ELECTROCARDIOGRAMA BASICO PRESENTACION MED

ELECTROCARDIOGRAMA BASICO PRESENTACION MED

1. Por Marlucy Brito Resarte, Abraham Cárdenas, Lauren Estrada, Ana Mejia y Neider Vega ELECTROCARDIOGRAMA BÁSICO Dr. Hermes Vargas Lobo

2. MEDIDAS

3. Electrodos para derivaciones Frontales Electrodos para Derivaciones Precordiales https://www.youtube.com/watch?v=EFPyuU2-_jg&t=33s https://www.youtube.com/watch?v=EFPyuU2-_jg&t=33s

4. Derivaciones Frontales Derivaciones Precordiales https://ecocardio.com/documentos/biblioteca-preguntas-basicas/preguntas-al-cardiologo/1063-como-ayuda-ecg-localizar-alteraciones-corazon.html https://ecocardio.com/documentos/biblioteca-preguntas-basicas/preguntas-al-cardiologo/1063-como-ayuda-ecg-localizar-alteraciones-corazon.html https://www.youtube.com/watch?v=EFPyuU2-_jg&t=33s

5. https://www.youtube.com/watch?v=EFPyuU2-_jg&t=33s

6. Significado de cada Onda del EKG Onda P : Despolarizacion de las Auriculas. 1ro la DERECHA y Luego la IZQUIERDA - Amplitud: No mayor a 0,2 mV = 2 cuadros pequeños - Duración: No Mayor a 0,12 seg = 120 milisegundos = 3 cuadros pequeños - Positiva en DII - Negativa en AVR - Isobifásoca en V1 (ya que el eje de despolarizacion de la AD va hacia adenate= se caerca a V1 PERO el de la A i z se direge hacia ATRÁS = alejandose de V1) https://www.youtube.com/watch?v=EFPyuU2-_jg&t=33s https://www.youtube.com/watch?v=EFPyuU2-_jg&t=33s

7. Significado de cada Onda del EKG Segmento PR : conducción a través del nodo SN  AV  Has de Hiz  Fibras de Purkinje Intervalo PR: Indican la CAPACIDAD DE CONDUCCIÓN del corazón. = Onda P + Segmento PR - 0.12 – 1.20 seg = 120 A 200 milisegundo = 3 – 5 - Si dura MÁS de 200 mseg  BLOQUEO AV 1er grado - Si dura MENOS de 120 mseg  Pre-excitación ventricular Onda Q : Despolarización del tabique Interventricular. - Pequeña onDa NEGATIVA en DII  Se despolariza de Izquierda a Derecha = se aleja de la derivación DII Onda R : Despolarización de la masa ventricular (se ve reflaja más que todo la despolarización del Viz ya que es el más grande. - Positiva en D II - Más positiva en V5 y Negativa en V1 Onda S : Despolarización de la Base del los ventrículos - Isobifásica en DII  . Se despolarizan de ABAJO hacia Arriba por la distribución de las Fibras de Purkinje Complejo QRS: Despolarización ventricular . INTERVALO R-R = FC .

8. Significado de cada Onda del EKG Punto J :  es el punto donde el complejo QRS se une al comienzo del segmento ST. Representa el final aproximado de la despolarización y el comienzo de la repolarización Segmento ST : Desde el punto J a la Onda T -  siempre debe estar sobre la linea isoelectrica  ONDA T: Repolarizacion Ventricular  - Positiva en DII I n tervalo QT: Comprende todo el proceso electrico ventricular  No mayor a 440 milisegundos = 0,44 Seg  Se aprecia mejor en DII y V5 

9. P positiva DI y DII  P negativa en AVR  P seguida de un QRS  Que los R-R sean regulares   RITMO SINUSAL NORMAL R-R sean regulares   Que los P-P sean regulares   FC de 60/100 lpm    Intervalo PR >0,12seg  

