Thursday, December 12, 2013

AECG is much broader PERMANENT ECG

AECG is not only expanding the boundaries of traditional ECG, but is an important tool for assessing regulatory systems in their daily measurement, the use of which - no simple matter.


Standards of regulatory systems are not just tend to sex, age and environmental conditions have a clear seasonal pattern change during the day due to the natural activity ... They are extremely individual as each of us is different with the top personality in the psychological I.


One of the tools in the AECG, which measures the regulatory system is the heart rate variability (HRV).


Standards of HRV in healthy


high individual at rest and transient;


increase the total power of the HRV spectrum modulation of breathing and fall - in orthostatic reactions due to changes in the prevailing power of the high frequency component;


absence of gender (sex) differences in heart rate greater in females;


reduction of the total spectral power of HRV with age due to more quickly lower power high-frequency component;


lower weight - higher, higher weight - lower total power and power High-frequency component of HRV spectrum with higher and, consequently, lower respiratory reactions to metronomizatsiyu and active orthostasis;


Circadian changes in the spectral parameters of HRV with the growth of the total power spectrum due to the high frequency component of the night and fall due to the relative increase capacity of low-and mid-frequency components in the fall - high-frequency component;


increase the total power of the HRV spectrum with increasing power of high-frequency component of the active physical life with orientation to cyclical exercise;


total power falling HRV spectrum power is reduced when the active high-frequency component of mental activity coupled with low physical activity.


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Ambulatory ECG. AECG is much broader PERMANENT ECG

Ambulatory ECG monitoring. AECG is much broader long-term ECG NI Yabluchansky, AV Martynenko, LA Martimyanova

Series: for real doctors. Second edition, corrected, revised.


Kharkov, 2010, 187 p.


The book is dedicated to ambulatory ECG monitoring - from technical aspects to


Examples of clinical application of the proposed draft of the report and


interpretation of the results. Designed for cardiologists, specialists


functional diagnosis, doctors of other specialties related to


use in their work results ambulatory ECG monitoring.


Table of contents


Abbreviations

From the beginnings to the present day

The object of study



  • Sources of electrophysiological processes in the heart

  • Spatio-temporal organization of the myocardium



  • Cardiac conduction system

  • The regulation of the heart

  • Mirror regulation




Systems and procedures



  • Of recorders

  • Maintenance



  • Necessary conditions for a quality check

  • The recording quality

  • Duration of registration

  • Artifacts

  • Cost of research



  • Leads in AECG

  • Statement

  • Protocol



  • Diary

  • Diagnostic and therapeutic procedures

  • Smart AECG



  • The signal-averaged high-resolution AECG


Physiological norms AECG

AECG is much broader long-term ECG

Testing the biological clock



  • On the biological and astronomical clock

  • Basic concepts and indicators of the biological clock

  • Biorhythms



  • The guard at the gate

  • Mechanisms of formation and regulation of biorhythms

  • The most important synchronizer



  • The whole salt in the transient

  • Circadian rhythms and the central clock

  • Dream

  • Wake

  • Aging of the biological clock



  • Circadian index

  • The clinical significance of biorhythms

  • Desynchronoses



  • The value of the biological clock in the AECG


On the quasi-stationary and transient



  • Heart rate variability - a window to the regulatory protsessyorganizma

  • The assessment of the transient



  • By separating the quasi-stationary and transient


HRV technology



  • Methods of HRV

  • Inteprpretatsiya HRV



  • Removing restrictions


Methods of transients



  • Examples of transients with explanations

  • The standard protocol to enter into



  • The main thing in quasi-stationary and transient


AECG and medical smeshatelstva



  • Tale of a lie, but it hints

  • Control regulation

  • Seven times, measure, cut, may not have

  • Extremes are not justified



  • Time to rewrite the scrolls

  • Supra-class drug

  • Dronedarone



  • Dronedarone, or, after all, amiodarone?

  • If you are interested in atrial fibrillation

  • Also arrhythmia

  • Examples of standard reports AECG




The major clinical syndromes and diseases



  • Large adaptation syndrome

  • Arrhythmias

  • A word about heart rate



  • Sinus tachycardia

  • Sinus bradycardia

  • Sinus arrhythmia

  • Sinus block (second degree with a Wenckebach period)



  • Ventricular pre-excitation syndrome

  • Premature complex

  • Paroxysmal tachycardia

  • Atrial rhythm

  • Ventricular rhythms



  • Parasystole

  • Bradyarrhythmias

  • Sinus node dysfunction



  • Violations of the atrioventricular conduction

  • Fibrillation and atrial flutter

  • The risk factor of ventricular tachycardias

  • Brugada syndrome



  • Ventricular late potentials


Literature

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Physiological norm AECG

With AECG professionals have more tolerant of electrophysiological and other phenomena in the circulatory system. Thus, the heart rate due to physiological norms AECG became much more widely, and many electrophysiological phenomena are perceived to it as a manifestation of pathology today are common findings in healthy people and acquire clinical significance when it comes to compromised heart.


Therefore set out below normal AECG have sens exclusively in the Annex to the heart of a healthy person.


Physiological norms AECG


The lower boundary of heart rate (beats / min), most often during sleep


newborn - 70


children under 1 year - 65


Children under 11 years - 45


adolescents up to 16 years - 40


persons over 18 years old - 35


The upper limit of heart rate (beats / min)


newborns - 220


children up to 11 years - 200


adolescents under the age of 16 - 190


persons over 18 years - 220 - the number of years


ST-segment elevation


to1 mms 10 years of age


more than 1 mm of less than 1 minute


Wide fluctuations in the amplitude of the T wave in the positive range


Short periods of change in the amplitude of the P wave


Pause (most often during REM sleep) for up to


1000 ms in newborns


1750 ms in adults


the second criterion - do not exceed twice the previous RR-interval


QT interval regardless of heart rate to


400 ms to 1 year


430 ms up to 3 years


480 ms to 15 years


500 ms over 15 years


Fly-out rhythms


supraventricular


nodal


Beats


supraventricular single


supraventricular group of adults


Single ventricular to 60 years


paired ventricular over 60 years


Paroxysmal tachycardia in adults


supraventricular


Ventricular


Atrial fibrillation

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