrophysiology Journal - Belhassen
The present study was performed during the course of an electrophysiologic procedure and therefore its results cannot be extrapolated to the clinical setting.
All patients were evaluated in the absence of antiarrhythmic drug therapy and patients in whom isoproterenol was required to induce AVNRT were excluded.
After positionning electrode catheters in the heart, a diagnostic electrophysiologic study was performed according to a previously described protocol
http://www.ipej.org/0301/belhassen.htm

  
 Meta-analysis of randomised controlled trials of the effectiveness of antiarrhythmic agents at promoting sinus rhythm ...
The value of class IC antiarrhythmic drugs for acute conversion of paroxysmal atrial fibrillation or flutter to sinus rhythm.
III drugs are associated with increased sinus rhythm compared
variables on sinus rhythm, survival, or other clinical outcomes.
http://heart.bmjjournals.com/cgi/content/full/87/6/535

  
 Loss of Sinus Rhythm After Total Cavopulmonary Connection -- Kavey et al. 92 (9): 304 -- Circulation
Findings on the last outpatient ECG before surgery are shown
Presented in part at the 67th Scientific Sessions of the American Heart Association, Dallas, Tex, November 14-17, 1994, and published in abstract form ( Circulation.
No further change in ECGs was recorded in the 13 TCPC patients followed
http://circ.ahajournals.org/cgi/content/full/92/9/304

  
 Antiplatelet agents versus control or anticoagulation for heart failure in sinus rhythm: a Cochrane systematic review ...
What do Cochrane reviews tell us about anti-thrombotic therapy in heart failure with sinus rhythm?
who are in sinus rhythm, nor is there any clear advantage of
Ejection fraction and risk of thromboembolic events in patients with systolic dysfunction and sinus rhythm: evidence for gender differences in the studies of left ventricular dysfunction trials.
http://qjmed.oupjournals.org/cgi/content/full/95/7/461

  
 EMEDU ECG
An accelerated sinus rate that is a physiologic response to a stressor.
Underlying physiological stresses such as exercise, fever, hypoxia, hypovolemia, anxiety, pain, hyperthyroidism, can induce sinus tachycardia
Most patients do not have structural heart disease.
http://www.emedu.org/ecg/tachycardia.htm

  
 Medical Breakthroughs - Learn More About Diabetes
Additionally a history of stroke or previous heart attack can put you at risk.
Some people may have no symptoms, while others experience:
Some patients, with other heart diseases may need an anticoagulant for the remainder of their life.
http://www.healthscout.com/ency/1/132/main.html

  
 July 1996 - SMJ: Normal Sinus Heart Rate
Such consensus standards have long served in many areas of medicine and are likely to be better than nothing unless, for some reason, they are found to be seriously misleading.
Indirect support is found in patients with definite abnormalities.
Every kind of medical diagnosis depends on appropriate analysis of symptoms and signs and awareness of the parameters of every kind of test.
http://www.sma.org/smj/96jul3.htm

  
 Fire-Power Page
I have learned my lesson and am still in recovery.
I was admitted and later after medication converted to a normal sinus rhythm.
I later went to the hospital and discovered that my heart was in Atrial Fibrillation w/hypertension and rapid pulse.
http://www.strengthcats.com/firepower.htm

  
 In Patients With Chronic Atrial Fibrillation and Left Ventricular Systolic Dysfunction, Restoration of Sinus Rhythm ...
Pozzoli, M, Cioffi, G, Traversi, E, et al (1998) Predictors of primary atrial fibrillation and concomitant clinical and hemodynamic changes in patients with chronic heart failure: a prospective study in 344 patients with baseline sinus rhythm.
In Patients With Chronic Atrial Fibrillation and Left Ventricular Systolic Dysfunction, Restoration of Sinus Rhythm Confers Substantial Benefit -- Azpitarte et al.
Deedwania, PC, Singh, BM, Ellenbogen, K, et al (1998) Spontaneous conversion and maintenance of sinus rhythm by amiodarone in patients with heart failure and atrial fibrillation: observations form the Veterans Affairs Congestive Heart Failure Survival Trial of Antiarrhythmic Therapy (CHF-STAT).
http://www.chestjournal.org/cgi/content/full/120/1/132

  
 NurseWeek HealthWeek
A breakdown of this strip reveals a rhythm that is regular with a P wave present for every QRS complex.
This term refers to beats that originate from the SA node and have a rate inherent to it.
In addition, the ventricular and atrial rate is the same.
http://nurse.cyberchalk.com/nurse/courses/nurseweek/nw1120/c3/p1.htm

