ThS. Lê Hoài Nam Đại học Y Dược TP.HCM Mechanism of arrhythmogenesis • • • ! Automaticity: Alterations in impulse initiation Abnormal Automaticity "!! "!! #! !!! !$! ! !% ! ! && '& !! !% () () & !& Afterdepolarizations and Triggered activity Afterdepolarizations and Triggered activity EAD (Early AD) • *!!"+, • "!!- '& !& .&!!&&!! !& !!& ! • ()-!!! DAD (Delayed AD) • *!"+, • "!!- !&/&0 • ()- !&! . → → → Reentrant Mechanism Reentrant arrhythmias "$ .! ! ! #$'! #!. !.$ ! !!$ !- -12 Classication of arrhythmias 3 • 3 ! • ! • "'! 3 • ( • 4 • 5 3! • *!!! • *!!! Disorders of impulse formation (! ! • (! • (! • (! ! • #.! • 6 • ) • #(5 4 ! 5 ! • 5! • 5 • 5)