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- ¾ËÂ÷°Ô ´ãÀº °ü»óµ¿¸Æ ÁßÀç½Ã¼úºÎÅÍ ½ÉÀå¼ö¼ú, ÆäÀ̽º¸ÞÀÌÄ¿±îÁö
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ÇØ µ¶ÀÚ ºÐµéÀÌ °è¼ÓÇؼ ¹ßÀü Çسª°¥ ¼ö ÀÖµµ·Ï ÀúÀڷμ Àúµµ Èû²¯ µ½°Ú½À´Ï´Ù.
-¾ÈÁ¤¾ð(Jane Ahn) RN, BSN, CCRN-CMC
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Part 1 ½ÉÇ÷°ü°è ±âÃÊ ´ÙÁö±â
U N IT 1 ½ÉÀåÀÇ ÇغΠ»ý¸®
1) [Anatomy] 4°³ÀÇ ¹æ, 2°³ÀÇ ÆßÇÁ
2) [Heart Valve] ÇÑÂÊÀ¸·Î¸¸ ¿¸®´Â ¿©´ÝÀ̹®
3) [Coronary Artery] ½ÉÀå±ÙÀ°À» ¸Ô¿© »ì¸®´Â 3´ë ¼ö¼Û·Î
4) [Hemodynamic] Volume°ú PressureÀÇ °ü°è¼º
5) [Conduction system] ¼¿ï¿¡¼ ºÎ»êÀ¸·Î ³»·Á°¡´Â ±âÂ÷
U N IT 2 Áø´Ü°Ë»ç
1) [Ç÷¾×°Ë»ç] Cardiac enzymes, BNP, Lipid panel, Coagulation test
2) [Non invasive/Image]
ȦÅÍ ¸ð´ÏÅÍ, ¿îµ¿ºÎÇÏ°Ë»ç(Stress test), ½É±Ù°ü·ù À̹ÌÁö, CT Scan, ½ÉÀåÃÊÀ½ÆÄ
3) [Áø´Ü & ÁßÀç½Ã¼ú] EP RFCA Àü±â»ý¸®ÇÐ °Ë»ç ¹× Àü±ØµµÀÚÀýÁ¦¼ú
4) [Áø´Ü & ÁßÀç½Ã¼ú] CAG & PCI ½ÉÀåÇ÷°üÁ¶¿µ¼ú ¹× °ü»óµ¿¸Æ ÁßÀç½Ã¼ú
U N IT 3 ½ÇÁ¦ ÄÉÀ̽º·Î ¹è¿ì´Â Assessment
1) CAD ¸®½ºÅ© ÆåÅÍ
2) [Chest pain] ½ÉÀ帶ºñ ÀüÁ¶Áõ»ó? ÈäÅë ºü¸£°Ô ijġÇϱâ
3) [Shortness of breath] ü¾×°ú´Ù·Î ÀÎÇÑ È£Èí°ï¶õ
Part 2 ½Ç¹« ¹ÐÂø ECG
U N IT 1 [Cardiac pacemaker] ³»°¡ °¡Áø º»¿¬ÀÇ ¸®µë
1) ½ÉÀå Àü±âÈ°µ¿ÀÇ Å« ±ÔÄ¢
2) ECG, ºÎºÐºÎºÐ Àß¶ó º¸±â
U N IT 2 [Cardiac Dysrhythmias] ºÎÁ¤¸Æ À̸§ ºÙÀ̱⠰ø½Ä!
1) °ø½Ä ¨ç Ãâ¹ßÁö¸¦ µû¶ó ºÙÀÌ´Â À̸§
2) °ø½Ä ¨è ÀüµµÂ÷´Ü(Block)ÀÇ Á¾·ù¿¡ µû¶ó ºÙÀÌ´Â À̸§
3) °ø½Ä ¨é Á¶±â ¼öÃà(Premature beat)ÀÇ Origin¿¡ µû¶ó ºÙÀÌ´Â À̸§
U N IT 3 [Sinus Dysrhythmias] ½ÉÀå ¸®µëÀÇ Ãâ¹ß¿ª
1) Sinus arrhythmia µ¿¼ººÎÁ¤¸Æ
2) Sinus tachycardia µ¿¼º ºó¸Æ
3) Sinus bradycardia µ¿¼º ¼¸Æ
4) Sick Sinus Syndrome(=Sinus nodal dysfunction) µ¿±â´É ºÎÀü ÁõÈıº
U N IT 4 [Atrial Dysrhythmia] ½É¹æ¿¡¼ ½ÃÀ۵Ǵ ºÎÁ¤¸Æ
1) Atrial fibrillation°ú Atrial Flutter ½É¹æ¼¼µ¿°ú Á¶µ¿
2) Premature Atrial Contraction ½É¹æ Á¶±â ¼öÃà
U N IT 5 [Jucntional Rhythm] ¼¿ï ´ë½Å ´ëÀü¿¡¼ Ãâ¹ß
1) Junctional escape rhythm ¹æ½ÇÁ¢ÇպΠ¸®µë
2) Premature Juctional rhythm(PJCs) ¹æ½ÇÁ¢ÇպΠÁ¶±â ¼öÃà
3) AV Node Re-entry Tachycardia(AVNRT) ¹æ½Ç°áÀý ȸ±Í¼º ºó¸Æ
U N IT 6 [AV Block] À§¾Æ·¡ Â÷´Ü! ²÷¾îÁ® ¹ö¸° öµµ
1) 1st degree AV block 1µµ ¹æ½Ç Â÷´Ü
2) 2nd degree AV block 2µµ ¹æ½Ç Â÷´Ü Type ¥°, ¥±
3) 3rd degree AV block 3µµ ¹æ½ÇÂ÷´Ü = ¿ÏÀüÂ÷´Ü
U N IT 7 [Bundle Branch Block] Á¿ì Â÷´Ü? ÇÑÂÊ ±Í¸¸ Å« Åä³¢
U N IT 8 [Ventricle Dysrhythmias] PVC, V tach, V fib, Torsade de pointes
1) Premature Ventricular Contraction(PVC) ½É½Ç Á¶±â ¼öÃà
2) Ventricular tachycardia ½É½Ç ºó¸Æ
3) Ventricular fibrillation ½É½Ç ¼¼µ¿
4) Torsade de pointes ´Ù¿ø¼º ½É½Ç ºó¸Æ
Part 3 ¿ÏÀüÁ¤º¹! ½ÉÇ÷°ü°è Äɾî Ç÷£
U N IT 1 ½ÉÇ÷°ü°è Áúȯ
1) [HTN] 110v ¹ä¼ÜÀ» 220v¿¡ ²È´Â´Ù¸é
2) [Infectious disease] ½ÉÀåÀÇ °¨¿°¼º Áúȯ
3) [Heart Valve Disease] ¾È ¿¸®´Â ÆǸ· vs ¾È ´ÝÈ÷´Â ÆǸ·
4) [CAD] Çù½ÉÁõÀº ¿Ö ½É±Ù°æ»öÀÌ µÇ¾ú³ª
5) [Heart failure] ¿£ÁøÀÌ ¸Á°¡Áø ÆßÇÁ
6) [Cardiomyopathy] ½É±ÙÁõ