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AV nodal reentrant tachycardia (AVNRT), or atrioventricular nodal reentrant tachycardia, is a type of tachycardia (fast rhythm) of the heart. It is a type of supraventricular tachycardia (SVT), meaning that it originates from a location within the heart above the bundle of His. AV nodal reentrant tachycardia is the most common regular supraventricular tachycardia. It is more common in women than men (approximately 75% of cases occur in females). The main symptom is palpitations. Treatment may be with specific physical maneuvers, medication, or, rarely, synchronized cardioversion. Frequent attacks may require radiofrequency ablation, in which the abnormally conducting tissue in the heart is destroyed. AVNRT occurs when a reentry circuit forms within or just next to the atrioventricular node. The circuit usually involves two anatomical pathways: the fast pathway and the slow pathway, which are both in the right atrium. The slow pathway (which is usually targeted for ablation) is located inferior and slightly posterior to the AV node, often following the anterior margin of the coronary sinus. The fast pathway is usually located just superior and posterior to the AV node. These pathways are formed from tissue that behaves very much like the AV node, and some authors regard them as part of the AV node. The fast and slow pathways should not be confused with the accessory pathways that give rise to Wolff-Parkinson-White syndrome (WPW syndrome) or atrioventricular reciprocating tachycardia (AVRT). In AVNRT, the fast and slow pathways are located within the right atrium close to or within the AV node and exhibit electrophysiologic properties similar to AV nodal tissue. Accessory pathways that give rise to WPW syndrome and AVRT are located in the atrioventricular valvular rings. They provide a direct connection between the atria and ventricles, and have electrophysiologic properties similar to ventricular myocardium.
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Scanno Spirometria
1.
prove di funzionalità
respiratoria (esame spirometrico)
2.
3.
4.
5.
Capacità Vitale (VC)
6.
7.
8.
Volume espiratorio di
riserva (ERV) e capacità inspiratoria (IC)
9.
10.
Volume espiratorio di
riserva (ERV) e capacità inspiratoria (IC)
11.
12.
13.
20 % 50
% 20 % RV/TLC 3750 6000 6000 TLC 750 3000 1200 RV 1500 3600 2400 FRC 3000 3000 4800 VC Sindrome restrittiva Iperdistensione Soggetto normale Valori (ml)
14.
15.
16.
17.
Volume minuto (MV)
18.
19.
Capacità vitale forzata
(FVC)
20.
Capacità vitale forzata
(FVC)
21.
Capacità vitale forzata
(FVC)
22.
Capacità vitale forzata
(FVC)
23.
Volume espiratorio forzato
(FEV T )
24.
FEV T /FVC
o FEV T%
25.
Flusso espiratorio forzato
26.
Picco di velocità
del flusso espiratorio (PEF)
27.
Massima ventilazione volontaria
(MVV)
28.
Massima ventilazione volontaria
(MVV)
29.
Resistenza delle vie
aeree
30.
Curve flusso-volume
31.
Curve flusso-volume
32.
Curve flusso-volume
33.