際際滷

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Vaisakh. G
I Year MSc.
Nursing,
AIMS,kochi.
Cardio vascular assessment
ELECTROCARDIOGRAPHY
12 LEAD ELECTROCARDIOGRAM
PRECORDIAL LEADS
Cardio vascular assessment
PRECORDIAL LEADS
V1-Right edge of the sternum,4th
Intercostal space
V2-left edge of the sternum,4th
Intercostal space
V3-placed between V2 & V4
V4-Midclavicular line,5th
intercostal space
V5-Anterior Axillary line,horizontal in line with V4
V6-Midaxillary line , horizontal with V4
LIMB LEADS
EINTHOVENS TRIANGLE
Cardio vascular assessment
MONITORING
HOLTER MONITORING
STRESS TEST
TREDMILL
RADIOLOGICAL EXAMINATION
LABOROTORY INVESTIGATIONS
BLOOD STUDIES
 SERUM CARDIAC MARKERS
 SERUM LIPIDS
SERUM CARDIAC MARKERS
CK-MB
LDH
CARDIAC TROPONINS
TROPONIN I
TROPONIN T
CARDIAC MARKERS
MARKERS NORMAL ONSET PEAK DISAPPEARS
TROP T 0-0.2ngml 3-4hrs 10-24hrs 10-14days
TROP I 0-0.1ngml 4-6hrs 12-24hrs 4-7days
CKMB <1.5 4-6hrs 48hrs
LDH <1 24hrs 3-6days 14days
SERUM LIPIDS
CHOLESTEROL - 140-200mgdl
TRIGLYCERIDES - 40-190mgdl
LIPOPROTEINS
LDL - <130
HDL - >60
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
M-MODE ECHOCARDIOGRAPHY
TWO-DIMENSIONAL ECHOCARDIOGRAPHY
TRANSESOPHAGEAL ECHOCARDIOGRAPHY
CONTRAST ECHOCARDIOGRAPHY
M-MODE ECHOCARDIOGRAPHY
TWO-DIMENSIONAL
ECHOCARDIOGRAPHY
DOPPLER ECHOCARDIOGRAPHY
CONTRAST ECHOCARDIOGRAPHY
TRANSESOPHAGEAL
ECHOCARDIOGRAPHY
INVASIVE HEMODYNAMIC
MONITORING
 CENTRAL VENOUS PRESSURE
 INTRA ARTERIAL BLOOD PRESSURE
MONITORING
 PULMONARY ARTERY PRESSURE
MONITORING.
CENTRAL VENOUS PRESSURE
PHLEBOSTATIC AXIS
INTRA ARTERIAL BLOOD PRESSURE
MONITORING
WAVEFORM
PULMONARY ARTERY
CATHETERIZATION
Cardio vascular assessment
Cardio vascular assessment
CONCLUSION
THANKU

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Cardio vascular assessment