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Understanding the Electrocardiogram

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  2. Understanding the Electrocardiogram In Health & Disease
  3. 5.0.0 ELECTROLYTE ABNORMALITIES, DRUG EFFECTS AND THE LONG QT SYNDROMES
  4. 5.5.0 Drug effects (frame 45)
  5. 5.5.10 (55)

5.5.15 (frame 60)


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The binding of the class III and Ia drugs to the potassium channel is not use dependent. Thus, these drugs do not cause greater lengthening of the QT interval at more rapid rates than at slower rates. Indeed, the reverse is true, and the magnitude of the QT lengthening is often greater at slower rates than at the more rapid rates. This phenomenon has been called “reverse use dependency”. The graphs shown here illustrate the effects of rate on QRS duration and on QT interval in the absence and presence of class I and III antiarrhythmic drugs. Amiodarone causes less reverse use dependency than the other class III drugs,

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  • Introduction to First Edition
  • 1.0.0 Generation of the ECG
  • 2.0.0 The Normal Electrocardiogram
  • 3.0.0 Inter and intra-ventricular Conduction Disturbances
  • 4.0.0 Ventricular Hypertrophy
  • 5.0.0 ELECTROLYTE ABNORMALITIES, DRUG EFFECTS AND THE LONG QT SYNDROMES
    • 5.1.0 Ion Channel R review (frame 1)
    • 5.2.0 High Potassium (9)
    • 5.2.10 (frame 19)
    • 5.3.0 low potassium (frame 28)
    • 5.4.0 CHANGES IN CALCIUM AND SODIUM (frame 36)
    • 5.5.0 Drug effects (frame 45)
      • 5.5.1 (frame 46)
      • 5.5.2 (47)
      • 5.5.3 (48)
      • 5.5.4(49)
      • 5.5.5(50)
      • 5.5.6 (51)
      • 5.5.7 (52)
      • 5.5.8 (53)
      • 5.5.9 (54)
      • 5.5.10 (55)
        • 5.5.11 (frame 56)
        • 5.5.12 (57)
        • 5.5.13 (58)
        • 5.5.14 (59)
        • 5.5.15 (frame 60)
        • 5.5.16 (61)
        • 5.5.17 (62)
        • 5.5.18(63)
        • 5.5.19 (64)
      • 5.5.20(frame 65)
      • 5.5.30 (frame 75)
      • 5.5.40 (frame 85)
      • 5.5.50 (frame 95)
    • 5.6.0 (frame 96) Hypothermia
    • 5.7.0 Brugada syndrome frame 116
  • 6.0.0 Ischemia and Infarction - Introduction (frame i and ii)
  • 7.0.0 Tachycardias- Introduction
  • 8.0.0 The Bradycardias frame i-introduction
  • 9.0.0 The ECG of Heart Murmurs-introduction
  • 10.0.0 The Electrocardiogram in the Emergency Department-Introduction
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