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Bradicardias y Bradiarritmias

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on 26 March 2015

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Transcript of Bradicardias y Bradiarritmias

Bradicardias y Bradiarritmias
Diego Ricardo Egas Proaño, MD
1. Enfermedad del Nódulo Sinusal

2. Enfermedad del Nódulo AV

3. Enfermedad Hiss - Purkinje

4. Otras bradicardias / falsas

Enfermedad del N.S.
Bloqueos AV
BAV 1G
BAV 2G MI
BAV 2G MII
BAVT
Pausas Sinusales (bloqueos sino-atriales)
Bradicardia Sinusal
Sindrome Bradi-Taqui
FA de baja respuesta
BSA I Grado y III Grado
No distinguibles en ECG


*En BSA no existen P que no conducen, solo P retrasadas
BSA II Grado Mobitz I
P-P disminuye hasta bloquear (retrasar) P

Intervalo P-P siguiente no siendo múltiplo exacto del previo
BSA II Grado Mobitz II
P-P no disminuye

Intervalo P-P bloqueado es múltiplo exacto del previo
Aspectos Clínicos
Síntomas

Complicaciones
Palpitaciones
Mareo
Disnea
Angina
Pérdida de Memoria
Síncope
Somnolencia
Tromboembolia
IC
AVC
Traumas
I grado

II grado
Mobitz I (Wenkeback)
Mobitz II

III grado
Clínica
Síncope (Stokes - Adams)
Presíncope
Mareos
Intolerancia al esfuerzo
Debilidad
Fatiga
Somnolencia
Angina
Gracias
Full transcript