Estimulacion Ritmica y Conductividad Cardiaca

July 12, 2022 | Author: Anonymous | Category: N/A
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WJOSGRYO@L@ PÏIJOIL @G HLJLBÈ CLIWNPL@ IOGJIOLY @G NL YLNW@ GYIWGNL @G NLBARLPAROA INÈJOIA HLPGROL

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GYPOHWNLIOÙJ RÈPHOIL _ ILR@OLIL GYPW@OLJPG

GYVOJLNGY SGNÌY\WGT DGJJOCCGR YPGCLJOL @AIGJPG

@RL HLRPML BRLSA VLNHL 2GR YGHGYPRG 262< -2622

 

GYPOHWNLIOAJ ROPHOIL _ IAJ@WIPOSO@L@ ILR@OLIL

Gn iarlzùj gs uj ùrelja husiunlr ohplr, qug pug`g iajso`grlrsg mugia `gbo`a l qug maspg`l iultra ilvo`l`gs gj su ojtgroar, togjg ujl carhl porlho`ln, iaj nl blsg praygitl`l pastgroar y supgroarhgjtg, y gn vïrtoig, nnlhl`a ìpgx, gj `orgiioùj ljtgroar g ojcgroar. Nl projiopln cujioùj `gn iarlzùj gs nl `g pravggr sljerg l ta`as nas tgdo`as `gn iugrpa. @g ujl hljgrl sgjionnl gn ioina qug soeug nl sljerg gs gn soeuogjtg4 nl lurèiunl `grgiml gs nl prohgrl ilvo`l` ilr`olil l `aj`g nngel nl sljerg, lquè `gsghbailj nls vgjls ilvls supgroar y gn sgja iarajlroa qug trlg gn `rgjldg vgjasa `gn iarlzùj, gn ltroa `grgima sg iahujoil iaj gn vgjtrèiuna `grgima, l trlvïs `g uj arocoioa qug gjhlril nl vìnvunl troiôspo`g, y `g lquè nl sljerg slng par nl lrtgrol punhajlr plrl qug sgl axoegjl`l gj nas punhajgs (ioriunlioùj hgjar). Nl sljerg ujl vgz axoegjl rgergsl ln lroa ozquogr`a par iultra vgjls punhajlrgs y `g lquè plsl mliol gn vgjtrèiuna ozquogr`a ltrlvgslj`a nl vìnvunl hotrln a boiôspo`g, gn vgjtrèiuna ozquogr`a gs gn gjilrel`a `g gjvolr nl sljerg mliol nl ioriunlioùj sostghìtoil (ioriunlioùj hlyar).

Gn iarlzùj gstl carhl`a par `as bahbls, nl qug iarrgspaj`g ln iarlzùj `grgima gjilrel`l `gn cnuda sljeuèjga gj nl ioriunlioùj hgjas, y gn iarlzùj ozquogr`a qug ohpunsl nl sljerg nngvlj`a llurèiunl ilba nly ioriunlioùj hlyar, lhblsiaha bahbls cujioajlj punsìtonhgjtg, iajcarhl`ls uj vgjtrèiuna, nl cujioùj bahbl `g nl lurèiunls gs huima hgjar l nlpar `g ujl nas vgjtrèiunas, ojinusa sg hgjioajl qug iuhpngj ujl cujioùj iaha bahbls igbl`arls yl qug sana lyu`lj l havgr nl sljerg ln ojtgroar `gn vgjtrèiuna, y gs gstg quogj praparioajl nl projiopln cugrzl plrl havonozlr gn cnuda sljeuèjga yl sgl punhajlr a sostïhoia. [ IOPLPOAJ Rlh6? ^n 96=2 X. Gs ohpartljtg iaha blsg, qug gn iarlzùj togjg `as lurèiunls y `as vgjtrèiunas, nl sljerg rutonljtg qug vogjg `g ujl lrtgrol y vgjasl egjgrlnhgjtg vogjg `g ujl vgjl. Gs ohpartljtg slbgr qug gn husiuna ilr`olia gs gstrol`a, togjg hoacobronnls qug iajtogjgj conlhgjtas `g litojl y `g hoasojl, l`ghìs togjgj `osias ojtgrilnlrgs qug saj hghbrljls ignunlrgs qug rgprgsgjtl. Nl husiunlturl ilr`olil prapolhgjtg `oiml, tlhboïj togjg uj sojiotoa vgjtroiunlr.  Gn ioina ilr`olia gs gn pgroa`a qug vlnl`gs`g gn qug iahogjza `g uj nlto`a mlstl gn iahogjza `gn soeuogjtg nlto`a, prgsgjtl `as pgroa`as4 Yèstang gs gn pgroa`a `g iajtrliioùj, slng nl sljerg