  
 T wave alternans after sotalol: evidence for increased sensitivity to sotalol after conversion from atrial fibrillation ...
No cardiac rhythm monitoring was present, but physical
Increased sensitivity to QT prolonging drug therapy immediately after conversion to sinus rhythm [abstract].
We describe a patient who was using sotalol for paroxysmal atrial fibrillation for three years without proarrhythmic effects
http://www.heartjnl.com/cgi/content/full/80/3/303

  
 EKG 5 - SVT
Sinus Tachycardia / Evolving MI Sinus Tachycardia / Evolving MI Rapid Atrial Fibrillation
Depending on your method of determination, the rate is between 167 and 180/ min.
In an ABSOLUTELY regular rhythm, the most accurate method is to divide 1500 by the number of "small boxes" between complexes.
http://www.tveatch.org/ekgs/ekg5.html

  
 RR Variability in Healthy, Middle-Aged Persons Compared With Patients With Chronic Coronary Heart Disease or Recent ...
Fouad FM, Tarazzi RC, Ferrario CM, Fighaly S, Alicandri C. Assessment of parasympathetic control of heart rate by a noninvasive method.
Katona PG, Jih F. Respiratory sinus arrhythmia: measure of the parasympathetic cardiac control.
Koizumi K, Terui N, Kollai M. Effect of cardiac vagal and sympathetic nerve activity on heart rate in rhythmic regulations.
http://circ.ahajournals.org/cgi/content/full/91/7/1936

  
 Maintenance of Sinus Rhythm
Treatment options for suppression of atrial flutter and focal atrial tachycardia are divided into drug therapy and catheter ablation therapy.
Maintenance of sinus rhythm in patients with a history of atrial flutter or focal atrial tachycardia may not always be possible.
While complete elimination of the tachycardia may be achieved in many patients, some patients may have to accept a lesser goal of incomplete suppression of the arrhythmia but in association with a significant improvement in their quality of life.
http://www.kpep.org/atrial_flutter_tachycardia/AFL_Booklet_Main20.html

  
 Arch Intern Med -- Abstract: National Trends in Antiarrhythmic and Antithrombotic Medication Use in Atrial ...
We assessed trends in medication use for ventricular
Although there was no change in overall sinus rhythm
sinus rhythm maintenance (class IA, IC, and III antiarrhythmics),
http://archinte.ama-assn.org/cgi/content/abstract/164/1/55

  
 MedlinePlus Medical Encyclopedia: Atrial fibrillation/flutter
Underlying causes of atrial fibrillation and flutter include dysfunction of the sinus node (the "natural pacemaker" of the heart) and a number of heart and lung disorders, including coronary artery disease, rheumatic heart disease, mitral valve disorders, pericarditis, and others.
Long-term treatment varies depending on the cause of the atrial fibrillation or flutter.
If the atrial fibrillation/flutter is part of a condition called sick sinus syndrome, the ventricles may beat more slowly than normal.
http://www.nlm.nih.gov/medlineplus/ency/article/000184.htm

  
 HealthCentral - General Encyclopedia - Atrial fibrillation/flutter
Follow the health care provider's recommendations for the treatment of underlying disorders.
Causes of atrial fibrillation and flutter include dysfunction of the sinus node (the "natural pacemaker" of the heart) and a number of heart and lung disorders including coronary artery disease, rheumatic heart disease, mitral valve disorders, pericarditis, and others.
Get the latest health news in your e-mail for FREE!
http://www.healthcentral.com/mhc/top/000184.cfm

  
 SINUS RHYTHM
Though somewhat less effective at preventing the flu in older adults and in those with chronic medial conditions, it is still very effective at reducing the severity of the illness and helps prevent serious complications.
If you have asthma, the flu (influenza) or even a cold could set off a serious asthma attack, but you can take steps to lessen the sinus rhythm sinus rhythm likelihood of such an attack.
It takes about 2 weeks for a cashew allergy sinus rhythm flu vaccine to take effect, so experts recommend that you get vaccinated well ahead of the December-to-March peak influenza season.
http://vita-usa.com/allergy/sinus-rhythm.html

  
 echo on Encyclopedia.com
Left Atrial Spontaneous Echo Contrast in Patients With Rheumatic Mitral Valve Disease in Sinus Rhythm.
http://www.encyclopedia.com/html/e1/echo.asp

  
 POEM: Rate control is better than rhythm control in atrial fibrillation -- 326 (7388): 0 -- BMJ
Adequate rate control was achieved in 80% of patients in this
More patients in the rate control group were
with the goal of keeping patients in normal sinus rhythm.
http://bmj.com/cgi/content/full/326/7388/0/f

  
 Sinus Rhythm Page.
These strips are more difficult, but these are the types of strips you will see in your clinical areas.
The rate you should be able to rapidly calculate, there are 8 QRS's times 10, equals 80.
http://www.randylarson.com/acls/sinus3.html

