Summary
Sumario Tipos de arritmias cardiacas
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Resumen esquematizado de todas las arritmias cardiacas supraventricular y ventriculares además de un pequeño caso clínico
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ARRITMIASAlumna: Terrones Rivera Alexandra
, Supraventriculares
+fct niños ♀ sin cardiopatía con 1. Maniobras vagales
palpitaciones 2. Adenosina 6mg EV
3. Calcio antagonistas o Amiodarona
Dilatación en AI → Estasis → Trombos OI ECG: 150-250 lpm R-R regular 4. Inestabilidad: Cardioversión eléctrica
+fct AM con cardiopatía estructural Onda P escondida en el QRS o por detrás 5. Definitivo: Ablación transcateter
FdR: Cardiopatía hipertensiva +fct adultos Ejercicio, estrés,
Clínica: Disnea, palpitaciones, Sincope fiebre, hipertiroidismo, hipoxia,
Examen físico: Pulso deficitario e irregular anemia, tóxicos y farmacos
TPSV
▪ Paroxística: <48h Circuito de reentrada unión A-V ECG: 100-150 lpm Ritmo sinusal
▪ Persistente: > 7 días hasta 1 año
▪ Permanente: > 1 año FA
Focos ectópicos y Taquiarritmias Taquicardia sinusal
ECG: >250 lpm, Actividad auricular
microentradas ↑ del tono simpático
desorganizada, con ausencia de ondas P,
presencia ondas F y QRS irregular TTO: Va enfocado a corregir la
Flutter Sx preexitación causa y en algunos casos
Macroentradas en AD WPW / Haz de Kent betabloqueadores
Adultos con cardiopatía estructural Jóvenes con palpitaciones
Enf. de Ebstein, prolapso mitral y MCP HT
TTO: ECG: Ausencia de ondas P, Ondas sierra 1. Maniobras vagales
Inestabilidad: Cardioversión eléctrica F y QRS regulares ECG: PR corto <0.12seg, onda delta 2. Adenosina 6mg EV
Anticoagulación: Prevenir el embolismo TTO: Inestabilidad C.E Refractarios 3. Calcio antagonistas
Control FC: Betabloqueadores Ablación itsmo cavotricuspídeo 4. Inestabilidad: Cardioversión
Control Ritmo: Cardioversión con fcos eléctrica
Refractarios: Ablación transcatéter 5. Definitivo: Ablación
radiofrecuencia
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