 

 plrl na vlsas `gn iarlzùj, y nl @oìstang qug gs gn pgroa`a `g rgnldlioùj, gjtrl`l `g sljerg gj gn iarlzùj. Gj nl Cujioùj Sgjtroiunlr sg `grovlj `as tïrhojas ohpartljtgs qug gs nl prgilrel y nl pasilrel, nl prohgrl qug gs gn erl`a `g gstorlhogjta `g uj husiuna ilr`olia iulj`a ghpogzl l iajtrlgrsg y nl sgeuj`l qug gs nl ilrel iajtrl gn husiuna ilr`olia, gdgrig ujl cugrzl iajtrìiton. Gxostg ujl rgeunlioùj `g gstl bahbl ilr`olil, iulj`a ujl pgrsajl sg gjiugjtrl gj rgpasa gn iarlzùj gstì abnoel`a l bahbglr `g 0 l 3 notras `g sljerg par hojuta, pgra iulj`a gstlhas gj litovo`l` cèsoil huy ojtgjsl pug`g bahbglr `g 0 l 5 vgigs hls `g gstg vanuhgj. Lsè hosha ojtgrvogjgj 2 hgiljoshas gn hgiljosha `g lutarrgeunlioùj Ojtrèjsgil qug gs gn hgiljosha `g Crljk Ytlrnoje y gn iajtran `gn cnuda `gn iarlzùj par gn sostghl jguravgegtltova. Gn hgiljosha `g Crljk Ytlrnoje `gtgitl `as tïrhojas ohpartljtgs qug saj gn hgiljosha `g Crljk Ytlrnoje prapolhgjtg `oiml y nl nly `g Crljk Ytlrnoje, nl prohgrl qug gs gn hgiljosha gstl gs nl ilplio`l` ojtrèjsgil `gn iarlzùj plrl l`lptlrsg l nls ilrels vlrolbngs `g nl sljerg qug nngel, y gj iuljta l nl ngy, lquè oj`oil qug iulj`a hls sg nngjl gn iarlzùj `urljtg nl clsg `g rgnldlioùj qug gs nl qug @oìstang, hlyar gs gn vanuhgj `g sljerg qug sg ohpunsl mliol nl lartl. Gn sostghl `g iaj`uiioùj ilr`olia sa nl gstruiturls `gs`g `aj`g sg pra`uig y sg trljshotg gn gstohuna gnïitroia qug pgrhotg nl iajtrliioùj `gn iarlzùj, sus projioplngs gnghgjtas saj gn  Jù`una sojaluroiunlr (YL) (YL) tlhboïj nnlhl`a jù`una sojusln, Sèls ojtgrja`unlrgs ojtgrja`unlrgs (ljtgroar, hg`ol y pastgroar), Jù`una luroiunavgjtroiunlr (LS), Mlz luroiuna vgjtroiunlr (LS) y Mlz `g cobrls `g Vurkojeg. Hg`oljtg nls vèls prgcgrgjiolngs luroiunlrgs gn ohpunsa nngel ln ja`a LS qug, trls rgtrlslr gn ohpunsa, na trlshotg ln mlz `g Mos y gstg, l trlvïs `g sus `as rlhls, na praplel l ta`a gn hoailr`oa par nls cobrls `g Vurkojdg. [ IOPLPOAJ hyg2< ^n 96=2 X . Lujqugg gn iar Lujqu iarlzù lzùjj gstì gstì car carhl` hl`aa par hôs hôsiun iunaa ilr ilr`ol `olia, ia, sg pug pug`gj `gj gji gjiajt ajtrlr rlr trg trgss inl inlsgs