ࡱ>  yzn?EL3zXu SPNG  IHDR6Q:gAMAPLTE """)))UUUMMMBBB999|PP֭3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f̙333f3̙333f3ffffff3f̙̙3f̙3f3f333f3333f3fff̙fff3f̙3f3f̙fffffffff!___www˲𠠤X"N pHYsj IDATx흋*Df枎cTj͜ '龥R)RԊJ0R)E F*(H%#R`RTJQJ)J0R)EWQJbz [u-A;??Ua F}LZi^C{J}u`^CQy=Vl>h(cc<޴OP'v3Ѻ Ԁiz`1 wVYb7m@|=k ʾyՇ=c<$\XP$w*xVXQ-;+ Z3QyX+Z`O0VR!`L#1 0pW !}Ѹ?ZD,0M0}Z-s6XT; oI/oIoϯR.[IM.CqcdjuMt/3Z^ _ޓ`|Z 1o9 Ӛ FcюПg GF(crU*`P WGg$=0>1i0e= c` `x"5Cׂ1` $(VPOSFC0( ki `|Vׂq 3D`|\F:FI0_ XN!}`  Z:F$<0zrb4cq 0|WA!1e`$(Zh[96TvZ'7\0.0j2"0^21:&dIHIA &KIȆ q( *8D w&mc> l֦~ F|yҸ `+A 9qo}8! SG# YIƳ*׿   X@U^H06u$ ?=7ACVe %!ccv쯾lIH,0|0iem?#_6@v0sщ(P[e#@00ZׂA( U>D۶ҞӒtX7lv䕢P;v|OH6uAr5أ V_þ ha$ L06ÈLq@ʾhVL?8仴?} J~1Ў-#:CTν`i%B-~vհnfL>̼Gt 9kX9v(s1BTDrp}y \ ?*nnP^y=HM`qqO:#`π9N9 Cm~fupqj`+wYשC`)ZV"Ȓ5ĀcvI,a#3[}rl=4wvK\yL\)t+nV7a)`@*MvB/D0cTQ*/L7Avvv8@ɞ>4y:C? ܂:3Fhӻ>*x]g薖 `k>&LDoʕǤ-.!480tA?Bݧm.? !iao2B |8R홄PWeɤ xŽUQOaL.N0)n-`s`SʨnVE@',8#IHXCf?H˜Uٯ" \v na-h 8 08`(TC)``o-j`T:<[vx'l)!cjQ-.;1 .ըw0<  g V:G"!{M aXWO0 = xmtV& vw=,Xrw(U=`h?/c0' [ˁxsA;c]Fm=lUp&j.kzZps 8@ Ekme`41?,FoZ^]iHmh~ ;^ _m2;6xQG@#[M`_`m710wކ`4 s3-og +hJ`@=*'- h dmÑ0b7tJB6xE 0sؗ`~ Y)0DZyEzS\CڻYvbC#Z`l&5 wA0l0 0ςB`/N; ϾF0o0tdG FUeQ0`qi >?̗Mm0`|s 3u@ć`(@C;u=j4|0(st)"] F= v}%]9~0cDx`X$[4F[ APͿ^&eѴ?+Ol].%RſM(y8MzGF:*m xFUzg;cQ}*60B 7^0 F&D3 >r $?#MS3H3fGXP:*?>W- 89\x1/qmc|pFo P:.y~ |9 07T2Qlptܙ#J ~M}/ FF2i`eRߦ86f)HŚWo!ߋUƲRpd55I@K7f 8H-Oᜌ4}W1K0R`ɇ%%%P~jк`dH}P ">@낑G`,4}'8t{+H}NC7%c$~j+XE?5`J0VO v}%US]_ *c`W.k&lB)XE O]Ff+PWe х>5`V70 `|-vc .^=B7D0FUZ%oݵXATXڲF?aˁcbGs(o0j`Xz?9B#z)_#vc>>vV㕟8I} dmoȸЇ>`g8t"#w?j;.쌁Okx(SHGL.#JzF=5p'P Þ˃!3`8y Qէ?Y!-[( c`pP/F0ɡ$ O#HNQAV#8$iGΐs4C!W!dG``opz"GM8Qd(˕`ɧm{ ٸ pHۛN(Fv jq0хKx gdV!a 0/ S2U`.Fkw;z x4|-ø)0~p"iWFv" jIQC4/Zk`1Ⴝ0,Vx;ÒM)4*Ꭰ)0rm3eӢan!/8@Y2[ R@[ >Co=0h$\ݘqD& ./+;Q*%d  }`T0B#`*Uq0pBIS3 l9 4{_@10s m$b#` GEo#(G6vj&] #`pehF `kҮ?۴o0A8j`p/8;"8 n9#~2#T Y̋ܒq ,0J{C #1Hr``Tm4_{!|ڳ`@%s`x# !"|{?u-(l~g۰oCMBwQ{^ ~%6:{h7NQX0ZP %ph;!rzQqn9 J*}o3fõYH2P x`P#؋rXmFْCRF0H! f*j\p`Яh0=0v63僡΅% QCfj!M΃) Y`(C?+ :0HuW%0+ *Q000B!ľHT:(%Ӆ`l?D7&!`6x$UfSh\cBraepRNQų`x`ECP!5Gg/Gnͦ$0.w܇z ale|!`C<>·<.Mq0,l ygG j4>uA6` B:QB踾=$0"0:6 `Kʣy%Ew,CyJ,<0`åc`-a]D=`p 621^,Vhm0,w>{m6䃁oafzF"0pn{]Q _I|k 怇`TCew3v16E:hcNTeJZwif8C`tT~;xm Fc&QdƫRS#yQ\d s9IQА1aD_df+W 8BO\;H†P (z |u )0C 4octĴgD(H 8]kUF1 !8m97i!Ïo|`X5A7C@`|0F'Ag 4h.cg!cڰcH V9MV8 #e/_ɪ`O W`ȇg|z <"%BwsQx;,?*2z 5%4R;੍`s8UG@# uZ0^yKCڼō+u"r Q^nPg k }e`ǕG)R6&|o80>rpG)vz$$^߳jr#0JPْ"`yrk#||CSniV;F w#ejaZԦ!0OA3:+`Cq .` Cr r`LO1`(f&g[]Mg,0`u^K5Ք`,jZHO}F}J0ov5%F΁Q[]Mm!NL`j"0(8oBF΁Q[]M( \hW.H7%8'傫2 FI0R73gCoR߉ÏK(zO 2F=wqX=1ʭ`ci=wqu9QdIDATu'Oǿ[ tWҿ+^6l`hW> cãk}q tU/"& u8 (e :4SHc`1= Hq'A+s!FF{W2BP>8ae0[`ҕ`qfUP++c{aR\`VQ \WQEDk>nX)/΂cY i _}`(2c0 Fq)tqhq,وv]S\0^ r c`@@ϕL3 ^W*nFa Pvc``'\;`t00 c-`x#`T'+Lҭ +\> Ž"z)CK ƕ >`P}Q"0T0fL;Zb{kXO 8p1r<~XQN0(g!