10. DATOS IMPORATNTES DEL QT: CORREGIDO Y CONDICIONES QUE LO ALTERAN QT: representa el tiempo que tarda la despolarizacion y repolarizacion ventricular QTc= QTmedido / RR  QT prolongado  

11. E sto se realiza calculando el intervalo QT corregido con la formula de Bazett ( dividir el intervalo QT entre la raíz cuadrada del intervalo RR) El intervalo QT corregido es normal entre 340 ms y 450 ms en adultos jóvenes (460 ms en menores de 15 años y 470 ms en mujeres adultas ). CORRECIÓN DEL QT 1 3 4 2 El intervalo QT representa la sístole eléctrica ventricular, o sea, el conjunto de la despolarización y la repolarización de los ventrículos. Su medida varía con la frecuencia cardiaca, por lo que es recomendable ajustar su valor a la Frecuencia Cardiaca ¿Cómo se cálcula ? Intervalo QT corto : menor 340 ms, como patológico Intervalo QT alargado: Mayor e 460 ms en niños, 450ms en hombres, 470 en mujeres

12. Halle el QT Corregido QT:  0.44 QT:  0.40

13. Ciertos Antiarritmicos antipsicóticos, Antidepresivos Antibióticos TRASTORNOS HIDROELÉCTRICOS Y PATOLOGÍAS QUE ALARGAN / PROLONGAN EL QT HIPOPOTASEMIA HIPOCALCEMIA HIPOMAGNESEMIA INFARTO DE MIOCARDIO HIDROELÉCTRICOS MEDICAMENTOS PATOLÓGICOS

14. TRASTORNOS HIDROELÉCTRICOS Y PATOLOGÍAS QUE ACORTAN EL QT HIPER POTASEMIA HIPER CALCEMIA HIPER MAGNESEMIA PERICARDITIS HIDROELÉCTRICOS PATOLÓGICOS

15. Patrón juvenil E n ausencia de otros marcadores clínicos o ECG que indiquen enfermedad (IOT inferior y lateral, depresion del segmento ST u ondas Q patológicas), y b) la IOT u onda T bifásica de V1 a V3 en deportistas adolescentes menores de 16 años o prepuberales, más común en mujeres  menores de 30 años   (patrón «juvenil» )  pasa a considerarse hallazgo normal. ONDA T NEGATIVA Menor duración del QRS, S egmento PR más  corto M enores voltajes de las ondas R, S y T en derivaciones precordiales .

16. TRASTORNO DE DESPOLARIZACIÓN PRECOZ Repolarización temprana hace referencia a hallazgos electrocardiográficos que incluyen la elevación del punto J ≥ 0,1 mV, a menudo en forma lenta o con una muesca, seguida de elevación del segmento ST en 2 o más derivaciones contiguas. Común en pacientes Jóvenes Afrodescendientes de contextura  longilineos , y deportistas. Se aprecia principalmente en las derivaciones de CARA INFERIOR ( DII, D III y AVF) pero también es apreciable en las Antero- Septales (V1 V2 V3 y V4) 

17. QT DE TIPO CONGENITO: - Síndrome del QT largo congénito (SQTL) 

18. QT DE TIPO CONGENITO: - Síndrome del QT corto (SQTC)  ▪ Diagnóstico : la frecuencia cardiaca del paciente en cuestión debe ser menor de 130 latidos por minuto, y preferiblemente, menor de 100 latidos por minuto.  ▪ Es de suma importancia en los niños, ya que normalmente, su frecuencia cardiaca es alta incluso en reposo, y el SQTC es una posible causa de Muerte Súbita infantil

19. ¿COMO SACAR LA FC EN RITMO REGULAR E IRREGULAR?   Localice un QRS que se encuentra sobre una línea de división mayor del papel o Contar cuántos cuadros PEQUEÑOS los separa y Finalmente se dividen entre 1500   Ejemplo: 1 cuadro grande = 5 cuadros pequeños, 5 x 3 = 15  1500/ n° cuadros pequeños del intervalo R-R • 1500 / 15= 100 lpm   RITMO REGULAR : REGLA DE LOS 1500

