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    They're very smooth and perfect for craft projects. The discs themselves are great. However, instead of receiving , the package I received contained 88 discs.

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    Learn more about Amazon Prime. Get fast, free shipping with Amazon Prime. Get to Know Us. English Choose a language for shopping. An electrocardiogram ECG is used to classify the type of tachycardia.

    They may be classified into narrow and wide complex based on the QRS complex. Tachycardias may be classified as either narrow complex tachycardias supraventricular tachycardias or wide complex tachycardias.

    Narrow complex tachycardias tend to originate in the atria, while wide complex tachycardias tend to originate in the ventricles.

    Tachycardias can be further classified as either regular or irregular. The body has several feedback mechanisms to maintain adequate blood flow and blood pressure.

    If blood pressure decreases, the heart beats faster in an attempt to raise it. This is called reflex tachycardia.

    This can happen in response to a decrease in blood volume through dehydration or bleeding , or an unexpected change in blood flow.

    The most common cause of the latter is orthostatic hypotension also called postural hypotension. Fever , hyperventilation , diarrhea and severe infections can also cause tachycardia, primarily due to increase in metabolic demands.

    An increase in sympathetic nervous system stimulation causes the heart rate to increase, both by the direct action of sympathetic nerve fibers on the heart and by causing the endocrine system to release hormones such as epinephrine adrenaline , which have a similar effect.

    Increased sympathetic stimulation is usually due to physical or psychological stress. This is the basis for the so-called fight-or-flight response , but such stimulation can also be induced by stimulants such as ephedrine , amphetamines or cocaine.

    Certain endocrine disorders such as pheochromocytoma can also cause epinephrine release and can result in tachycardia independent of nervous system stimulation.

    Hyperthyroidism can also cause tachycardia. Ventricular tachycardia VT or V-tach is a potentially life-threatening cardiac arrhythmia that originates in the ventricles.

    It is usually a regular, wide complex tachycardia with a rate between and beats per minute. Both of these rhythms normally last for only a few seconds to minutes paroxysmal tachycardia , but if VT persists it is extremely dangerous, often leading to ventricular fibrillation.

    This is a type of tachycardia that originates from above the ventricles, such as the atria. It is sometimes known as paroxysmal atrial tachycardia PAT.

    Several types of supraventricular tachycardia are known to exist. Atrial fibrillation is one of the most common cardiac arrhythmias. In general, it is an irregular, narrow complex rhythm.

    At high rates, the QRS complex may also become wide due to the Ashman phenomenon. It may be difficult to determine the rhythm's regularity when the rate exceeds beats per minute.

    Depending on the patient's health and other variables such as medications taken for rate control, atrial fibrillation may cause heart rates that span from 50 to beats per minute or even higher if an accessory pathway is present.

    However, new onset atrial fibrillation tends to present with rates between and beats per minute. It is a regular narrow complex tachycardia that usually responds well to the Valsalva maneuver or the drug adenosine.

    However, unstable patients sometimes require synchronized cardioversion. Definitive care may include catheter ablation. AVRT may involve orthodromic conduction where the impulse travels down the AV node to the ventricles and back up to the atria through the accessory pathway or antidromic conduction which the impulse travels down the accessory pathway and back up to the atria through the AV node.

    Orthodromic conduction usually results in a narrow complex tachycardia, and antidromic conduction usually results in a wide complex tachycardia that often mimics ventricular tachycardia.

    Most antiarrhythmics are contraindicated in the emergency treatment of AVRT, because they may paradoxically increase conduction across the accessory pathway.

    Junctional tachycardia is an automatic tachycardia originating in the AV junction. It tends to be a regular, narrow complex tachycardia and may be a sign of digitalis toxicity.

    The management of tachycardia depends on its type wide complex versus narrow complex , whether or not the person is stable or unstable, and whether the instability is due to the tachycardia.

    In those that are unstable with a narrow complex tachycardia, intravenous adenosine may be attempted. As a matter both of usage choices in the medical literature and of idiom in natural language , the words tachycardia and tachyarrhythmia are usually used interchangeably, or loosely enough that precise differentiation is not explicit.

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