Bradycardia electrocardiogram: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
|||
| Line 6: | Line 6: | ||
An [[ECG]] may be helpful in the diagnosis of [[bradycardia]]. An upright [[P wave]] in leads I, II, and aVL, and a negative [[P wave]] in lead [[aVR]], indicates a sinus origin of the [[bradycardia]]. It is vital to exclude other causes of [[Bradyarrhythmia|bradyarrhythmia's]] such as [[AV block]]. | An [[ECG]] may be helpful in the diagnosis of [[bradycardia]]. An upright [[P wave]] in leads I, II, and aVL, and a negative [[P wave]] in lead [[aVR]], indicates a sinus origin of the [[bradycardia]]. It is vital to exclude other causes of [[Bradyarrhythmia|bradyarrhythmia's]] such as [[AV block]]. | ||
== 2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay<ref name="pmid30586772">{{cite journal| author=Kusumoto FM, Schoenfeld MH, Barrett C, Edgerton JR, Ellenbogen KA, Gold MR | display-authors=etal| title=2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. | journal=Circulation | year= 2019 | volume= 140 | issue= 8 | pages= e382-e482 | pmid=30586772 | doi=10.1161/CIR.0000000000000628 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30586772 }}</ref> == | |||
=== Recommendation for Electrocardiogram (ECG) in Patients With Documented or Suspected Bradycardia or Conduction Disorders === | |||
{| class="wikitable" | |||
|- | |||
| colspan="1" style="text-align:center; background:LightGreen" |[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]] | |||
|- | |||
| bgcolor="LightGreen" |'''1.'''In patients with suspected bradycardia or conduction disorder, a 12-lead ECG is recommended to document rhythm, rate, and conduction, and to screen for structural heart disease or systemic illness. ''(Level of Evidence: B-NR)'' | |||
|} | |||
==Electrocardiogram== | ==Electrocardiogram== | ||
===Resting EKG=== | ===Resting EKG=== | ||
Revision as of 01:06, 28 December 2022
|
Bradycardia Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Bradycardia electrocardiogram On the Web |
|
American Roentgen Ray Society Images of Bradycardia electrocardiogram |
|
Risk calculators and risk factors for Bradycardia electrocardiogram |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M.Umer Tariq [2] Ibtisam Ashraf, M.B.B.S.[3]
Overview
An ECG may be helpful in the diagnosis of bradycardia. An upright P wave in leads I, II, and aVL, and a negative P wave in lead aVR, indicates a sinus origin of the bradycardia. It is vital to exclude other causes of bradyarrhythmia's such as AV block.
2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay[1]
Recommendation for Electrocardiogram (ECG) in Patients With Documented or Suspected Bradycardia or Conduction Disorders
| Class I |
| 1.In patients with suspected bradycardia or conduction disorder, a 12-lead ECG is recommended to document rhythm, rate, and conduction, and to screen for structural heart disease or systemic illness. (Level of Evidence: B-NR) |
Electrocardiogram
Resting EKG
- An ECG may be helpful in the diagnosis of bradycardia. Findings on an ECG diagnostic of bradycardia include:
- The heart rate is < 60 beats per minute.
- An upright P wave in leads I, II, and aVL.
- A negative P wave in lead aVR, indicates a sinus origin of the bradycardia.[2]
24 Hour Ambulatory Electrocardiogram Monitoring
- The diagnosis is usually made with the help of a 24-hour ambulatory electrocardiogram (ECG) or telemetry.
References
- ↑ Kusumoto FM, Schoenfeld MH, Barrett C, Edgerton JR, Ellenbogen KA, Gold MR; et al. (2019). "2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society". Circulation. 140 (8): e382–e482. doi:10.1161/CIR.0000000000000628. PMID 30586772.
- ↑ Kundu A, Fitzgibbons TP (2015). "Acute symptomatic sinus bradycardia in a woman treated with pulse dose steroids for multiple sclerosis: a case report". J Med Case Rep. 9: 216. doi:10.1186/s13256-015-0701-x. PMC 4581459. PMID 26400725.