~8`41l;e7_BO^e50Ґ  `y9Q0 =(qo?d>M&kkdE] h%J؍<?eQ0wR*2SP1Aۭmg S5hP@ ǰ.Yka08fU61oҁd;WҸ`k ;c*`UZC7ؚ.A p3֑٥ FjaC ;# =h] ۈ, '#LQ0 ^T b0< G?M0U xON?N0#K{GVW&<*[]]&\2-0/ƀ`80~;{]^0`Зq3a'6UZKlvp#Cވ _,g  n>bW1^(0M0!ZPpϳ`y"ctCR!QQC) ^zyMt2hAч?QF{A ”! A`?FچN7g_K90p(_% em!J/ZEq9Ӑʮ?FIeS45`Xjn06U0ܾ?,Н4p }/k.+QН`؏ex[Fw0 'E90`eGKi0< F!*NpzJ4yjz #$&U`Ƚ0ˆE D0^h*p۵ la7 Eg(6 P/``zQ2-h+u[ cwarWlcW%8Ü2ka3I0JFD7pY/( F[szHn@e2 h. G ơကwf^0DC:'@uaɫ4 K VD3 a9σ4U gWЛ`K-:мV:^L0ޟ [  g.nd t?fQ bI29kS0 4<|#|Hea R o|ݧ(`(Bz6!xz:5mP۪Y@vE>0n3%9ƞolH>0-͏n0ʜ܀9мRnF:4p#a8 f !fz;^./)pB,Ц?Ղ06-;;mD``c{1FeG`J'ZK5=BV)v=`A|/@~С`z&c(`IS@/ 74ͽ<>tk;ρQ nܟǍum 3Fy` 0n N0ȁ`tsYÎiN|uN"M0 ^0&@!0?@Qn ؾYW[K0:ǎXπ1&kzl;oTejoj j s`@ ^`R$T Ĥwa$T+`F>NC@,/AFX`.AAQ0J^ =1ݶCj =R\.FWt*G[3CS F`@0F!/8Xy;`H/50RvQ`!Aq7ѻh+dCK0򑌱0b o`b_ ٨EJ/Ns;^0J5+ct V 4` tCj n oV߫{\8 2`xG2ySVх`T`P QCĪ`URR}(F108Q)i`gq( Bzخ]+{Fi!a'? ` +0ʟeJ0ހ jwA-;` `jQU0`ԣJ0+x' Zw0'xp3FQI0EР_ 3Qv0Un҂xoNg \#9\`0G `ahrKG``IZ`TE1HM8%F,QJ(0 `Їo烻h>eQ#B]NM(=TGAj\UN0R5h=~iLJ.&}FL*uRu}=LS|3m4ћjQ]yZP+A߅ 4 A1J~P`KcMۻ{"C .RρPʸ.; w#Mp{ݺ`&<P{ߊ;-3F^ʋwQ%:{03FFs:`~{)Hѥ`CdY ڨ7njKVTJ 0ФFӟ ץAv#H]* :n5%iec.IO0R4 5^d=:X$*0{Rku cT 0#ufd 49 FeWDI%`r aBT'u{HnV1n\#owc~cc~c4|` )tʉ2%se~!׻O Ɨ)6O˔`Qe!˔`QeJ0(2%s`|6 |_%_CKJiui%uC ;`9 Q#G6j?F|2 J0nPƽcB{('r(An c{njXJ_ OJԷfv ư )~ ˎF%iFVZ 晻/3Rn&ҵ^oG9ݝ6(t_ :k#0N,[q`P1\undF20(]0*6]FxCP&"%3ȍQ/}F8/U.qU=iLK9 Fк[ر:: ??v4%Ge@qzP+*ay0tu ehXj0`cD0FeyA2a^ؼ}#h$mC +UJ#*C~uZ`C_zsHƟ1) F@1 `tس%nnL0Г)i %#`@"0!oUY/k:t# eC=F} MCά=4el3lGu(%=TJE3{/)BlB&vHd$AfN`/XQ]'ɼQ3Sx/`kFI1A=`c"۝`(cK*\t}E #}3tR-} a0Џ0,uCkSTSCخZ`aM]w'n#ؗP=L$Z0E'74J]j8Cm.=VjJkFŋ eoÛ0:;Q("*0O߂ 0 qN/`h >xS3C 4$S ֙`Y jTR B!Cҗ m7v =Zxڰ 6Fv'_Eހ@ܨd00@dxzqo6Z`y Ji<;,``8gg`~`U@fm2 |0D3#OQZa)1aSD)qzu_GSeLZkE%`PcO\0Գ}Dm)ʯ^a__66PGF`+c*Z7 >0 }`[Hor`&n ՊӉ'06?A_ݙu,rD9 #K2 ΅3"4BDqFeuC#(oPfU*P/ *t #6y?z!Ɗ7&pf`S̞w !5⎁tKswNֈhu y #hלH:48a6~ e#`,v1>Fk o 4s]f/UCn R;:ta hG`K-. f< D8%C9r eN|0(={0UudD0f ns/`4d9*`(oD0!K ^ `0xF\0,<0p\p84xVq#`v`4G*+Ћ98t *B)K0tk8r+9`CHiGBrSZk5Ҳʭib0?9R0WQx,5 7$0hUs"W;`WO\u"kY,π*+VB0۰C[ զ 0a0p# r^.jѶ6C0qC |uFECY*'P@6]Ձ `};\odC#47ùtGUF ,{ -\W͛b\ g +i>-/>~ w\>SE . i0x^],c/4PVI}FeDPa@a4 o?F+C qYba!mL|?ƙ20(_V9 @yv*rC6F8`8YŵQݢ9C`otzoA0#Ncv7V<7a@| Y:0)3vN'cCy@kC;0|M n6aưMȷ6C: T_q u {*y0`D [[ ϔp}8~쾚M/pj 1bAAC:s/_:@ِ;t Ip`D$` Q0̺;pzcЁݧں nvScfn.`x#`-w? ױ92`Z0#{!0Ɗ71fpS)0F`݃` $:`tbs-N)"!`{yH04dž/_.O;`Hlo;u7/>3߉~bGZн`xuyQa+b-=%SI0ö́J0RRJ+G3*vR=X׍O,E`ZM?7Fld yK)&5(*}QA AAFdMӔҔVbH^ 0"YL5T|q"-WA捔E"9e4bS$e&lHRfuf@,#g)Jv,dHi!׍Ώ.#͖oH9yH 2j *!\v{fE-'6aSQG &b}V$J Erp,PWv]a[/ O|Fn+'PBgiŠ<tɈcd{cWRJԜ勥\0?uTGZy+/i=TO V M#yM]F5=4k9juYXht=>%Tב@֢!K +5*MUmMU_<8BXO-jMnO6=* _u 'S%ޝ"sLl?7J_zɾ*ʳ#o`>;S]Y k:.`T/ #IX. L-W+/`'{Bg?I.L8T`\1t`wk y~`:б0.E h^G0 $*/g? 0~0 WF~`~B=񖫳u>1rp S9_W;K#zA$YQ}):tO. Lc}[es@wp ϯӣ+\\{DG21Lv${>iz\Z[Q4gX饸GGcGwo1?saop_,lE090=^%ʡS0k}`\ݏdk}5>0M ir `p@&x0Щ_ "Lb#:%L i`bv{ ``S=JHOWɠ^0 0Pԯ yF`4ǝގ3K6sۯ rAf_i3 0wQ.