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Diseases of the circulatory system
문제
The patient's ECG shows a ______ rhythm with no discernible P waves and an irregularly irregular QRS pattern, suggesting atrial fibrillation.
House M.D. Season 3 Episode 15
1
chaotic
✓ 정답
2
regular
3
sinus
4
normal
5
stable
해설
A chaotic rhythm is characteristic of atrial fibrillation, where the atria quiver instead of contracting in a coordinated way. This results in an irregularly irregular pattern on ECG with no visible P waves.
같은 주제 다음 문제 The patient's EKG shows significant ST ______ in leads V2 through V4, suggesting acute ant…
임상 시나리오 ECG Characteristics of Atrial Fibrillation:
- No discernible P waves
- Irregular RR intervals
- QRS complexes < 120ms unless aberrant conduction
- Fibrillatory waves may be present
- Heart rate typically 110-160 bpm
- Baseline oscillation between 350-600 beats/minute
Clinical Features:
- Palpitations
- Dyspnea
- Fatigue
- Dizziness
- Risk of thromboembolism
Risk Factors:
- Advanced age
- Hypertension
- Heart failure
- Valvular heart disease
- Obesity
- Sleep apnea
Treatment Options:
- Rate control medications
- Rhythm control medications
- Anticoagulation
- Cardioversion
- Ablation procedures
Monitoring Parameters:
- Heart rate control
- INR levels
- Signs of bleeding
- Stroke symptoms
- Medication compliance
핵심 개념
chaotic — Describes a disorganized, unpredictable pattern without regular order or structure in cardiac rhythm
regular — Describes a cardiac rhythm that follows a consistent, uniform pattern with equal intervals between beats
sinus — Refers to the normal heart rhythm originating from the sinoatrial node with identifiable P waves
normal — Describes the standard, expected cardiac rhythm without any abnormalities or irregularities
stable — Describes a cardiac rhythm that maintains consistent characteristics without significant changes over time
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