Dear Editor-in-Chief, Dr. William G. Stevenson Regarding submission of the manuscript “Osborn waves following out-of-hospital cardiac arrest – Effect of level of temperature management and risk of arrhythmia and death” The Osborn or J-wave, an upright deflection of the J-point on the electrocardiogram (ECG), was originally reported by Tomaszewski in 1938 and further investigated by Osborn in 1953 and is often observed during (severe) hypothermia. The severity of J-point deflection is inversely proportional with temperature lowering and fully reversible by rewarming. Numerous hypothermia related case reports suggest the presence of Osborn waves to increase the risk of malignant ventricular arrhythmia (VT/VF). We sought to investigate this …show more content…
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Table 1. This table shows the recording of the amplitude, period, and BPMs for the ventricular contractions before and the effects of the Cold Ringer’s after.
1. Why did Allen’s heart rate and blood pressure fall in this time of emergency (i.e. at a time when you’d expect just the opposite homeostatic response)? Pg. 969
19-23 June - I will be TDY in El Paso TX: This could be a week that you can come to ARSOUTH and help us develop an NCO ADOS position write up for next FY and maybe the same week you can engage the ARNORTH SGM(SGM Clause) if the 377th TSC will support them in the near future.
of atria and ventricle. Impulses not being transmitted from atria to the ventricle; no whole number relationship between atrial and ventricular contractions was demonstrated.
Though data from vagal stimulation was disregarded, it is still important to mention the responses that should have been elicited had the vagus nerve been stimulated properly. The vagus nerve (cranial nerve X) is a part of the parasympathetic nervous system and reduce heart rate when given enough electrical stimulation. Vagal escape occurs when the vagus nerve has been stimulated to the point of the nerve ceasing to repolarize, and then resuming sending action potential for heartbeat. The result is a cease or slowing of heart rate temporarily, and then heart rate starting up again. When atropine is applied to the heart along with vagal stimulation, the atropine blocks any response the vagus nerve should send (Sarnoff et al,
For more than a decade, Targeted Temperature Management (TTM) has been the recommended treatment modality in adult comatose patients following out-of-hospital cardiac arrest (OHCA)[1] in order to improve survival and neurological outcome by minimizing brain injuries due to anoxia and reperfusion injury.
Our cardiac muscle remains unaffected in those with Malignant Hyperthermia because this condition is within the skeletal muscles. Here, the brain sends electrical signals that eventually reach the calcium pump and cause a domino effect. There are minimal proven theories about Malignant Hyperthermia’s effect on the cardiac muscle by professionals; however, what is known, is that during a Malignant Hyperthermia crisis, there are increased abnormal heart rhythms frequent in this disorder. These arrhythmias are often attributed to the damage made directly to the cardiac muscle.
In The Sound of Waves, Yukio Mishima creates an exquisite story which has strong idealistic and mythic features. Although Mishima writes of young love and tranquility in The Sound of Waves, his later works are categorized as aggressive and containing violent sexual actions. Even Mishima himself referred to The Sound of Waves as "that great joke on the public" (qtd. in Ishiguro 385). However, one cannot compare this novel to Mishima’s other literary pieces; in order to classify it as romanticized, one must evaluate the usage of imagery, an idealized setting, mythical allusions, and characterizations which establish the romantic-driven qualities in The Sound of Waves.
Customs and beliefs is what make up a tradition, and tradition is the way one lives their life. In the novel, The Sound of Waves, Yukio Mishima exposed his own view on Japanese traditionalism. Throughout this novel, it is shown that Yukio Mishima believed that Japanese tradition consists of an organized social class, the Bushido code, and going after what one truly believes should be theirs. Mishima illustrated these personal views of Japanese traditionalism through the actions of the Shinji.
Resting heart contractions were recorded for thirty seconds until the heart rate was less than 60 beats per minute. A stimulator electrode to be used was set to the following states: Amplitude of 4.00 Volts, a stimulus delay of 50ms, stimulus duration of 10ms, a frequency of 1.0Hz, and a pulse number of 30. The electrode was then placed in direct contact with the heart for 30 seconds at which time the data was observed and recorded.
4. Atrial hypertrophy would probably have what effect on an electrocardiogram? *spike the p wave
Have you ever been hurt by words or inspired by a saying? It’s staggering that they can change people's life for good or end it altogether. The Wave, a short novel based on a true story by Morton Rhue, demonstrates the power of words in good and bad ways. The novel is about a teacher who dictates his students into a Nazi-like student group as a lesson for his history class. However, the simple, seemingly harmless experiment soon goes out of hand and no one can stop the students organization, The Wave. An important idea in the text is ‘words can be used for harm or for good. One author method that is used by Rhue to convey this idea is the power of repetition of harmful words. And a second author method that is used by Rhue to reveal this idea is persuasive, emotive language by Mr Ross to get students on board with the experiment.
In the first part of the practical, we will dissect the heart of a sheep and observe its anatomical structure. We will also examine the structure of blood vessels at a microscopic level. My hypothesis is that by examining the anatomy of the cardiovascular system, we will be able to detect differences in both vessels and the chambers of the heart. In the second part of the practical we will examine the electrical activity of the heart. In doing so my aim will be to produce a familiar ECG reading containing a P wave, QRS complex and T wave. Futhermore, we will take blood pressure readings by listening to the korotkoff sounds of the heart using a sphygmomanometer and stethoscope. We hypothesis that the higher the arm position is from the ground, the smaller the blood pressure reading will
What is a sound wave? A sound wave is produced by a mechanical vibration, such as a tuning fork. The vibrating object causes the surrounding medium, such as air, to vibrate as well.The wave travels through the medium to a detector, like your ear, and it is heard.As with any type of wave, a sound wave is also described by it's wavelength, amplitude, period, and frequency.
Dugdale, D. (2012, June 22). Cardiogenic Shock. U.S National Library of Medicine. Retrieved November 23, 2013, from http://www.nlm.nih.gov/medlineplus/ency/article/000185.htm