##af) 'YucM i(?0>㞆ׁp<1yl?qߛ؇{*/0nίǿM0̞,30 ;ɬXEk>{o;0N]nai5p$O'vƗ[ZZ (30y _9r`nb,VJ<&<6 `4Xqճ:0/ ѩ .˜0vq6]׻$y|[ob O^t5"[onzgNW6 qV 6kHGL =[c()omLizNʆnˉ2HcrLʻϛQKtbTՐE!'*}ۑ<fF'neou)̓?}#TJ1C[CuBJ1i)%.|ERnfRG< ~;bu5GJx;v}D6hʛ2|s͒F'T<\yL/oW *V<V8(׍j+/]gmy1x3>l0C |SHhX(4_m i㚍0KllRLJ4v sLFT'-&)RE^wn[Zqt&7?6 pAn %Cw0=0?K?-1le`µ?: mK^]Ő;r\Ӻ{+0k0vU)?,⯒-p] 0އ .̯t`~Dy0 .̯t`~En`F02<-<E>0 ףL_,;If%L5 F8&Wt0^1@`|`|IfB0+lz0( r}` 8z̢(\Y'%?Pu9Tx 5= -L3h?H6L`~fW.`0M03.k|0b`L̟y`lƈf\k#O\   _zmQJS$gijV/ޟFn'}@>)Lf?WNsjS٩~`z|d Flo9&@|b`t0ʎ_`{Y@#X]0wxiw`V`~qS1݇&6W39 Ơi *`$/}1d)@SF|`5s]n}Lsc|7yu9)Z XMxIyO2W u>3`t`[|3A{C+0Y!LRi"s6SJDhZ:YlF ^M{L6EKՅXg>`fD0aSɳ~/rTVjh f\yN.ѧ0[W`ƃ ijS͢5<0.h4tz)_Ϟxm3RXsWYJ/Jà) `e'|u-fN$mQNg5>偌VMBf{d9E|z% aA],:lB?x,L#t_|SCJO)̨!&,k6j\z;{wzq3GPױ@bRPNVc:~q }Kȟȁa(I Z2O)#Z ClHD)n/'Us:H⣩ /!_aЖHZ0ע}ġG} 5G/+/v.SZ1L(A#v < ^uf/ + s5/2QX&^ll٩6Je=AFL?RȲZxbJ) evӔn lWllirYzotLM(&զkM c 3j< b_Vb25Q8:k*ϫ+9NZmܶ:)/m;=rze/mz%_4+᥾ap{%n,3 cxӜI p{xUVlj@#Y0],(} >VC&v/3NfAM L[3_7C`'8` ,( .{W'8} 0RQ*vV30(J.!k80OTL/lp[ ^afR1LB*IH\L@IH03 ɜ^(ɘ^f&a2I 2@A 0d ` A2@A 0d ` A2Hݠ)YJl|& SCo6ꐅ.0o P,Z0oÿC ڷf<0Dw|}`LGo3`&(<0 alFU`oG3Qnct4x0>QMzx=?p'0;y?hmQ*0߸0c ^KLï2m<u20}N@L˂0;ƫn4C`q:8f4?0a0S L?3Fgg}+dn`ƿ<`L sli|+l~Lm`;zvƸ!:dq4ø'[Yg9 iw>0$MELgt<0;00SLi3Pb4w$GfukN` w6`㷁2 }`vNx<.j L, >xwa`|h`6Yv# ` / afMO0 ȥ0bz|a0)s(ʬbr;U)+,(ixToF(YQp+FC/52nʑ6MCZXz +KaJ7ݱ,T4{&Ɉ;SH,}_Ӊ舋 )ȒGX.yI~`<Hi|~G7-27(566e+?rO8v|Swp>Sg|3D8d v-.q: 05ȳ. u( bxE0{ Mb(50nM1оzV_V%^v2h7` U2@A U2P 0d ` A2@A 0d ` A2@A 0d ` A)NvDN ҿ,yCkt aV ` A2"9)U}P:s%vC۾Bj&wr]'lNK=!i6bJgXlK5lٰCS+&n&U8 O}=5ZB%ǂ?߮d菆ڲH?ZMWBϼUVJ@. p@VF,0:j ɏ8[IDAT#Dra LycWtnx֍UKE.V6DURn&vr[Xl&EV/~H5`h@qy|s4Crg@JK LY*{ө _Jmѕ#e~':M!_ oboF[}ú9$\-& RPJ9%Jj+OrC&p $`JH@0i$ӡ0AVLdQWsN>?rRr`x ~5Z1V<z4vaլUV a #9?ۀ )RDO]_%Æ /fl đHƷϕ+Ki%z¬úM[3$;sL ưE `` A2@A,0Ԯ0LCF;Sh+d2@A 0d ` A2@A 9s{IENDB`n%|!*C=K PNG  IHDRXygAMAPLTE """)))UUUMMMBBB999|PP֭3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f̙333f3̙333f3ffffff3f̙̙3f̙3f3f333f3333f3fff̙fff3f̙3f3f̙fffffffff!___www˲𠠤X"N pHYsj IDATx흉*EW80JzD) 8 #(!P,k5յrK>ZMuܒVS]+ìT-0k5յrKj8냘_"BuWUWslab+"b-R a܇5HXWX+]wUk-g;|R !X`ȱnٶP&UX$1lb-m%ֺWk\rRb=Z{ouv5…J~bvl(V&DAgRefFF b6h4Q*FP{v-B^&?BuG&Fw]D, [={,AětbiPh "| zbAP,2 SA$B> SA$B>VbU<'BHemba4tZŊC07$S,2L(Pib} ["(Vl5u+2b-ѩI,&@H qԾ`2SB,]h%b @X=jKR @?+Vi3wP!n2mcfaZ!]=k LDIt-*C&b(;bQeY,}Y @k*NX݉Pu=MORY"Œ` GbCQP, ^bWw./#KX5z+yv|DiXcW;U AZt&)Y11:W6pbI\7X;3X\sԈlRO,xQikmJ}ŰXc, c1HwWjRZxbsBX| /l^klh)4F${V *ffT@*X訝kkW>):^YPKc}ӆ8 koxF/؝Ú~gLtG6j/F, ֪(W]?kvsf7ݬ+yuŽe٨pw:Xc$я:Tg=NW6w9;ɸݕxj)[tb=路vXm-u8wSK,kmƜ?sbepZbUU^ R^=(-w9igOa=Pͫ>RƸrk,f֑ #/H!>X1-Lx3ݏ(sLS[+{nL&X!FZJ`W~X-r4!+sxk0 uGaʼnƉN3nV)N#d+LGjhCf;xء3'0 0*P$Z ;?RJcU;;bK:Xn"z "u?7.g8ŪOj_0'ZmiP4 x>-V^ `-VF]$XvELŸ0F0{enRA, ""kDD,8;36ǏYJ L,{KX$LwĂ  !(@lOLŚ.