Saturday, October 02, 2004

VTach

So a whole new door has been opened to me: I know the difference between VTac, VFib and a flatline. Before, to me, these words meant only "danger danger" and it's time for a big needle and the shock-type things as seen on TV. After several hours of studying cardiology for my pathophysiology exam I am pleased to say I can talk at great length about each of these dysrythmias (wonderful word, no?).

VTac is ventricular tachycardia i.e. your ventricles (the larger chambers of your heart that are responsible for pumping blood to your lungs and the rest of your body) are beating far too fast (>100 beats per minute) and cannot fill with blood before they pump. Therefore, you're not getting enough oxygenated blood to your brain and heart and need some help, fast. It is possible to walk around in VTac but you'll pass out (or die) sooner rather than later.
VFib is ventricular fibrilliation. In this state, your ventricles are just quivering and neither filling nor pumping. The electrical conduction system of your heart is shot and it has no idea how to beat anymore. It's the sign of a dying heart.

In comes the shock-type-things ("Clear!"). The paddles deliver a current to your heart which overpowers any electrical conduction that is going on at the time. This allows the heart to have a chance to re-set itself. It may or may not work. If you have a flatline, your heart is just not working and there isn't any point in trying to re-set your heart. Therefore, you shouldn't hear the words "Clear!" and "Flatline!" together. There. Now I can be twice as annoying: I can point out to people that a certain celebrity is Canadian (the most annoying habit of all Canadians) and that medical movies and TV are all wrong (the most annoying habit of health professionals).
My professor for my pathophysiology course is from South Boston and speaks accordingly. While I am studying, I hear "tachyCAHrdia" or "CAHrdiac arrest".

In other news, I had a wonderful time at a Korean church this morning taking blood pressures. I learned how to say "Thank you" and "Hello" and "Please roll up you sleeve." I was rewarded with cake, Korean curry and a whole lot of Kimchee (spelling?).

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