scholarly journals 829 Perioperative Surgical Patients and The Availability and Utilisation Of ECGs Machines Pre- And Post-Pandemic

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
J Wareing ◽  
H Sandhar ◽  
A Howitt ◽  
M Yiasemidou ◽  
D Craske
Keyword(s):  
Atrial Fibrillation ◽  
Sinus Rhythm ◽  
Supraventricular Tachycardia ◽  
Patient Outcomes ◽  
Sinus Tachycardia ◽  
Normal Sinus Rhythm ◽  
Cardiac Pathology ◽  
Normal Sinus ◽  
The Impact ◽  
Operative Monitoring

Abstract Introduction ECGs are a NICE recommended pre-operative investigation and an integral part of post-operative monitoring. Delay in recognition of cardiac pathology can be catastrophic. Therefore, ECG machines should be readily available. Here, we report the results of an audit assessing the availability of ECG machines in surgical wards. Method In 2018 and then 2020, a bespoke, nine-item audit proforma was disseminated to all foundation doctors. Results In 2018, 17/32 wards had a ward based, readily available machine, 6/32 shared with another ward and 15/32 did not have a ward-based machine. The same was noted in 2020. In 2018 and 2020, the average time to obtain an ECG machine was 27 and 23 respectively. When no ECG was available, a doctor would obtain the machine 24% in 2018 compare to 52% in 2020. The diagnoses of the patients who had ECGs in 2018 were: normal sinus rhythm, atrial fibrillation, bradycardia, supraventricular tachycardia, sinus tachycardia and STEMI. In 2020 were: normal sinus rhythm, atrial fibrillation, supraventricular tachycardia, sinus tachycardia, atrial flutter, bradycardia, prolonged QTc, hyperkalaemia, STEMI and NSTEMI. The average time for NSTEMI patients to have an ECG was 35mins while for STEMI patients was 11.6mins. Conclusions Whilst our audit has highlighted the importance of ECG machine availability, the time to obtain one remained static between the two cycles. A study investigating the impact on patient outcomes may highlight the necessity for available ECG machines further.

scholarly journals Atrial Fibrillation Caused by Intractable Hiccups: A Unique Cause and Cure

2022 ◽  
Vol 2022 ◽  
pp. 1-4
Author(s):  
Joshua H. Arnold ◽  
Neil Brandon
Keyword(s):  
Myocardial Infarction ◽  
Atrial Fibrillation ◽  
Sinus Rhythm ◽  
Normal Sinus Rhythm ◽  
Electrical Cardioversion ◽  
Traditional Treatment ◽  
Cardiac Pathology ◽  
Normal Sinus ◽  
First Time ◽  
Intractable Hiccups

We present the case of a 61-year-old male who developed persistent hiccups concurrently with the onset of atrial fibrillation (AF). The hiccups were refractory to traditional treatment but resolved immediately upon electrical cardioversion (ECV) to normal sinus rhythm (NSR). The patient has remained in NSR and free of hiccups. The potential etiologies for hiccups are numerous and varied, and the management of persistent hiccups can be difficult. Cardiac associations including myocardial infarction and pericarditis have been described, while few cases of first-time onset of atrial fibrillation leading to hiccups have been documented. This case discusses a unique instance demonstrating a connection between hiccups and cardiac pathology and an overview of its management.

scholarly journals An Atrial Fibrillation with Normal Limits using Signal Processing- A Review

2018 ◽  
Vol 7 (2.24) ◽  
pp. 453
Author(s):  
S. Sathish ◽  
K Mohanasundaram
Keyword(s):  
Atrial Fibrillation ◽  
Sinus Rhythm ◽  
Normal Sinus Rhythm ◽  
P Wave ◽  
Wave Duration ◽  
Normal Limits ◽  
Normal Sinus ◽  
P Wave Duration ◽  
Standard Lead ◽  
Wave Morphology

Atrial fibrillation is an irregular heartbeat (arrhythmia) that can lead to the stroke, blood clots, heart failure and other heart related complications. This causes the symptoms like rapid and irregular heartbeat, fluttering, shortness of breath etc. In India for every around 4000 people eight of them are suffering from Atrial Fibrillation. P-wave Morphology.  Abnormality of P-wave (Atrial ECG components) seen during sinus rhythm are associated with Atrial fibrillation. P-wave duration is the best predictor of preoperative atrial fibrillation. but the small amplitudes of atrial ECG and its gradual increase from isometric line create difficulties in defining the onset of P wave in the Standard Lead Limb system (SLL).Studies shows that prolonged P-wave have duration in patients (PAF) In this Study, a Modified Lead Limb (MLL) which solves the practical difficulties in analyzing the P-ta interval for both in healthy subjects and Atrial Fibrillation patients. P-Ta wave interval and P-wave duration can be estimated with following proposed steps which is applicable for both filtered and unfiltered atrial ECG components which follows as the clinical database trials. For the same the p-wave fibrillated signals that escalates the diagnosis follows by providing minimal energy to recurrent into a normal sinus rhythm.  

scholarly journals Electrocardiographic indices of clinically healthy Chios sheep

2015 ◽  
Vol 5 (1) ◽  
Author(s):  
Aliasghar Chalmeh ◽  
Iman Saadat Akhtar ◽  
Mohamad Hadi Zarei ◽  
Mehrdad Badkoubeh
Keyword(s):  
Sinus Rhythm ◽  
Sinus Tachycardia ◽  
Normal Sinus Rhythm ◽  
Sinus Arrhythmia ◽  
Lead System ◽  
Normal Sinus ◽  
Qrs Duration ◽  
Electrocardiographic Findings ◽  
Chios Sheep ◽  
Electrical Activities

Information regarding normal electrocardiographic features of different breeds of animals can help veterinarians to detect any abnormalities in cardiac electrical activities. The current research was conducted to present the normal electrocardiographic indices of clinically healthy Chios ewes and lambs. The electrocardiograms were recorded from clinically healthy Chios ewes (n=27; 2-3 years old) and lambs (n=20; 4-6 months old) by using base apex lead system. T and QRS-duration in lambs were significantly lower than adult Chios ewes. The electrocardiographic amplitudes in lambs were lower than ewes, non-significantly. P-R, R-R, Q-T and S-T intervals in Chios lambs were significantly lower than ewes. No normal sinus rhythm was detected in Chios lambs. The proportion of sinus arrhythmia and sinus tachycardia in lambs was significantly more than ewes. Sino-atrial block was also detected in lambs. Based on the presented data it could be stated that aging can affect electrocardiographic findings of Chios sheep. Finally, our results will provide a good basis for judging the electrocardiograms in base apex lead system of Chios lambs and ewes.

Management of Supraventricular Tachycardia in Pregnancy

Pain Medicine ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. 426-428
Author(s):  
Ashley A Peterson ◽  
Katherine W Arendt ◽  
Emily E Sharpe
Keyword(s):  
Sinus Rhythm ◽  
Supraventricular Tachycardia ◽  
Normal Sinus Rhythm ◽  
Catecholamine Release ◽  
Labor And Delivery ◽  
Neuraxial Analgesia ◽  
Normal Sinus ◽  
In Pregnancy

Abstract Supraventricular tachycardia is a common arrhythmia in pregnancy. During labor and delivery, neuraxial analgesia is important to prevent arrhythmia recurrence. We present the case of a 27-year-old gravida 2 para 1 woman at 35 weeks’ gestation presenting with supraventricular tachycardia that converted to normal sinus rhythm with adenosine. To prevent recurrence of the arrhythmia, an early epidural was provided during labor to minimize catecholamine release.

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