ֺ`lgdg-~-HFjSbc$-wMPbi̔}'4b!LҢ'FWҩIJXL^KEJ?X D"B$$C4Ouv(Db<6}{E@P,ކb<6{E^5lI ?aE@mg{X6` P,5lCְ " X6` P,5@ְVQV"X``;P,U@VA0%""DE(!P,BX@b""DE(!P,BXdjKe|3n̒/C`TfɗaE(!P,)!*5sDft 4a3޿ D7 PZ,{sup r|;#z[x:0]){xz5͡*ZK$\bVeXIi)V3{W9g CAL9+g($X@sp=l#ǴXbxjZ~UaV`R-ԾD, b.dA"Ԟ*#@Si ?2bU+#33 b @XÿEv8VKplj*FKdjĺ \PhŊ7KjrGrY[R빜X[l}R豂#ź:2dA,qoF/ŪA_dLB !Ueqrz,&oW6_='/j[n \,+8źG0f5_5*ڼ=v c >H)F)|0hsu&!L]hLum Va?B4OfxUqTpw!Fwݑ׹ CX?{ }MhS&҂z:hJ\rIvMǎO9uIgUE۩C3L"JbeO@bm"!9[J4POXi k) Ă̱Œ\X5hݷCDBmaҔ_dGZbV!pbc'bҨ.g V+ @Wvk*{TJrA[#bPGCRj#_  *$_e5 -JMvik4+{b%[< E$Pfĉ?U(2;KqR-L,[bwmzHTIDﵱN(;~2]t(W=D"2J=;IzwR~_cPXGX#BnBF)' (V6xS'YK>X'ne?Ueo`^*N+3S#5X = >Bĸ YP'QO ,։sؓul7ks(B@8QwYp+&|X |<V5b؆.M,Tr=fi26ArDYuU]{̆LD;*s<5D/,LDx.3;H ]Lt.'^:t2ݼ-c_ G2Y(i2:{;烙_Ȉ9Tt|CaGaIϥ}?TZ4B3koFrٷc˧ O(!P,BX@b""DE(!P,BX@b""DE(!P,BX@b""DERmu̒OT[]*hUHEVb""D5(YE(!P,B߹ҤXop1JmT9{$__B8wU&E0wQ!ӻ6qV a""PB-S)bQyZgϩ5~šX/5?9kSf[9b)sםqRKb)G[A;Xo2K+ XioxkT ) 5@! LA0@CT|te&w?tx[Ȉ,"b#kݣ9`."b(N1n=9@;sd+}( j&+l(Nf^[1ɬoQ8=ɈJYX#M(V؈ Q?hRϋe+HnrdR+3c+<ȢB ־bL,V*2XBc4O%2dXZ8:Ql"1XFLM,ݕU8MJɤ9Td+XX(ƫb,;sYdIJu7嬻w&M"zRD+LJĘ ,֓`|Z2.} /8+XWWm(bpԀmXi-V]L45abӃuKX[bE&BB=Vf5&9|P 򽡘_rʇuw&AcMjT+PX`%V́(:} j5*D4)EM#2 l5h:obȞLFAҭqAtR 0LOuTO?`CoP U#Q#V+-!jr W'Tр*hUjP~nحNXn}5z߅9az.ѾOlɟ_E,#` ŪO+-P5{zF _XJr:יr,&bY!Ȗ៭׎bU-+IⰆ SDGG[qK& 7J}8Œ*LXCr.ɶn2[aɽ.1VX1$b$7a }?mŚ==kJg~ջaLi;d4 {ҽ{bAb=ݺAtå >!=$%R3FkL֥ #Keτ AyΑ٧]!$ejFu+FEvGd.H'[;5v^{ t p9!A!bT%T+&?5`fSO_V1t:r^8{٥Ֆu4"1uXy"oX"5LxYz֚A:DjxTqRmDPY.|"oR絳VSp5͝@X M͐$6K$Y pԵjֵNVjޡ~W@]LbA>8zޏ U^'PbU_7o.򌴊uC$'LIĪP,VB%F(r\O4 HG9"b}RV.e#-VKپ0Zi@g"~;j5LPMN» b]ڣs3u\ב?+zl>DHwoB4ubZ`Q"} h6=^`Iu7XQqb I)VKQqDbX;QqdY.ǤybF*JaFԝl2IG(F殢X22i)GMP,X.-6AjH\4b4&h(GM$R<|M٘AkiZn"@gg ND9lO*g NRyM>[p"FmwKNp~|D^ƛ|D+fۼ[r"?ɇNq-|Dl/b""DE(!P,BX@`7ߜ~5h5<3[2oIVu+Y"B {| 2'ܳ1N`7 QBQ?W,LdwEVGqyx` Q/o^ fM~S[y%`Ef ?Y{RyexJ=+(rgnG|Coȣ)3;K=þkX9"5*k=Mα~CA.^WQ[ :˂Hj+`l'Eބ(!P,BP˽v07m'g[t.Da˚jY+46%H h5;S%VUJ S,Jt۽[};MyjJ6`jZ܋d5 Ɗ&(~\Wn}o4D¤/m}9LM-*D2z߼{J~^%o7{r>|}f#ZŶo-#~%zo^;x'd皙ksg:ww ysU߄R\KAu!GNF'z8Ոp"^}z'qTt+όoCXm0|ojt}-}Xo~F:44gMsG}cxߔDmsL&OP!}fw*M *9b*&*T W}c[?4Y *.Si5Jifxm1MFboGGcE/2 oef g2ߌgWW)ls b|g*K7}.*4\W^Z!8zi㼞ߥm"z5 7=?oAEäY#f -xK7It8cGrczBrdYRKG$ٟxOb}MfEsW}sUȌwAiX?9oj.v T_6s tDl.R 'TxMԵ$&A'!vf+77Mޥ˹bHw'_b&=j]Ӹжv1Sa<1St_f# B~UHGX =SMeV IвH+dh4n; r7n ϗgZnCM&Z9%tGHiZvjs 6+ Y^TFFXW&ߪNѡR6 }]!ڦ&,ʹJ+PE7: qNL}+^N덂}Ë^11lޜ0T-7FyF!zx("YI(ᧁfߨ|ȀooBoWj7*IJ7oC,ys929֛927 | [f^\L֛MDɁo9$g+|s?Hyhݼȹ 9ȹ 9s 9s 9sֲsArco9$4|P7E>TJYE.iC}|SW 7Xo6Fu~fo+9͒Zw̛}3%Y*߈^n܇(yOԞfgέ[Cny4Jgg*ӣ~Sd '/ZobDBoeVH3|R"MMf}3i };RHil1Xoaž"ّ{}c|&gRpR&B}bՂo2}c\oF^Y{ov'Qw{o;F" O$Eb7#0U"WfF0GK$Qw|#ugkWl@R7]̤Gf5OR⭢)Kv_URz&Ts-}D4!&ZQKڗХo>A ;9 ά4EoL$3~P.#\%a٧uL뛡94;X&a?}P}t7n^oi$+i:zpL8$scU+?&W< S$1t!Ƙ,@C{쒁g4G菂x }oz>DSx^05nz-5>t}#.BViq,C*NJ/^S(3Hq7a\4.MղK st4Ke͓ۈ$}F]-ݣU]!4ޓXH:J5&j\ K_qU^4N1l2Sl;7oKb8dggo(*"x3}76'SzIQB/e;|jZ%tL )o ռ`"kG=?F\塸.