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The Merck Manuals (outside the U.S. and Canada: The MSD Manuals; Chinese: 默沙东诊疗手册; pinyin: Mòshādōng Zhěnliáo Shǒucè) are medical references published by the American pharmaceutical company Merck & Co. (known as MSD outside the United States and Canada), that cover a wide range of medical topics, including disorders, tests, diagnoses, and drugs.
The presentation and symptoms a patient can present with are varied and often dependent on the underlying cause of the junctional rhythm. Patient's can be asymptomatic for example, or experience difficulty breathing and chest pain if they have underlying congestive heart failure.
Microsoft Diagnostics (MSD) was a software tool developed by Microsoft to assist in the diagnostics of 1990s-era computers. Users primarily deployed this tool to provide detailed technical information about the user's software and hardware and to print the gathered information, usually for use by support technicians in troubleshooting and resolving problems.
Respiratory arrhythmia (or respiratory sinus arrhythmia) [39] [40] is directly caused by the central respiratory rhythm, which tracks the respiratory rate across a range of frequencies and is a major cause of heart rate variability in humans. [37]
The basic rhythm of the heart raises these cells to threshold, which precipitates an ectopic beat. This process is the underlying mechanism for arrhythmias due to excess catecholamines and some electrolyte deficiencies, particularly low blood potassium, known as hypokalemia.
Rate dependence of the action potential is a fundamental property of cardiac cells and alterations can lead to severe cardiac diseases including cardiac arrhythmia and sometimes sudden death. [3] Action potential activity within the heart can be recorded to produce an electrocardiogram (ECG).
Both arrhythmias have at least 3 different P-wave morphologies in a single ECG lead, but the heart rate is different. When the heart rate is lower than 100 beats per minute, the heart rhythm is considered wandering atrial pacemaker. When the heart rate is greater than 100 beats per minute, the heart rhythm is considered multifocal atrial ...
Symptoms of heart arrhythmias, such as SVT, are more difficult to assess in infants and toddlers because of their limited ability to communicate. Caregivers should watch for lack of interest in feeding, shallow breathing, and lethargy. These symptoms may be subtle and may be accompanied by vomiting and/or a decrease in responsiveness. [12]