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7521 (1 Kayıtlı Ve 7520 Misafir Üye Bulunmaktadır.)
Anasayfa İletişim TUS Güncel TUS Dersaneleri TUS Hazırlık Yabancı Dil ve TUS Mecburi Hizmet YDUS Tus Rehberi DUS
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Alt 02-20-2009, 15:50   #11
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Standart

An 83 year old man with aortic stenosis.


Left ventricular hypertrophy (LVH)

There are many different criteria for LVH.
  • Sokolow + Lyon (Am Heart J, 1949;37:161)
    • S V1+ R V5 or V6 > 35 mm
  • Cornell criteria (Circulation, 1987;3: 565-72)
    • SV3 + R avl > 28 mm in men
    • SV3 + R avl > 20 mm in women
  • Framingham criteria (Circulation,1990; 81:815-820)
    • R avl > 11mm, R V4-6 > 25mm
    • S V1-3 > 25 mm, S V1 or V2 +
    • R V5 or V6 > 35 mm, R I + S III > 25 mm
  • Romhilt + Estes (Am Heart J, 1986:75:752-58)
    • Point score system
Left atrial abnormality (dilatation or hypertrophy)
  • M shaped P wave in lead II
  • prominent terminal negative component to P wave in lead V1 (shown here)
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Alt 02-20-2009, 15:50   #12
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Standart

A 75 year old lady with loud first heart sound and mid-diastolic murmur.


Mitral Stenosis
  • There is atrial fibrillation. No P waves are visible. The rhythm is irregularly irregular (random).
  • There is the suggestion of right ventricular hypertrophy. Right axis deviation and deep S waves in the lateral leads. Another important feature of right ventricular hypertrophy not shown here is a dominant R wave in lead V1.
The combination of Atrial Fibrillation and Right Axis Deviation on the ECG suggests the possibility of mitral stenosis.
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Alt 02-20-2009, 15:51   #13
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Standart

A 59 year old lady with chronic bronchitis.


Right atrial hypertrophy
  • A P wave in lead II taller then 2.5 mm (2.5 small squares).
  • The P wave is usually pointed.
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Alt 02-20-2009, 15:51   #14
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Standart

An 84 year old lady with hypertension


There are a number of abnormalities here.
  • left anterior hemiblock
    • QRS axis more left than -30 degrees
    • initial R wave in the inferior leads (II, III and aVF)
    • absence of any other cause of left axis deviation
  • left ventricular hypertrophy
    • In the presence of left anterior hemiblock the diagnostic criteria of LVH are changed. Rosenbaum suggested that an S wave in lead III deeper than 15 mm as predictive of LVH.
  • long PR interval (also called first degree heart block)
    • PR interval longer than 0.2 seconds
  • left atrial hypertrophy
    • M shaped P wave in lead II
    • P wave duration > 0.11 seconds
    • terminal negative component to the P wave in lead V1
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Alt 05-24-2010, 01:28   #15
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Standart AV block

Bir zamanlar açtığım şu konuyu gündeme getireyim yine

A 73 year old woman with dizziness.


2 to 1 AV block

  • every other P wave is conducted to the ventricles
    • 2 to 1 AV block starts after the 5th QRS in this 3 channel recording. The first non-conducted P wave is indicated with an arrow.
  • the PR interval of conducted P waves is constant
    • in this lady there is a long PR interval (and left bundle branch block)
  • 2 to 1 AV block cannot be classified into Mobitz type I or II as we do not know if the 2nd P wave would be conducted with the same or longer PR interval.
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Alt 05-24-2010, 13:54   #16
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aerol is just really niceaerol is just really niceaerol is just really niceaerol is just really nice
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harika elinize sağlık
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Alt 05-24-2010, 15:29   #17
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Harika Stetuskop
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Alt 05-27-2010, 07:43   #18
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Ingilizce ye katkı sağlıyor.
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Alt 06-11-2021, 04:36   #19
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Alt 06-11-2021, 05:16   #20
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Standart wtrhiffud

plaquenil 300 mg
 
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UTS Kardiyoloji ÖZET steTUSkop Dahiliye 36 05-30-2009 07:17
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