\hnizҦځT$|C뛼MZm'Bzz5=OG2LJ5BMT*ĝ_8\ >T} QCsRZT6[] 3381d%A2gՃR hC@w4;F{ƦuQ0r]KW||%fy$a|+5EîmwHsq]f3&?]c"s4^iщJmk%ˆ?So,-Dw'N x&,-q]{ʿEzZo2:ɛjAy`+r/SݤtI0* if+d*n[Q,Lu Uf;Hl71Ն7 I^ﮏe턍8|_ZyVżo⓸Ň܋c+!Pzxz);7V7=7 |7Mjj7WQxVEdGO6{w;ul EjNOE7*Q|޼M|3{ZM)(Uwz 7bSP41)(nE7㙻z@ W;9;pl {cYM6}ZqoOJΆgWQMA`> TlpoTn7d+H۬ߧm<0loTE*MQ`zs O3{0)tfdG&(H7Mϡ.-$٣Aqվ|oCo}3O7ްH7]1y$o 4QDe\d+ߔEo7u5i|SoJa$'E;5B(Y(Mެ\o٨W<"&HeYoG/w=.yd@-OS>b|d7jOIa*XaD1ƽoTDYo~o4茷&fʾ8ovMu/Y,bm櫫0eM&,3B(Ttn18eD]! >79\ts Z͏jOnБ}*Od.3fxlqHjxDU"mp7FEDᛑXҼy }S E7~Mz=\^| GacU2H-Gt%]1e߈7}CѺ5ۯRhsZs%z6u + IQz\vҌм}К4X$irj<*:9no*/Z+ŀI3Kꊼ2zp!yAEħ13VtjdWonhJG,lY.V /ƙ:L|-(C>p)\TODq#.J_E OiIϤeJ^|apjqN}ɶ I(ئo$"o::D'9,PL$MD=ŅR \@}Cy&dUQ{Uܻ1h T-HUkLÜ/vb*-$9]^^U:'C8O b ^+^S⾐JJ4J" t[=]P/[}4ZsL#S)VIq龺XK[6<*7jLO؊Q")Đ JTfy[oh%_m45ƆDpDab䓛A->9^7Et|vДlFn물\OIքΏC㵾Q!)3?3y/ 7ZW7BKJW,kb&XAc7oʞn.q 1|#eoI|ț+;3D7J ކ;=E4|c+樭7WM7O~Ϡ&|S;=|A!Twz; 9s 9c*TF d9 r7ȁo @|9 r7ȁo @|9 r7ȁo 7_A_D7+`9 rO@9}}P#Sc:;w=hn$q@l6>Loխ|jB7Fdki4m3,<|SWܧ)*ߔݧ@DQy7&uԯV(|Vf*.VS$4Ξgٌl77<ޘrV7ا% |_ ߨlTHw^A7w`ɯoU6xdޤW7iF%4&oo 7F?l9'f}ڧ "l9}N*M>|(lSJ>-iUDSכc|C7C̀Ĥb7|ug}3٥c>TxRw֛Lk|mJ~oD*۔>pem*i|77 >S4M%%Xo|ɯ؁}?mztR.VX}7BTa~3GEE97d(beq 0*Qo3[̼y5}17 1Ta{oT=Q YqYӾ1#["P*LΪFo]#Ib)ZPbatm~q*es*6cFo\cKtw05Ƙz֖%k`j-}틨ԙkIFy'Z7P谡zH:IbziuG|TOltP.ZeW$$k2KgEKtbcoҖ0SQ,Qi]iЫ|O=MKhtC_}c㢠AX/F'ΐ@ 'ф?d _V։hQpCJHRj{}d`(P͈V^} I//0p ꇈʗGׅtZd\@A`\7&%I}&JJ|8,e 0'O* ŔN|õoh\.}3fM4R5|^%,_U2,M6#<S /C cmBM1WF8X4JKv%a6 悚|n0̣HƯ[Tk)!G4L3!)S4RTd7Zma7`7ȁo@?nQ'>S}:e&Dc"-EJw(mFZha-[M.Jͅ*hCOhThd$QR>CX~|C&5h7+-^7rP=OKp7;OlFN7)qݚm;IDAT;M~ē_d$>.%-7km'.7|MgKqa{.ݡɼom\MYs"~pU_TQ=)Pm-,-gF/?Q6SD&I[oʾ%>yKab?&$&c6O2$|~M}S+R :e%J(U7jCIo\\Kd7UO6 AhuohF[yo'ҰCtaГp}^ƐJmdH:u)֛͋xAJ$CO氬cHt{eZ2([O(똍;[z{a3{rV6}ЯMԔAWlFT4E9/gJgNto&X(eIMk|TCQ |9 r0|^71kXmSom7ȁo @|9 r7ȁo @|9 r7ȁo?H<ĕIENDB`n$;4?nE@PNG  IHDRq9gAMAPLTE """)))UUUMMMBBB999|PP֭3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f̙333f3̙333f3ffffff3f̙̙3f̙3f3f333f3333f3fff̙fff3f̙3f3f̙fffffffff!___www˲𠠤X"N pHYs.> IDATx흍( @yޝV'ĊB9۽V"9 / O7`T@9@9@9@9@9w܆!߷ a.~AxIe39ޯAw6/8䘨'arLrCoCf?;>-FsdZ9%6+Y'!p4$l=.RC9-lj\Gx/^=щz2l%cr}F9>sO13{Ga 9@9@9@9@9@9@9@9)aP@U 7s`;;M0La'ߪǹ+s2-O Ӥ r`ǜ r¸'帡Cȱgro} srܰCE@ߓ_3}cV~OpB6s h<"%]9s6aia90nAx,aOEޥػ?}YgP>Ur11.aSg!)n,#@\.`\:&kEǧ!xЬSo (HrfWz9l_sTAE*[m]2 rrWA3r%5ՀmjߕC=P7|j[QWQ{OE x_t9orxwӝhPCgyQߚBNUbנn=DMMQ4t-rJ9o4JK9mQШq|V:O&G[7sA&i9} Z/)~3闶^5@rEhI1 =^ϹTNL}nDG^1ۗqlI7{Ϳ0$*z'n&}>9yEr+θoM^ӵv4x.$3vb9*Gxd:K_ .B`^0oh+L4gv)/&]'}m]W‹zl$GKVs_?tгT)RYޢ|~ )/RFؖDI](q:7)V7iG͌m7^yWR#=;sII7FBye*f|Qu=Hn|؅r*T7pS] =A֜M8/ﱹN-di9Jm YAуxPRVNVtj;ʹ2-9]\A?Gﭞvʖ,6œF1vxh ZT֔<98OziQZUܼ=UJڊE/)Aj^dV`]9noSOSAKוrHK<$ ŋ^ ڗ'vJB^+q0L;R}`9N\e8_xU#|r(oڤx$o9[9,bzr[/sUwYe0D쵼Eo*99-v*KWwnbG-m 6LßRm$iլ]:hHݖL}[#D*kr8-L]8oY_Q(Gj䰆$s{Gp2N_[<#\^i=159ZRm{%s@ QA4Z1r9%3ѡ_c _pSٔNxPa\Lh+? Ljwy (9803mY2$*\X*\丌Uqsn8$*\丌U JҬO7                  0! #a\Bca޷3YlGܹ5Ss1Fq3ی7ƒ9d W'C$F5F749DSn<1>{z8O/GdDB0Fj8 iZKʳpsD9ar\2]与e: qtt:"o 2Ain}2xe::) ttRA ǃ,IAYsND丐e::'wѿYYsOLG> 9`IܱAe::'OLG9d r<2xe::'$ttN[e\Q%81_ޭF!,Bh#rr rth ݏo1N} 7+Qgy0,-G&cīsV*v}c(9:#79 G/2sl?