심방과 심실의 비대

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심방과 심실 비대에 관한 병동 컨퍼런스 자료입니다.

목차

1. Definitions
2. 좌심방 비대 , Causes, Symptoms, Electrocardiographic Features
3. 우심방 비대 , Causes, Symptoms, Electrocardiographic Features
4. 좌심실 비대 , Causes, Symptoms, Electrocardiographic Features
5. 우심실 비대 , Causes, Symptoms, Electrocardiographic Features
6. LVH in CKD
7. Pathogenesis of LVH in CKD/ESRD:Preload, Afterload and Other Factors(Ritz E. Kidney Int 75:771-773, 2009)
8. LVH in CKD/ESRD: Cardiovascular Consequences (4-D Trial; Winkler K, et al. Euro Heart J 29:2092, 2008)
9. CASE STUDY(LVH)
10. C.C : Rt. thigh pain
11. Vital Sign & I/O
12. Echo
13. EKG
14. CBC
15. Electrolyte & BUN/Cr
16. Nursing diagnosis

본문내용

Electrocardiographic Features
Diagnostic criteria
Right axis deviation of +110° or more.
Dominant R wave in V1.
Dominant S wave in V5 or V6.
QRS duration < 120ms
Supporting criteria
Right atrial enlargement (P pulmonale).
Right ventricular strain pattern
= ST depression
/ T wave inversion(V1-4 & II, III, aVF).
S1 S2 S3 pattern
= far right axis deviation with dominant S waves in leads I, II and III.
Deep S waves (I, aVL, V5-V6).
Right bundle branch block.

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