20. ¿COMO SACAR LA FC EN RITMO REGULAR E IRREGULAR?   Contar el número de ondas R en 30 cuadros grandes (6 segundos) y multiplicar x 10  30 cuadros grandes en un ECG representan exactamente seis segundos  Multiplicar tu respuesta por diez te dará el número de latidos que se han producido en un minuto RITMO IRREGULAR:  Es aquel en el que la distancia entre cada intervalo RR no es similar. METODO DE LOS 6 SEGUNDOS. (9 x 10 = 90)

21. Gracias  

22. Mercury It’s the closest planet to the Sun and the smallest in the Solar System Venus Venus has a beautiful name and is the second planet from the Sun Mars Despite being red, Mars is actually a cold place. It’s full of iron oxide dust IDENTIFYING INFORMATION

23. 1 ABOUT THE PATIENT You can enter a subtitle here if you need it

24. PATIENT’S MEDICAL HISTORY AGE: 35 years GENDER: Female ALLERGIES: None LOCATION: Malaga, Spain 2008 2010 2015 Despite being red, Mars is a cold place. It’s full of iron oxide dust Saturn is a gas giant mostly composed of hydrogen and helium Venus has a beautiful name and is the second planet from the Sun

25. PATIENT’S MEDICAL HISTORY AGE: +60 years GENDER: Male ALLERGIES: Nuts LOCATION: Malaga, Spain Other diseases 70% 20% 10% Mercury

26. REVIEW OF SYSTEMS You can list the symptoms observed in the patient here You can list the symptoms observed in the patient here You can list the symptoms observed in the patient here Symptoms

27. REVIEW OF SYSTEMS Symptoms Patient A You can list the symptoms observed in the patient here You can list the symptoms observed in the patient here Patient B You can list the symptoms observed in the patient here Patient C You can list the symptoms observed in the patient here

28. PHYSICAL EXAMINATION Saturn is a gas giant mostly composed of hydrogen and helium Despite being red, Mars is a cold place full of iron oxide dust Jupiter is a gas giant and the biggest planet in the Solar System

29. 2 DISCUSSION You can enter a subtitle here if you need it

30. PHYSICAL EXAMINATION Mercury is the closest planet to the Sun and the smallest one Venus has a beautiful name and is the second planet from the Sun

31. A PICTURE IS WORTH A THOUSAND WORDS

32. FINDINGS To modify this graph, click on it, follow the link, change the data and replace this one here Team 1 Team 2 Despite being red, Mars is actually a cold place Venus has a beautiful name, but it’s terribly hot Team 1 Team 2

33. FINDINGS Follow the link in the graph to modify its data and then paste the new one here. For more info, click here Mercury Mars It’s the closest planet to the Sun and the smallest Despite being red, Mars is actually a cold place Venus Venus has a beautiful name and high temperatures

34. 18,000 Big numbers catch your audience’s attention

35. 333,000 Earths is the Sun’s mass 9h 55m 23s is Jupiter's rotation period 386,000 km is the distance between Earth and the Moon

36. THIS IS A MAP Despite being red, Mars is actually a cold place Venus has a beautiful name, but it’s very hot Saturn is a gas giant and has rings around itself

37. THIS IS A MAP Mercury is the closest planet to the Sun and the smallest one in the Solar System

38. “Jupiter is a gas giant and the biggest planet” “Despite being red, Mars is a cold place” “Saturn is mostly composed of helium” Dr. Jenna Doe Dr. John James Dr. Ian Patterson DISCUSSION

39. TESTIMONIALS “Despite being red, Mars is a cold place” “Saturn is a gas giant and has several rings” “Jupiter is the biggest planet of them all” “Venus is the second planet from the Sun” Jennifer Patterson Timmy Jimmy Susan Bones Jenna Doe

