✅ Presentation of cardiovascular diseases, the treatment of decoding the ECG
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Lecture: cardiovascular diseases and their treatment — Interpretation of ECG Findings
Introduction
Cardiovascular disease (CVD) is the leading cause of death and require early diagnosis and effective therapy. One of the most important diagnostic methods for the detection of heart problems, the electrocardiogram (ECG) represents the electrical activity of the heart is graphically. In this talk, first of all, the most common cardiac cycle will be introduced to diseases, then the importance of ECG Interpretation for the diagnosis and treatment will be explained.
Frequent Cardiovascular Diseases
Among the most common CVD:
Coronary heart disease (CHD): Due to narrowing of the coronary arteries is decreased blood flow to the heart muscle, which can lead to Angina or a myocardial infarction.
Hypertension: A permanently elevated blood pressure is damaging in the long term, heart, kidneys and blood vessels and increases the risk for stroke and heart attack.
Heart rhythm disorders (arrhythmias): deviations from the normal sinus rhythm, such as atrial fibrillation, tachycardia or bradycardia, can lead to circulatory disorders.
Congestive heart failure: The heart loses its Capacity to shortness of breath, Edema, and limitation of physical efficiency.
Valve defect: Defects of the heart valves (e.g., aortic stenosis) can affect the blood flow and strain the heart.
ECG: principles and Interpretation
The ECG records the electrical impulses, the contraction of the heart is responsible. A normal ECG consists of the following waves and intervals:
P‑Wave: Atrial Depolarization
PQ‑interval: time from the beginning of the atrial until the beginning of the chamber of arousal
QRS complex: the comb of the earth polarization (discharge)
ST Segment: the time between the comb of the earth, polarization and repolarization
T‑Wave: Chamber Of Repolarization (Reverse Polarization)
Diagnostic clues in the ECG
Certain changes in the ECG indicate specific diseases:
Myocardial infarction: ST‑extension, pathological Q‑waves, inverted T waves
Ischemia: ST‑cut, flat or negative T‑waves
Atrial fibrillation: an Irregular rhythm, the lack of P‑waves, R‑waves instead of P‑waves
AV Block: prolongation of the PQ interval (1. Degree), failure of the QRS Complex (2. Degrees), the complete decoupling of the P‑waves and QRS (3. Degree)
Ventricular tachycardia: a wide QRS Complex, high heart rate
Treatment strategies in dependence of ECG Findings
The recommendations are in accordance with the ECG results:
In the case of an acute ST‑lifter infarction (STEMI) is an immediate Revascularization (PCI or thrombolysis) is required.
In the case of atrial fibrillation, anticoagulants (e.g., DOAKs) are used for the prevention of Stroke and, if necessary, rhythm‑ or rate-control.
At high AV‑blocks, a pacemaker may be necessary.
For ventricular arrhythmias, antiarrhythmic drugs, or an Implantable cardioverter‑Defibrillator (ICD) in question.
In the case of Ischemia, a coronary angiography to clarify the stenosis location is carried out.
Conclusion
The correct Interpretation of the ECG diseases is an indispensable tool in the diagnosis of cardiovascular disease. It provides a rapid and targeted treatment, which can improve the Survival and quality of life of patients significantly. Advances in technology and training of health professionals contribute to increase the accuracy and efficiency of the ECG diagnostics.
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