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Comparison of diagnostic accuracy of four ECG algorithms/criteria for the diagnosis of patient with wide QRS complex tachycardia / Mohamed Said Ahmed Abouhadima ; Supervised Hassan Khaled Naji , Ahmed Abdelazziz Mohamed , Ahmed Taher Mahmoud

By: Contributor(s): Material type: TextTextLanguage: English Publication details: Cairo : Mohamed Said Ahmed Abouhadima , 2021Description: 113 P. : charts , facsimiles ; 25cmOther title:
  • مقارنة الدقة التشخيصية لاربعة الخوارزميات / معايير باستخدام تخطيط القلب الكهربائى لتشخيص تسارع القلب عريض المركب [Added title page title]
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Dissertation note: Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Critical Care Medicine Summary: Misdiagnosis of ventricular tachycardia as SVT based on hemodynamic stability is a common mistake that can lead to inappropriate and potentially dangerous therapy. The principal goal of a correct diagnosis at presentation is not to harm. An SVT incorrectly thought to be VT may be treated with electrical cardioversion oramiodarone{u2013} not optimal therapy. If the presenting rhythm was instead atrial flutter (AFL), cardioversion in an unanticoagulated patient will incur a 1.5 % risk of stroke, harming one in every 66 patients, in addition to risky sedation, medication, and skin burn for electrical cardioversion. Worse still if the patient with VT is treated as SVT. In this condition, drugs with negative inotropic effects such as CCB (verapamil or diltiazem) may be used to control the presumed SVT. In one study, 100 % of patients given CCB (verapamil) for an inaccurate diagnosis of SVT had hemodynamic deterioration. This mistake must be avoided ifpossible
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Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.09.M.Sc.2021.Mo.C (Browse shelf(Opens below)) Not for loan 01010110083899000
CD - Rom CD - Rom مخـــزن الرســائل الجـــامعية - البدروم المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.09.M.Sc.2021.Mo.C (Browse shelf(Opens below)) 83899.CD Not for loan 01020110083899000

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Critical Care Medicine

Misdiagnosis of ventricular tachycardia as SVT based on hemodynamic stability is a common mistake that can lead to inappropriate and potentially dangerous therapy. The principal goal of a correct diagnosis at presentation is not to harm. An SVT incorrectly thought to be VT may be treated with electrical cardioversion oramiodarone{u2013} not optimal therapy. If the presenting rhythm was instead atrial flutter (AFL), cardioversion in an unanticoagulated patient will incur a 1.5 % risk of stroke, harming one in every 66 patients, in addition to risky sedation, medication, and skin burn for electrical cardioversion. Worse still if the patient with VT is treated as SVT. In this condition, drugs with negative inotropic effects such as CCB (verapamil or diltiazem) may be used to control the presumed SVT. In one study, 100 % of patients given CCB (verapamil) for an inaccurate diagnosis of SVT had hemodynamic deterioration. This mistake must be avoided ifpossible

Issued also as CD

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