Ñ[zO'փ"9*=GTmrC5eՀ)WpYf!*R;9LnxRGr9֓CqsX7xlYS(4BBZ3K{'nz<̭ih)mU#:̻HBJ/,(GsX/+$XP2Ym~9Zu_K_FLZ.hdJ]뭚E=hdqڒdhFDS0,$#ǦJΒT71 9*{.\rH[;hFx0oT9*Kn9&ul(GeS$uo!}{u2y}Ś+%^TnCޔM^T/XW/_!EeAQ{YEF \r[Gy< Gsg|B Q$Rl\99}xP6 J֤#4|,&gIrjtu]W~X9rx:}[sqꚈiA2OHcĸo rTc}φJ@g9]:^E_$ &Ww_-\?p3*9]$i׋`h{g&_;Ľ h/\uע^ oAo\:3dG?s?7,G&u^Tn%MWi9N\KTadFzoxʨ*n-~wB_IvS#N5B[%勤9.9\r9 O;Cн>q ]^0slx7+9G9.Pc^I*C\{d xV9m aY5z`8UR91^{#ݵrMɣr8˯qFv_:k/Đ2bO`\FXRPJ_:Ktrf7ɣ+XpX3ӔS,h:KtrfrT96s"n߂iKtrf죴UBS?rh,əq;>˲ F;9ڿF:Ktrf\[)2KRG%:93D'g?"-ʑCgNY9«CT94̜C#SrT|B-7Ktrfa(/Ί0V>XQr 6-E# AǯK|g7CpFkHxcNNMG9қի5fNNrU\ (Ktr)b_O#Wr$W5r!q+j%w'׎w%m=Ot%'CO*V9N19kBdeENʡ,9.A@96#ǥC |aOW4-q#dv=gFk9ڤ/U$?VK#eO_I"ű>+le'Bn;'Cq?sӿ5!/r moE'9_s[~os)9$.nʩ PႼxat"i+rY =rxUg\ɱ̙rqo92b9## z(xE8@7$$uf#~uP77@5z 5N FڬKP@PX%iV'\*H7RɚE 9@9@9@9@9@9@9@9$oK~brz9`=Beς  `9@9K   35cQҧe&7;1}rW=`3C'Dh!'ǀiRVm&U;j,usG{i"Fh ՝NDxGWz|Ƃ<τV;Tk0u?4U^eqB0ghD+LfLz^eyE_I_B!./SS R75̫HT$gP:[ 5L)!\MLL>)GZ 5[)V mzb~?F £X'FDҋrtFB4řGcoqՁF9r^efUD*lYuךhWvLboLoD9L)&ludBMnې Idxq4F8V\/SuT6ZşZ'uQuGBÜ#aґC2D ($p3"54xz$  93aN#Gr.&EѦ;r5 <ӎC G-iU{Tm†^3,ǫZI?ij+mi.b 9b5@C\VgdžĖ Yq䀳r6UU_]*^k*F-i7`95bqNd'm[(cW6Nfߍk0 m=B %Iya<Ɩ]4 W%Xc#61{\Q|5*dŎbsY)~}fG.mmٞ~Wt}(+μoT@$2]ZiQY9Yhnh}-zϦk 0+1MvoN-n՘hÎbn-Us#ϮnDkH 57'ؒ})g|i:hGjD Zݫٵ@W{ved5Ie{nOEvFՐ]}!jp:i,F]MY'G°>ׇyfx?,N{lǯu<Źq-3c ɛzi YN8j[/tͱ=4>ԟo'{[?S$'C?8ZxL%enΗ # ʕNg|8?s}p{/VĩvI'\J8$hfq~ʉ+? A3XuKc=G}Su8cx/֏I fӚ'} .O+gy8>qw;/y3.qfi{wynLs-3y~ ęʛ[ T<qA)?E 8WۼzrW8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8v(ALjR C&!Lqx/8 8~qH q"h\Z#z8ەҷƮ-Py2OW}{:]Vu\_B q{mz5#o?|ײ|;*qZ@zy҉)Tq78J&ow}gܺ?U%p.UʶU4='^!Τq.g>B1Jq&8r3IZ#Q4wg#2⤭;gS 8?GVeKřq6/qbqGG]-ΠŹҜGKvd!H۔B+;)uQqZQgi𖷱68rf\ϩŌ.3t6i]]}DT qq܃)F)SsWN%'h]k(3¢/7ְ֬HPcZj簯mG.NvQ}M/zZkO$ݞ>F̎eo`o)d7>\=50K%]8I|\-ALp=4vNN߭pŨW}~mp.{[ܒ}o[gCR "_CȇǺO&BWULPaEdS Sg=)5Zq5l CRڧWhTѮQx=:#{H;'@Mt>i߫OZOHq̠-GSK:U<~s@cDo<].n)$l8<8J?'9_nǑ|QY! (g+_kُjgBFEǜ8}h2 XM\o 8B޷S{D7>d=;m( o84 0uoO8G'i1׷]węވ3N9S|"q?q_W29q T^<Iϛ[ T<qNȃ8 NynŬ=q NWכ@ 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 P'dAx8sDE#E['qȪ-\\8p_Ҫā@y=)NhiS&snCNĹ?iZ8V-8"ڽ}O=\ỷ o8x{Ch~⌬Oq \SK".G\G8kgmmqh[MڞGzjg ߓq΄Jsg`J*΂8{g%F8%NG?bt0g}i#NF{cZIFn@yKqQfWlf{:3{4Dž8Veԓqг rl~!'lnoֶi"fY[PutCӢZ<G 8ԁ8=WN[Knņot'oH8۳ eMۖdU1cV7g8!砳DZ'ͥ[eú!mԒL:Jy\$N&q8FUǺ̉Bu|rplÞ-i'ilSO䉒%l&cؔ#ƱD+Qmm6nH{Kt(Zf-/,}oxf!-NdieL*t>so·*Fme[lc%B(VwoMD֚Y q2B;ž2Ge d'Dq5]IuT6_[[Q˸e/rCJ-[Ċ,:'X,Vq-nbNv)i1mO,MfYyb4-d8Eľ!F㎺ͳ}_kEQxS,QkјAE4M9ңhmC*Y,vdx>k,ϣ!kjNpmgni/5jRY͉Z)$q:61D E<Xf'] Yp<$vU\ze9S~sH71Yt}+K9 k}[+*[CoGij.o?v98[#sE[lf+ʱiSm=j՘uރZi8Xtq='β_YS3p^/PNχ%8&✜'LfGDdM~qslE}qc}]6gF3?.