sgs husiunlrgs `ocgrgjtgs4 gn hôsiuna luroiunlr, gn hôsiuna vgjtroiunlr y nls cobrls husiunlrgs gxiotl`arl gxiot l`arlss y iaj`u iaj`uitarl itarlss gspg gspgiolnoz iolnozl`ls, l`ls, gn hôsi hôsiuna una ilr`olia sg iajtr iajtrlg lg `g nl ilso `g hoshl carhl gj qug na mlig gn hôsiuna gsqugnïtoia, nl `ocgrgjiol gstrobl gj qug nl iajtrliioùj `gn hôsiuna ilr`olia togjg ujl hlyar `urlioùj, nls cobrls gxiotl`arls y iaj`uitarls gspgiolnozl`ls sg iajtrlgj `ïbonhgjtg, yl qug ja iajtogjgj `ghlsol`ls cobrls iajtrìitongs, su cujioùj gs, par na tljta, gstohunlr y iajtranlr gn nlto`a ilr`olia. Nls cobrls husiunlrgs ilr`olils sg `ospajgj iaha uj gjrgdl`a, sg `ovo`gj y sg vugnvgj l ujor  vlrols vgigs, pasggj ilrìitgr gstrol`a y iajtogjgj hoacobronnls tèpoils qug iajtogjgj conlhgjtas `g litojl y `g hoasojl ilso o`ïjtoias l nas `gn hôsiuna gsqugnïtoia, nls iïnunls husiunlrgs ilr`ol ilr `olils ils sg gji gjiugj ugjtrl trljj ltrlvg ltrlvgsl` sl`ls ls par ìrg ìrgls ls asi asiurl urls, s, `gj `gjaho ahojl` jl`ls ls `os `osias ias ojtgri ojtgrilnlr lnlrgs, gs, hghbrljls qug sgplrlj l nls iïnunls gjtrg sè, iuyl iulno`l` gs nl `g gdgrigr 066 vgigs hgjas rgsostgjiol qug gn rgsta `g nl hghbrljl husiunlr ilr`olil, y ln iajdujtlrsg ujls iaj atrls carhlj ujoajgs pgrhglbngs y iahujoiljtgs iajaio`ls iaha ujoajgs elp, qug pgrhotgj ujl `ocusoùj ilso tatlnhgjtg nobrg `g nas oajgs, qug trl`uio`a l na hgrlhgjtg cujioajln, mlig qug nas  patgjiolngs `g liioùj voldgj `g ujl iïnunl hoaiìr`oil l nl soeuogjtg l trlvïs `g nas `osias ojtgrilnlrgs iaj gsilsas abstìiunas. par na ljtgroar gn hôsiuna ilr`olia carhl uj sojiotoa ignunlr, gs `gior, qug nls iïnunls gstìj ojtgriajgitl`ls `g tln carhl qug iulj`a sg gxiotl ujl `g gstls iïnunls gn patgjioln `g liioùj sg gxtogj`g l ta`ls gnnls slntlj`a `g ujl iïnunl l atrl l trlvïs `g nls ojtgriajgxoajgs `gn gjrgdl`a. Rgtahlj`a gn iajigpta `g nls inlsgs `g hôsiuna hoaiìr`oia y lpnoilj`a na ljtgroar sabrg nl cujioùj sojiotoln `gn hôsiuna ilr`olia, gn iarlzùj sg iahpajg `g `as sojiotoas, gn luroiunlr y gn vgjtroiunlr, iahpugsta par nls plrg`gs `g nls lurèiunls y nas vgjtrèiunas rgspgitovlhgjtg,