40. DISCUSSION SUMMARY Mercury is the closest planet to the Sun and the smallest one in the Solar System—it’s only a bit larger than the Moon. The planet’s name has nothing to do with the liquid metal

41. DISCUSSION SUMMARY Mercury is the closest planet to the Sun and the smallest one Venus has a beautiful name and is the second planet from the Sun Mercury Venus

42. COMPARISON Mercury Mars Venus Patient A Patient B Patient C

43. COMPARISON Patient A Symptoms Mercury is the smallest planet Treatment Venus is the second planet from the Sun Recovery Patient B Symptoms Mars is actually a very cold place Treatment Jupiter is the biggest planet Recovery

44. A PICTURE ALWAYS REINFORCES THE CONCEPT

45. Jupiter is the biggest planet of them all Saturn is the only planet with rings Neptune is the farthest planet from the Sun Mercury is the closest planet to the Sun Venus is the second planet from the Sun Despite being red, Mars is a cold place DIAGNOSIS 1 2 3 4 5 6

46. Mars is actually a very cold place It’s composed of hydrogen Jupiter is the biggest planet It’s the closest planet to the Sun Neptune is very far from the Sun Venus has high temperatures DIAGNOSIS Mars Saturn Jupiter Mercury Neptune Venus

47. Saturn Mars Saturn is the only planet with rings Despite being red, Mars is a cold place TREATMENT

48. TREATMENT Venus is the second planet from the Sun Jupiter is the biggest planet of them all Venus Jupiter Saturn is a gas giant and has several rings Saturn Despite being red, Mars is a cold place Mars

49. PATIENT MONITORING Week 01 Saturn Week 02 Saturn Jupiter Week 03 Saturn Jupiter Week 04 Saturn Jupiter Jupiter

50. PATIENT MONITORING Week 01 Saturn Jupiter Week 02 Saturn Jupiter Week 03 Saturn Jupiter Week 04 Saturn Jupiter Venus has a beautiful name and is the second planet from the Sun. It’s hot and has a poisonous atmosphere

51. CONTRAINDICATIONS & INDICATIONS Mercury’s name has nothing to do with the liquid metal Jupiter is a gas giant and the biggest planet in the Solar System Saturn is a gas giant mostly composed of hydrogen and helium Despite being red, Mars is a cold place full of iron oxide dust

52. CONTRAINDICATIONS & INDICATIONS Indications Contraindications Jupiter is the biggest planet of them all Saturn is a gas giant and has several rings Venus is the second planet from the Sun Despite being red, Mars is a cold place

53. 3 DIAGNOSIS You can enter a subtitle here if you need it

54. POST-PREVENTION Jupiter is the biggest planet of them all Saturn is a gas giant and has several rings Venus is the second planet from the Sun Despite being red, Mars is a cold place

55. POST-PREVENTION Jupiter is the biggest planet of them all Venus is the second planet from the Sun Saturn is a gas giant and has several rings Despite being red, Mars is a cold place Step 2 Step 1 Step 4 Step 3

56. PERCENTAGES Jupiter is the fourth-brightest object in the sky Saturn is a gas giant and has several rings Venus has a beautiful name, but it’s terribly hot 40% 80% 55% Follow the link in the graph to modify its data and then paste the new one here. For more info, click here

57. PERCENTAGES 60% 40% Venus Mercury Venus has a beautiful name and is the second planet from the Sun Mercury is the closest planet to the Sun and the smallest one in the Solar System

58. Saturn Jupiter Venus Mars Despite being red, Mars is a cold place Venus is the second planet from the Sun Jupiter is the biggest planet of them all Saturn is the only planet with rings CASE TIMELINE

