The EKG in the patient treated with encainide, flecainide and propafenone

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Electrocardiographic Findings

1. Prolong the PR and the QRS
2. Propafenone may also slow the sinus rate due to its β-blocking effects

Additional resources

• ECGpedia: Course for interpretation of ECG
• The whole ECG - A basic ECG primer
• 12-lead ECG library
• Simulation tool to demonstrate and study the relation between the electric activity of the heart and the ECG
• ECG information from Children's Hospital Heart Center, Seattle
• ECG Challenge from the ACC D2B Initiative
• National Heart, Lung, and Blood Institute, Diseases and Conditions Index
• A history of electrocardiography
• EKG Interpretations in infants and children

v • d • e Electrocardiography
Overview	History of the EKG • EKG interpretation basics • Normal sinus rhythm
EKG Complexes	P wave • QRS complex • ST Segment • T wave • U wave Osborn wave • H wave • K wave • Delta wave NSSTW changes
EKG Intervals	PR Interval • QRS Interval • ST Interval • QT Interval
Conduction System & Bradycardia	Cardiac pacemaker • SA node • AV node• Bundle of His • Purkinje fibers • Sinus bradycardia • First Degree AV Block • Second Degree AV Block • Complete or Third-Degree AV Block • Concealed conduction • AV Junctional Rhythms • LBBB • LAHB • LPHB • RBBB • Trifascicular block
Atrial Arrhythmias	Sinus tachycardia • Premature Atrial Contractions (PACs) • Ectopic Atrial Rhythm • Paroxysmal Atrial Tachycardia (PAT) • Paroxysmal Atrial Tachycardia (PAT) with Block • Multifocal Atrial Tachycardia (MAT) • Atrial Flutter • Atrial Fibrillation • Wandering atrial pacemaker
Ventricular Arrhythmias	Differential Diagnosis of Tachycardia with a Wide QRS Complex • Accelerated Idioventricular Rhythm • Ventricular Parasystole • Premature Ventricular Contractions (PVCs) • Ventricular tachycardia • Ventricular Fibrillation • Sudden cardiac death
EKG Abnormalities in Disease States	Hypertrophy & Dilatation • Right atrial enlargement • Left atrial enlargement • Biatrial enlargement • Left Ventricular Hypertrophy • Right Ventricular Hypertrophy • Biventricular Hypertrophy • Acute myocardial infarction • NSTEMI • STEMI • Right ventricular myocardial infarction • Atrial infarction Pre-excitation Syndromes • Wolff-Parkinson-White Syndrome • Lown Ganong Levine Syndrome • Mahaim Type Preexcitation Cardiomyopathies • Arrhythmogenic Right Ventricular Dysplasia • Dilated Cardiomyopathy • Hypertrophic Cardiomyopathy Drug Effects on the EKG • Adenosine • β-blockers • Digitalis • Quinidine • Procainamide • Disopyramide • Lidocaine • Tocainide and Mexiletine • Phenytoin • Encainide, Flecainide and Propafenone • Amiodarone • Bretylium • Ca Channel Blockers • Phenothiazines • Tricyclic Antidepressants • Lithium Congenital Heart Disease • Dextrocardia • Atrial Septal Defect • Ventricular Septal Defect • Tetralogy of Fallot • Conjoined Twins or Siamese Twins • Congenital heart block Electrolyte Disturbances • Hyperkalemia • Hypokalemia • Hypercalcemia • Hypocalcemia • Nonspecific Changes Other Heart Diseases • Pericarditis • Myocarditis • Tamponade • Heart Transplantation • Sick Sinus Syndrome • Long QT Syndrome Inherited Disease • Brugada Syndrome Systemic Diseases • CNS Disease • Cardiac Tumors Heart Transplantation • EKG Changes in patient with Heart Transplantation Exogenous Effects • Hypothermia • Chest Trauma • Insect Bites • Electric Injuries
Technical Issues and Potential Errors in Interpretation	Artifacts • Lead Placement Errors • The EKG in a Patient with a Pacemaker • EKG in athletes

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Articles on The EKG in the patient treated with encainide, flecainide and propafenone	Most recent articles on The EKG in the patient treated with encainide, flecainide and propafenone • Most cited articles on The EKG in the patient treated with encainide, flecainide and propafenone • Review articles on The EKG in the patient treated with encainide, flecainide and propafenone • Articles on The EKG in the patient treated with encainide, flecainide and propafenone in N Eng J Med, Lancet, BMJ
Media (Slides, Video, Images, MP3) on The EKG in the patient treated with encainide, flecainide and propafenone	Powerpoint slides on The EKG in the patient treated with encainide, flecainide and propafenone • Images of The EKG in the patient treated with encainide, flecainide and propafenone • Photos of The EKG in the patient treated with encainide, flecainide and propafenone • Podcasts & MP3s on The EKG in the patient treated with encainide, flecainide and propafenone • Videos on The EKG in the patient treated with encainide, flecainide and propafenone
Evidence Based Medicine Regarding The EKG in the patient treated with encainide, flecainide and propafenone	Cochrane Collaboration on The EKG in the patient treated with encainide, flecainide and propafenone • Bandolier on The EKG in the patient treated with encainide, flecainide and propafenone • TRIP on The EKG in the patient treated with encainide, flecainide and propafenone
Cost Effectiveness of The EKG in the patient treated with encainide, flecainide and propafenone	Cost Effectiveness of The EKG in the patient treated with encainide, flecainide and propafenone
Clinical Trials Involving The EKG in the patient treated with encainide, flecainide and propafenone	Ongoing Trials on The EKG in the patient treated with encainide, flecainide and propafenone at Clinical Trials.gov • Trial results on The EKG in the patient treated with encainide, flecainide and propafenone • Clinical Trials on The EKG in the patient treated with encainide, flecainide and propafenone at Google
Guidelines / Policies / Government Resources (FDA/CDC) Regarding The EKG in the patient treated with encainide, flecainide and propafenone	US National Guidelines Clearinghouse on The EKG in the patient treated with encainide, flecainide and propafenone • NICE Guidance on The EKG in the patient treated with encainide, flecainide and propafenone • NHS PRODIGY Guidance • FDA on The EKG in the patient treated with encainide, flecainide and propafenone • CDC on The EKG in the patient treated with encainide, flecainide and propafenone
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Genetics, Pharmacogenomics, and Proteinomics of The EKG in the patient treated with encainide, flecainide and propafenone	Genetics of The EKG in the patient treated with encainide, flecainide and propafenone • Pharmacogenomics of The EKG in the patient treated with encainide, flecainide and propafenone • Proteomics of The EKG in the patient treated with encainide, flecainide and propafenone
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