 

iajgitl`ls par nls vìnvunls luroiunavgjtroiunlrgs, gn tgdo`a qug ra`gl gstls vìnvunls gs gj rglno`l` tgdo`a cobrasa qug ja pgrhotg nl iaj`uiioùj `orgitl `g nas patgjiolngs `gn sojiotoa luroiunlr ln vgjtroiunlr, lsè nas patgjiolngs sana pug`gj voldlr `g nls lurèiunls l nas vgjtrèiunas l trlvïs `g uj sostghl `g iïnunls gspgiolnozl`ls, iajaio`a iaha mlz luroiunavgjtroiunlr, gstl sgplrlioùj pgrhotg qug nls lurèiunls sg iajtrloelj uj paia ljtgs qug nas vgjtrèiunas, na qug rgprgsgjtl ujl ilrlitgrèstoil `g erlj ohpartljiol plrl gn cujioajlhogjta `gn iarlzùj iaha  bahbl.[ IOPLPOAJ Rlh6?2 ^n 96=2 X . Gn sg rgeoùj praplel`gnl ujl vgnaio`l` ha`grl`l l trlvïs nls LS lurèiunls, lujqug sg rgtrlsl hìs `g ohpunsa 6,< s gj nl jù`una LS ljtgs `g lplrgigr gj gn`gmlz `gn tlboqug ojtgrvgjtroiunlr. Wjl vgz qug ml gjtrl`a gj gstg mlz, sg praplel huy rìpo`lhgjtg l trlvïs `g nls cobrls `g Vurkojdg par ta`ls nls supgrcoiogs gj`aiìr`oils `g nas vgjtrèiunas. @gspuïs gn ohpunsa sg  praplel `g jugva lnea hìs ngjtlhgjtg l trlvïs `gn hôsiuna vgjtroiunlr mliol nls supgrcoiogs gpoiìr`oils. Atrls plrtgs `gn iarlzùj pug`gj prgsgjtlr tlhboïj ujl gxiotlioùj rèthoil ojtrèjsgil `g nl hoshl carhl qug na mligj nls cobrls `gn jù`una sojusln; gsta gs plrtoiunlrhgjtg iogrta gj gn ilsa `g nls cobrls `gn jù`una LS y `g nls cobrls `g Vurkojdg. Gs gn jù`una sojusln gn qug iajtranl nl rothoio`l` `gn iarlzùj; nl crgiugjiol `g `gsilrel `gn jù`una sojusln gs iajso`grlbnghgjtg hlyar qug nl crgiugjiol `g `gsilrel lutagxiotl`arl jlturln `g nls cobrls `gn jù`una LS y `g nls cobrls `g Vurkojdg, pgra gn jù`una sojusln pra`uig ujl jugvl `gsilrel ljtgs `g qug nls cobrls `gn jù`una LS a nls cobrls `g Vurkojdg pug`lj lniljzlr  sus prapoas prapoas uhbrln uhbrlngs gs `g lutagxiot lutagxiotlioùj lioùj.. Gs lsè iaha gn jù`una sojus sojusln ln iajtranl gn nlto`a `gn iarlzùj parqug su crgiugjiol `g `gsilrel rèthoil gs hìs rìpo`l qug nl `g iulnquogr atrl plrtg `gn iarlzùj, gs `gior, gn jù`una sojusln gs prìitoilhgjtg soghprg gn hlrilplsas `gn iarlzùj jarhln. @gspuïs `g uj bnaquga sôbota `gn mlz LS gn sostghl `g Vurkojdg ja iahogjzl l ghotor sus ohpunsas rèthoias ojtrèjsgias mlstl 7 l 26 s `gspuïs parqug, ljtgs `gn bnaquga, nls cobrls `g Vurkojdg mlbèlj gstl`a sabrggxiotl`ls par nas rìpo`as ohpunsas sojuslngs y gstìj gj uj gstl`a suproho`a. Gstg rgtrlsa `g nl rgiupgrlioùj `gn iarlzùj sg `gjahojl sèj`rahg `g Ytakgs-L`lhs. Yo gn pgrèa`a `g rgtrlsa gs `ghlsol`a nlrea, sg pug`g pra`uior nl hugrtg. Gn ohpunsa ilr`èlia nngel l ilso ta`ls nls parioajgs `g nas vgjtrèiunas gj uj brgvg ojtgrvlna `g toghpa, gxiotlj`a nl prohgrl cobrl husiunlr vgjtroiunlr sùna 6,69 l 6,63 s ljtgs `g nl gxiotlioùj `g nl ôntohl. Nl cujioùj `g bahbl gcoilz `g nls `as ilvo`l`gs vgjtroiunlrgs prgiosl gstg topa sojirùjoia Yo gn ohpunsa ilr`èlialjtgs voldlrl l trlvïs `g nasgjvgjtrèiunas,  bugjl plrtg`g`giajtrliioùj. nl hlsl vgjtroiunlr sg iajtrlgrèl `g ngjtlhgjtg nl iajtrliioùj `gn rgsta, iuya ilsa sg pra`uiorèl ujl erlj `oshojuioùj `g nl cujioùj enabln `g bahbl. [ IOPLPOAJ Ljl
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