  
 ESC Congress 2004: Dronedarone is effective and well-tolerated in the prevention of atrial fibrillation recurrence
ADONIS is part of the clinical investigation program on the novel multi-channel blocker, dronedarone, in this patient population, which also includes the European trial EURIDIS (EURopean trial In atrial fibrillation or flutter patients receiving Dronedarone for the maIntenance of Sinus rhythm).
The study compared the efficacy and safety of dronedarone to placebo in patients who had already had at least one ECG-documented atrial fibrillation or flutter in the three month period prior to randomization and who were in sinus rhythm for at least one hour at the time of randomization.
“Given the relatively poor benefit-to-risk ratios of currently available anti-arrhythmic therapies, the results of the EURIDIS and ADONIS trials appear to position dronedarone as a promising option for cardiac rhythm space and rate control in atrial fibrillation,” he added.
http://www.innovations-report.com/html/reports/medicine_health/report-32894.html

  
 eMedicine Health: Atrial Fibrillation: What is Atrial Fibrillation?
Atrial fibrillation, often called "A Fib," is the most common pathologic heart rhythm disorder.
Medical or electrical treatment may be needed to end the episode.
Conversion back to sinus rhythm either is not possible or is deemed not appropriate for medical reasons.
http://www.emedicinehealth.com/articles/10829-1.asp

  
 Amiodarone maintained sinus rhythm better than sotalol or placebo in atrial fibrillation, but adverse effects were more ...
Amiodarone maintained sinus rhythm better than sotalol or placebo in atrial fibrillation, but adverse effects were more frequent -- Yarnall 6 (2): 42 -- Evidence-Based Medicine
Low dose amiodarone and sotalol in the treatment of recurrent, symptomatic atrial fibrillation: a comparative, placebo controlled study.
Substantial side effects were seen in 23% of the patients in
http://ebm.bmjjournals.com/cgi/content/full/6/2/42

  
 sinus rhythm - General Practice Notebook
Oxbridge Solutions Ltd® is an independent company owned by the authors which does not receive income from any other organisation or individual.
Sinus rhythm is the normal rhythm of the healthy heart.
http://www.gpnotebook.com/cache/1114308622.htm

  
 Inferior Infarction
The rhyhtm is sinus rhythm with a rate of 80/minute.
The significant and wide R wave in V1 suggests a posterior infarction.
There is a premature ventricular contraction (on the third beat).
http://sprojects.mmi.mcgill.ca/heart/ecg970731-8dx.html

  
 7.6.1 Normal sinus rhythm
The pulse rhythm is regular and pulse quality is consistent.
S1, S2 and S3 sounds may be heard, with a regular rhythm.
The normal resting heart rhythm is called sinus rhythm because the sinoatrial node acts as the pacemaker governing rhythm (see
http://www.provet.co.uk/equinecardiology/5a67462.htm

  
 Improved neurohormonal markers of ventricular function after restoring sinus rhythm by the Maze procedure -- ...
Improved neurohormonal markers of ventricular function after restoring sinus rhythm by the Maze procedure -- Albåge et al.
Improved neurohormonal markers of ventricular function after restoring sinus rhythm by the Maze procedure
http://ats.ctsnetjournals.org/cgi/content/abstract/75/3/790

  
 VetGo Cardiology
72 Sick sinus syndrome characterized by long periods of sinus arrest, late esc...
73 Sick sinus syndrome characterized by long periods of sinus arrest, late esc...
70 Sinus rhythm with first degree heart block.
http://www.vetgo.com/cardio/ecgmonth/ecgmonth.php

  
 Sinus Rhythm -Objectives
describe the EKG characteristics of a sinus rhythm
http://www.healthedonline.com/sr.htm

  
 [No title]
An ECG from a cardiac transplant patient showing sinus rhythm with one PVC, left atrial abnormality and a right bundle branch block with left anterior hemibock.
http://sprojects.mmi.mcgill.ca/heart/ecgbal.html

  
 ECG1
Sinus rhythm with first degree HB Sinus rhythm with second degree HB Mobitz II Sinus rhythm with third degree HB Sinus rhythm with second degree HB Mobitz I
Sinus with third degree HB Sinus with second degree HB mobitz II None of the above
Sinus rhythm with second degree HB Mobitz I
http://pittclass.50megs.com/ECG1.html

  
 Rate or rhythm control in persistent atrial fibrillation? -- Boos et al. 96 (12): 881 -- QJM
have opted for rhythm control, based on its theoretical benefits.
rate and accept the underlying rhythm, or to attempt to achieve
directly comparing a rate versus rhythm strategy, and most physicians
http://qjmed.oupjournals.org/cgi/content/abstract/96/12/881

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