ARYTHMIAS

Definition

• Dysrhythmias are disorders of the formation or conduction of the

electrical impulse within the heart. These disorders can causes
disturbances of the heart rate, the heart rhythm or both.
Normal conduction system
Electrophysiology
Causes
A. Heart conditions
• Accessory pathways
• Cardiomyopathy
• Conduction defects
• Heart failure
• Myocardial ischemia or infarction
• Valve disease
Other conditions
 Acid base imbalances
 Alcohol
 Caffeine, tobacco
 Connective tissue disorder
 Drug effects
 Electric shock
 Electrolyte imbalances
 Emotional crises
 Herbal supplements
 Hypoxia
 Metabolic conditions
 Drowning
 Sepsis, shock
 Toxins
TYPES
I. Arrhythmias originating in the SA node
 Sinus bradycardia
 Sinus tachycardia
 Sinus arrest
 Sinus exit block
 Sick sinus syndrome
Arrhythmias in the atria
• Premature atrial conduction
• Multifocal atrial tachycardia
• Atrial tachycardia
• Atrial flutter
• Atrial fibrillation
Supra ventricular tachycardia
ventricular tachycardia
Junctional dysrhythmias
 ventricular fibrillation
• Conduction abnormalities
First degree AV block
Second degree AV block –type1 or mobitz
type2 or mobitz
Third degree AV block
SINUS TACHY CARDIA
SINUS EXIT BLOCK
SINUS NODE ARREST
SICK SINUS SYNDROME
PREMATURE ATRIAL CONTRACTION
ATRIAL FLUTTER
ATRIAL FIBRILLATION
JUCTIONAL DYSRHYTHMIAS
THIRD DEGREE AV BLOCK
PREMATURE VENTRICULAR
CONTRACTION
VETRICULAR TACHYCARDIA
VENTRICULAR FIBRILLATION
ASYSTOLE
NURSING MANAGMENT