59. CASE TIMELINE 1 2 3 4 Venus is the second planet from the Sun Jupiter is the biggest planet of them all Despite being red, Mars is a cold place Saturn is a gas giant and has several rings Venus Jupiter Mars Saturn 5 It’s the farthest planet from the Sun Neptune

60. Despite being red, Mars is a cold place full of iron oxide dust Jupiter is a gas giant and the biggest planet in the Solar System Venus has a beautiful name and is the second planet from the Sun CONCLUSIONS

61. CONCLUSIONS Jupiter is the biggest planet of them all Despite being red, Mars is a cold place Saturn is a gas giant and has several rings Venus is the second planet from the Sun ✔ ✔ ✔ ✔

62. SOCIAL MEDIA You can replace the image on the screen with your own work. Just delete this one, add yours and center it properly

63. SOCIAL MEDIA You can replace the image on the screen with your own work. Just right-click on it and select “Replace image” instagramtemplate Malaga, Spain 7453 likes Instagram template View all 100 comments

64. REFERENCES AUTHOR (YEAR). Title of the publication . Publisher AUTHOR (YEAR). Title of the publication . Publisher AUTHOR (YEAR). Title of the publication . Publisher AUTHOR (YEAR). Title of the publication . Publisher AUTHOR (YEAR). Title of the publication . Publisher

65. —SOMEONE FAMOUS “This is a quote, words full of wisdom that someone important said and can make the reader get inspired.”

66. 4 TREATMENT You can enter a subtitle here if you need it

67. You can talk about this person here Jenna Doe John James You can talk about this person here Jane Patterson You can talk about this person here OUR TEAM

68. You can speak a bit about this person here You can speak a bit about this person here You can speak a bit about this person here James Doe Timmy Jimmy John Bones OUR TEAM

69. DISEASES Men Women Heart disease 80% 20% Men Women Stomach disease 40% 60% Men Women Lungs disease 60% 40% Men Women Brain disease 70% 30%

70. CLINICAL CASE 2005-2009 Patient’s name Contraindications & indications List some indications here Sort them by relevance Adapt this to your needs Try to keep it short Go straight to the point

71. THIS IS A GRAPH Follow the link in the graph to modify its data and then paste the new one here. For more info, click here Mercury Mars It’s the closest planet to the Sun and the smallest in the Solar System Despite being red, Mars is actually a cold place. It’s full of iron oxide dust 60% 40%

72. A COMPARISON You can write a feature here Another feature can fit here If you wish, you can add more You can write a feature here Another feature can fit here If you wish, you can add more Mercury Venus

73. ORGANIZATION Mercury is the smallest planet Mercury Venus has a beautiful name Venus Despite being red, Mars is cold Mars Saturn is the ringed planet Saturn Neptune is very far from the Sun Neptune

74. TREATMENT September 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 October 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Days of treatment

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76. ALTERNATIVE RESOURCES

77. ALTERNATIVE RESOURCES

78. ICON PACK: HOSPITAL | LINEAL

79. INFOGRAPHICS 25% 50% 75% Follow the link in the graph to modify its data and then paste the new one here. For more info, click here

80. RESOURCES Find more Illustrations like these on Stor yset Vectors Doctors Insurance Health professional team Vaccine development Library Doctor Business card with medical concept Online Doctor Devices Green medicine background Medicine elements background Timeline with phonendoscope shape Health care landing page template Medicine

81. RESOURCES Photos Collection of medical equipment Smiling portrait of a blonde young businesswoman Small plastic human heart Man having heartache Doctors watching x-ray shot Young smiling female with electrodes Arrangement of medical objects Medical team Young lady with electrode on body Icons Icon Pack: Hospital | Lineal

82. RESOURCES Vectors Medical care World Hepatitis Day DNA Health professional team Gynecology consultation Instagram post with transparent background Road map with pointers Photos Close-up of a doctor filling the medical form with patient Female with electrodes holding figurine of heart Close up shot smiling aged man

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