ΐ]JX>oq0l%w$q%loԦpsq5|@gnlggy k: ۷ltsX:^({Q&ǟ L.q;3վWj~mCuĿ4Qv&dkR/Trݺ~yǽuҖNE,^uvv6,#mPq@1xזb-K(!sV~ &NYeD/ ~8^2qDIjgbmвgr3盤-quܧ躞쓈c2 fJǺC]FulĞt[d RרRjjBex$Z^,w2V!KWo9dIڑ[F|1*42m#`=iUNgmK2ìqyhVoYظdWe+C4$Ѿ|vEr9Vڷ@krAm j{/bC >Αu&)=Z|[a;mm38=/z{I-轍47q:hٹIW 5׋#G\G'Tҽ:JgwnJ"#,ULZbRgDRy__vpqjmSt|X>Hg$ӚHŹS˓][BgJ^qkh՟~lgG_Gđ a ⨭!q[ĵ?u^?ut6!7XǮ:Sj@q7>1T]gDqO՝ɝ3ԛ1!N G-<߻'NׄZ["ο35-듙)XvZ En#Χ0q|̎8j7|[^VC;8]+ⲾXil8-wTq~Ĺo)q qN}OЗrOgV5 Zs˚+@9 @@@@@@@@@@@@@f?Q"p}IENDB`nT,Tڢ؜x8vPNG  IHDR,TgAMAPLTE """)))UUUMMMBBB999|PP֭3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f̙333f3̙333f3ffffff3f̙̙3f̙3f3f333f3333f3fff̙fff3f̙3f3f̙fffffffff!___www˲𠠤X"N pHYsjIDATx흋(5Mw1@3:. ѝ~Y@! Y d,B@A! Y d,B@)Bm#A!%YmdAV1,B@@+ dWeYszJ7'~𥋥FD,i,3^B#_S7hi4֣{ܿfa|uΧ,dP[H0eI^c>H!'m~*5n|MDGퟐ%u=KzCIPrL6w,ksIz3LŐѣ:R]\5˘ɢEyu܆>Y| ,q *u:di9n̕0YO{NYk_ ԲEzШ]9)mδg,KFm2L2YJGR*Ǵ9ӞBp:fqZ;ĎdluY(I^,mKW),~/^ȫ/q;wߕEXנ$nw,aZLNT=]Ш=qjoh*3YS((}]w!fnp7_KlxcrFY _u睿bdD>i|_Rv{gtM*%mȔW{akh|s]/keA:;]PYF2|Fz*]coU)b\Բ\[^uceN K\wb.ž_{,eڞmX,+Ven7m7$ ? KGdwUSX+ 5[kl,hvL\S؞hr ;t\=NΎ}^nYn r#;y%왋,jvJJi?Aa>Ȏ}^ d l7[vz!FBdQeWYcN]g 8=[vz!:aȢeN_#-l@ز+,eWšHdI,[~YfYcNǖ^bqvB }@س ,gK{͞^k#={}~Y쁳gYc^/Ǟ^d={eϯ! }녰|=jMYYl5Φ^|g`Ӭٴ%́iYcnM8;v{9]f~/C4,Jv: mu@ص!f6;` d,B@A! Y d,B@A! Y d,B@A! Y d,B@A! Y d,B@A! Y d,B@A! Y d,B@A! Y d,B@A! Y dRbJ&GR^YwnÐY d,B@Y\y[މ1G|,Kbڅf_X]y~䟳4g?p걖,nlC9l|r= rVt5Ml!ד2l39lòKȟ,7 ԫ2ˈ[X]!EZjֆfu,˲dQm29e;{[#e٥!+˨% jAOsW'w>tCK u-Р‘YӼ3d#)|╥#V]q##3zeQG:2dcЧQc ds._ۉ&nG K};Cǹ6Ji?oIg,K_FףuOfk&YT5t|g؟\)"9ݒ#dgxP98iN{fYHSO]]d.!QȎϜIQW57)cL9.E[Dר,~tY#:չ+N\j z}dJ/ bIJ;??Ғɖ"ldȴN^]LsY:*ͷTU6yVeTzB2uҜ,q^}]814ϔ0*tL}3*2H_LrW]q~D}}$#?/(ml)&KFMb/ͨZ.9jf#>ٺRX.{zp73A¥W̹27jB}Ҝ/j y_M޼ ƫӜW((-&2P(kćf(G ;Q粱>k(E,OJ o8Y{Zqd z+s[iFS°S,5Jeƽ^_Ux!& }G﨤ʊ^,,yQD=ZWN|tfO_{ֆ KT̻DxrKkι<g¦u#ݨ2Edt>ZHvF$s FTXjigp7d lU4ɫx Z< 7[IQ Q{K!KqWR4ÔE? X)l U]%d)Ggg9: zm/+ c_^-Fπٳ2ힲn Vˢ$PG6tH1sd>Q'v e4?gI",n]k&uU`]$ ["iL9U9җr QYx?\}\s<4p;-1üUz Z)GjMvyJ.ān yi?)l滲8NIeIryDbs{-2T!8`ܤoiC;LSZ:k~n#ˌϵ\ӭ4?w 딥U',dyYݔ;M5׼7YdswR]CY_;?6׮#ۗ?dѲE(,=8[[fyh臨IRYh ȾLY 5Ύ}^e1~+bvRtb4sٱK+˝cyy+pvvR }xb<8;;y-6vZF>ǎ}^ Vرkr;y-6vZHKe.5Y`Rd1MfN/}7,s% +-;?e˛a2=r ml饰ofQe¼>hٲKqʂ,0)X# 2;ن$|s4K#K-Ȇ$ \9 7&W`&۲J*"]#e#\ˢ3\t +ՎNhq}Up͊k$ 2۴`ϧi)2 ,Ds뛲[W )'xpdx0@#ŢeY4.ѼiM I z6~oEjsq5E7\c 秃rsp0$L= w"e! ZUܩiͻϘ^KF5I߭VLFwN"CH-߭ž^RJG=k+C{Ы鉉ԟQ Y6(z\%|m Ẕa԰9/.3u< ;kQ?ksA"|B 9_uAgPVy]ePPC.8\x U y!]"'> N]K|ၑ@w_=stRa7[j5Zrv6y; r m.a5[xY 냔˰.9y\8O%ŞZ~e_3r$jI p/G ŽQO$jx;|jhꈻp,.tfGŘ N9w8*Л;\O)n?RpTp7w8*Л;\1tr,G:G:GE/g 0ZCL .@?:)\p@\p\pH.  . s \p@ E"^J{yMp@PZ#i+3 .@7tFQJ.( Ho SoJ .Dߝ\a^p!?? iU5ZA0\8pAkʅ\]r<@.0/ !&l ը0%\H 9&li>ưO0taƞp! iNB*rB\G )Å?ּg>f\BHQNіFr!TgBi]hH/Pø[?eJU^Lƅb .^LwJ…-E!(gDr^gwAetY[7.dp!PSZtA'Ri\F…\.fuAa稹27Qth`i rQ2 bi3:[nw>RU.FDkw]G^[)Aާ\U(ɑu:K۬9\pJc;%rk0,?]]U첣3\jl6;gǟ;r'_=>ɝ7rvNPvf؎;szp[{Ne%]T|W8s.wPh+ߺεd] wr;l㶷#rX }*<7s71{"-{m@g5oǭ;.$&Rym&tѷNOJMo66ED:Vzmi4,1Z@ofoϿb\~Oo׸ٜۓ"/Kp6#S..)*t#G j\8ۿU);V9=?$Gqh$OAJL! hqaձVɩ 񓦣}Ti;"h8'Ȓ@ݬF} C&r/.j9 ݭ5XbUM)ڋ[^24D`f|V_MIx VQqAZsw\WI?UqWC4 KfNRB}څ}NhRS v~h[k^l 9*ck̅e\vF;q'^Q/0"ޅ煟ԿN  .k |jAT~V:w\gO~=ѫ-U_yLBgopXu+ qL0/f:3}B{Ȣeop\p378.