Page 41 - Rapid Review of ECG Interpretation in Small Animal Practice, 2nd Edition
P. 41

Approach to Evaluating Arrhythmias




           ECG criteria (Figs. 3.13, 3.14):               VENTRICULAR FIBRILLATION
              • Abnormally wide and bizarre QRS complexes as
                                                          Ventricular fibrillation (VF) is an irregular chaotic
  VetBooks.ir    • No associated P waves.                 rhythm during which there is no organized ventricular
             compared to the normal sinus QRS complex.
                                                          contraction.  VF is a fatal arrhythmia because it is
              • Rate of ventricular beats is similar to (AV   never self-terminating and is associated with little to
             dissociation) or greater than the P wave rate   no cardiac output. Electric defibrillation is the only
             (VT).                                        viable treatment option.
              • Fusion beats are often present.
                                                          ECG criteria (Fig. 3.15):
                                                             • Chaotic and irregular deflections of varying
                                                             amplitudes.
                                                             • No distinguishable P, QRS, or T waves are
                                                             present.


































           Fig. 3.13 Dog, lead II, 50 mm/s showing ventricular   Fig. 3.14 Dog, lead II, 50 mm/s showing ventricular
           premature beats.                               tachycardia.



















           Fig. 3.15 Dog, lead II, 50 mm/s showing ventricular fibrillation.


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