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    Autores: Rodrigo Antonio Brandão Neto Médico Assistente da Disciplina de Emergências Clínicas do Hospital das Clínicas da Faculdade de Medicina da USPLucas Santos Zambon Doutorado pela Disciplina de Emergências Clínicas Faculdade de Medicina da USP; Médico e Especialista em Clínica Médica pelo HC-FMUSP; Diretor Científico do Instituto Brasileiro para Segurança do Paciente (IBSP); Membro da Academia Brasileira de Medicina Hospitalar (ABMH); Assessor da Diretoria Médica do Hospital Samaritano de São Paulo. As arritmias cardíacas podem ser divididas, conforme a frequência cardíaca, em taquiarritmias e bradiarritmias. As bradiarritmias são definidas pela presença de frequência cardíaca menor que 60 batimentos por minuto (bpm) ou frequência cardíaca inapropriadamente baixa para determinada condição clínica, por exemplo paciente com sepse, choque ou hipotensão, lembrando que alguns pacientes em repouso apresentam frequências menores que 60 bpm, sem que isso represente necessariamente uma condição patológica. As taquiarritmias, por sua vez, apresentam frequência cardíaca maior que 100 bpm e podem ser classificadas em: Taquicardias com QRS estreito (origem supraventricular): taquicardia sinusal; fibrilação atrial; flutter atrial; taquicardia atrial; taquicardia por reentrada nodal; taquicardia juncional e taquicardia atrioventricular (ortodrômica, envolvendo uma via acessória). Taquicardias com QRS largo (na maioria das vezes, são de origem ventricular): taquicardia ventricular; fibrilação ventricular e taquicardia supraventricular com aberrância de condução intraventricular (com bloqueio de ramo antigo ou funcional). Taquicardias com pré-excitação (origem supraventricular): taquicardia antidrômica (utiliza uma via acessória em sentido anterógrado e nó atrioventricular em sentido retrógrado); taquiarritmias atriais conduzidas através de uma via acessória. Caso não seja possível identificar complexos QRS, restam duas alternativas: assistolia e fibrilação ventricular. Propranolol vs atenolol - MedHelp buy colchicine tablets online Tablettidentifiering - FASS Allmänhet Propranolol vs atenolol for anxiety - MedHelp
     
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