Sinus park, fight until what disease obscure the intersection of _ and general knowledge
1.The two are difficult to distinguish sometimes that the transient sinus stops fighting with severe and prominent sinus arrhythmic differentiation. The severe but prominent sinus is arrhythmic and relatively rare, a very prominent extension among its slow looks P-P, under a few situations, can be greater than the sum of one between two short P-Ps, the similar sinus stops fighting. But the change of one among P-P is gradual when the sinus is arrhythmic. One presents and shortens the cycle when is lengthened gradually to change gradually among P-P, and one among P-P of the slow looks is not whole multiple of one among snap shooting P-P, one is different in size while showing as P-P.2.The transient sinus stops fighting and playing the room spread and shrinking and not playing the handing over area differentiation shrinking before one of room room that is spread before one(1)The room characteristic shrinking before one not making spreading is as follows, Room on it play it spread issue overlap P' wave shrunk often in before T fought wholeheartedly, at the waves, enable T wave shape change. Should find out this the key to diagnosing, can use, strengthen voltage or walk the intersection of paper and speed increase method soon, make the intersection of P' and wave appear carefully. It is incomplete not to make and spread the room compensation intermittence shrinking before one: Generally smaller than the sum of one among 2 sinus rhythms of the heart P-P. A plurality of has not played and spread the room while shrinking long P-P produced before one one has been equal to or roughly equal.(2)The handing over area characteristic shrinking before one of room room not making spreading is as follows, It drive in the wrong direction by P' wave often it overlap on before there at the waves, can make T wave shape not changed is T fought wholeheartedly, so should look for carefully. One should have been equal to or roughly equal each other in the electrocardiogram among shrinking long P-P caused before one making and spreading the handing over area of room room.3.Or long the intersection of and sinus park, fight with the intersection of sinus and the intersection of room and the intersection of differentiation and the intersection of sinus and room of block blocking, referring to the intersection of sinus and room form impulse that produce, some or all can't reach the atrium, cause atrium and ventricle to stop fighting. Transient the intersection of sinus and room block, see on acute myocardial infarction, acute myocarditis, high the intersection of blood and the intersection of potassium and disease, foreign digitalis or the intersection of Buddhist nun and man the intersection of medicine and function and nervus vagus hypertonia Kui. Chronic sinus often clear in cause of disease that room block, see more the elderly, basic pathological change might until person who take place the intersection of sinus and room form the intersection of regression and, change specially. Other common causes of disease, for coronary heart disease and myocardium and ill. Sinus room block, can block intensity divide into for a time, second degree and third degree according to their. But only the second degree of sinuses room blocks and makes diagnosis from electrocardiogram. The electric chart of heart, now in order to present the long intermittence between P wave. It is a multiple of one among basic P-P. The sinus does not have such a multiple relation to stop fighting, can carry on differential diagnosis in view of the above, some cases can be seen Wen (Wenckebach) Phenomenon. Similar to phenomenon of Wen in the second degree of atrio-ventricular block, show as issue among the P-P and issues of person who go on shorten among the R-R, until presenting the long intermittence. Can fight the forming ease to lag behind to hinder in the sinus room. In the a lot of case, ease intermittence fight, quite long, low order of briefing on get up obstacle of can it fights some to be organic meanwhile alsoing.(1)The characteristic of the two degrees type block of sinus room is that one is shortened gradually among P-P after one among long P-P, one among long P-P appeared suddenly again, presented " dashed for ward long shorter and shorter " Characteristic,above-mentioned phenomenon cyclically appear.(2)Issue basic sinus whole multiple of issue under the intersection of rhythm of the heart and P-P among two 2 type high the intersection of sinus and room characteristic of block to have sinus the intersection of P and wave and long even, easy to distinguish, but if amalgamate the sinus arrhythmically, diagnose that there are certain difficulties.4.It is (complete) that the permanence or permanent sinus stops fighting with three degrees Differentiation of the block of sinus room(1)The permanence or permanent sinus stops fighting and seldom presenting room ease fighting or room ease to fight rhythm of the heart, and it can be with room nature ease fighting or room fighting rhythm of the heart of ease that three degrees of sinuses room is blocked. Its reason is to inhibit the pathologic factor of the sinus room knot from inhibiting the atrium from getting up and fighting at the same time too.(2)Park fight, copying electrocardiogramming or the intersection of 24h and dynamic the intersection of heart and electric the intersection of seal and permanence or permanent sinus that record that writing parking fighting, continuously in lasting permanent sinus, temporary sinuses are parked and fought, then the permanence or permanent sinus parks the possibility to fight old; If block of two degrees of sinuses room appears, the block possibility of three degrees of sinuses room is large.(3)Behind intravenous injection atropine, the sinus room conducts the function and has not improved and anchored fighting for the sinus; Improve blocking for three degrees of sinuses room. If at the time of the unable difference of the two, there is no harm in diagnosing as the sinus will stop fighting.5.Permanence or permanent sinus nature parks fighting and fighting rhythm of the heart and room ease and fighting the differentiation of rhythm of the heart with the room room handing over area ease(1)Fight the persons who fight rhythm of the heart with the room ease in handing over area ease of room room conducted with the room room, in fact sinus does not stop fighting, but the excited room room of handing over area of room room is conducted causes the postponing of a series of sinus rhythm.(2)Go against and spread and hinder lagging behind the room room, does not see sinus P wave appear yet, probably the sinus will be stopped fighting.6.Permanence or permanent sinus nature parks fighting the differentiation sinus room conducted with the sinus room and conducts promptly the filling the air complete skin of atrium is blocked, sinus excited to reach the intersection of room and the intersection of room and handing over area and ventricle skin along the intersection of room and bunch, produce QRS wave, but can't conduct through the atrium skin losing conductivity, so can't see any P wave. The main point which contributes to this diagnosis is: Blood potassium is too high. Cause the intersection of blood and the intersection of potassium and too high cause of disease on have clinical. Spacious deformity of QRS wave. T wave is sharp and towering like the tent kind.7.Permanence or permanent sinus nature parks fighting and prominent sinus slow obvious sinus its frequency aroused in interest and slow of differentiation aroused in interest like being lower than fighting rhythm of the heart with the room ease of the example While fighting rhythm of the heart in the handing over area or room ease of room room conducted in room, then sinus P wave appears as scheduled, fight rhythm of the heart and form the interference room room and disconnect with the handing over area ease of the room room. Have seen the sinus slow frequency aroused in interest exceeding the frequency that fights rhythm of the heart of the ease slightly like once or on several other electrocardiograms, present getting aroused in interest and slow simple sinus or sinus getting aroused in interest and slow and ease fight rhythm of the heart form interference on the disconnection, contribute to the sinus slow diagnosis aroused in interest. But from sinus being getting aroused in interest to transfer sinus possibility fought to park to, exist too slowly.
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