ЙJepXp3w8,Й;\ .tf:3 aBgpXp3w8,Й;~hϵe:3 o rB9wm0.B9wmԆ0.B1wqp;p@5 >c<1Vްí a[EQ =_Q Rʱz\z\z\z\zS.|zc.|`|1} |!|!Zk. = |TX1hqLp;hqLp;hqLp;hqLp;hqLp;hqLp;hqLp!CXjS:ؒ s1jȆ \05 …-1.,:U [\Jc΅օoYB*GхܢNDžluB"F\yΡUsFr{yL Ugd%cIq^hņ\08&e?ooKfP{edk^PKԅu3ԼE…:ϒ.T.t *r) Zz.hT԰va)21Ϭ\PH1BzEo{NJkϻPr᷅^v;ppnAǜ:i̻m3C3.eBo\͉)^¾sűNC1 ?6;T.;+9ɄucNV;;0r=}SB {v!{ \`r\)χ5mƩc]Cn0B-^ Dc#}ӈIѶ#+kgılΩlM=<|N"OLM7l/?ג{qoHF0ѧ Ez?7h|eQg=}8=W I}%RKe͈r eSuUGR.\*k9jJG+Dr2%9UU_+;mt\Y $F9"%~|)UӊK^ vN|&卵Sy12-'6\1q5Zn5){@T綳W=WP`qեTg0BkN!).p| kmasa+]ik%5BrK ح]( RZiGυZ)McO+pv :k$v coº&ՙ!.xa w%hsT+mH+b]Shl'!Tڧ3 `[.?Top`l0\  .e2}\;2}cx\  .e2} }1€wZ )ET?Jaop`2}cj^z^Ĕ "З\  .e2}c#B_op`\PQ 2 1r2 }qQ T0/e.2_JCa2#eAG .  .  .  .  .  .  .  .  .  B y&7%a\p@\p@\r. | \p@\p@\p@vA5Ӵ*c)Ese.tKVgS`ۨ.V%L,K)76cGk?bG̍KOWTفќ!<(CR9{RKJÇ3>ef_#\,`YUvc\X(kPʒ(>>{G*1JOe< OSÿejߩ9g\HUNvg_gCAa/wtI1(S)euns!vRr$_;䥂{)*3f c1 vYZZD6%-aS^u0)KjNZӐuFPdCr֗s=M +-[9k*,v5=Rjr|_ϯ#92)ENx,If}-f-mW#gYLmƯH+giٺjItA!G%%ʨlyah-Y#wFE:9*]4sk7jMXpԈ%l`~onL!G7E`kU1TҕVvM ԒJ^NRtƍJ)&FRJze *gsU\x>EC#fMQ8f\P)(Ip~Xu kh%Ysм ɘcE3︠3߼V;.~:fLIcu;K-Ō v_ vrLhz;B{%z9pQ5m \?,$\ȕ2  \HԺ05bp!b̅ ]P1Ӆ\H3 :B&ň vRȱ.< Kte%k) .< K) .h<E,95 JT! :34n̝5RfuV.R te5 Cngd9]oc}PULCV >\( *!I+G33){.(Tc"S.(,jN³9*25nB]8Ղ vs^w|.0/ pTPɋFIzJ9 jI” zX5#v!49}\p@\p@\p@\p@ؖfi@IENDB`neZzcXDN6qPNG  IHDR>cgAMAPLTE """)))UUUMMMBBB999|PP֭3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f̙333f3̙333f3ffffff3f̙̙3f̙3f3f333f3333f3fff̙fff3f̙3f3f̙fffffffff!___www˲𠠤X"N pHYsj5IDATx흋v8 ?m#d9gmb˲`B{t~A5}ԠP>j@ T(4Y GөI>.G<#+F0 ǧ>7agY [GBon[yK˶G>ަ>>"Qk.YKE# N* }ԠP>j@ APk~KR>HAvBZs@ v5>j}԰afՆĤ.{Mv'$׺] @<\ 7< }C@ sB#rTs|x >>!pyN"9Xf>[t;%or>ǜW~JO]wDI=lO`Z"B*>UGglo` I]Ad [#orto5 A7!_i䪿56} o_i޽e^evzupc%}NԣS_g^f^jICsF6EK0|vM앜!,MTr.h}9`!ʹ".|w80L!`;K{%ZxM~:\Jf+逝]vinljݓkQ0`QS~ß)m=}Zx\n9Gˣ$]aI5mJCH\\+8]k_Hh1ᐦ<%]t8.!^ּoң'u:fk$FiA[j?JQjj4$s;Fم?F<%+-RaNsW档z(Rut8TCc֣*v/`ODy&7-Jz÷>XN/{:u8٫9R_OWq{z=u׉ j9"irJI ɏ{0xPA$N5g*DUlC܊=ڼ;7g8J3gF5ٚ\nyrq]}XTа>ʳȘ6!Yl c@53;}'}tC0X%@IE]ة2UN /@ A5}ԠP>j@ A5w?_9䛶?{H}Yex,BO}>JO>.}D}%U.Gub;=m;G^β^,A݃ht%P>j@ A5ZߒB?q}:@'>0#>4̈}}`JlMfd}:>0F FAp w|m}&}d}j܆@&t݃&g+\{Һۼm}ykNIG_5wi-WϹ(3[sGgϹߡhޭO߬l_[y<>{Y0}ޡP%સly`y>aPZ}֯[RG ?>˃|> ^HCo7/ iW3ZmPy썫t'vVؖ7aӾWv^}WSEMfpUzuDYzG&b4Rڡ;o6X lKm\KJ~sF}Jl{7ۯj yO{}|(`5B2KizC 1Ok'PU\:EVሜ{81P'dB9Z}r/ED}2{(pE?\+siXꡅ)4eZ딐x9RoOD[ Q !׫HMb,B{h@ʛhɅfuj^1xҐy9=/\*:~>}wtGQ_4.ҧCWf}G6g)Lq{|ﮡ# k,Q1n}{:u}&.bp m}L ҋ>}4 S}.GxS>.c>FwaB*3FuO[M[Wt}9}#@ylx`sLAeip.@ A5}dف>~/=S.u@ bJ}ԠP>j@ A5}ԠP>j@ A5}Ԡ#ToQ}Ji]o.Gp-aWY+"pg|㣏zs$]-}d>"a~oټ/+Y徽t?N >olN_\sj@ A5}Ԡ $^Ϥi?O)BJYN^$, >0ӂM@yӀ"@dЧY@Q}uxa}z:OW6]]A\u\|* XO*n> > g }rOSi?2 yѧYQ}5Cr~\ϖ{ϝ!^IeQЧ}2O$_s3g 뢴U\/}'}½>R=>g$ £OAJkxCͳQ^O6{}Ƣ_GfG^[R`R>#Ow>Wn٣_OWbj$DVdݧO'ZÚS6[s g>-oy /@-Я]8V3՞I6AҾ:^>{Zct"g $ _ aitPL /ac><%nv5ҷ щ`C-+sEW-Rh8Z. J($ )Q| li+kרBο[qF>;H~-Lo[W?O#,YRn8|t r: aIgҘE8( Wtrk&OG\S _m%Fr>!@F |/wD8~6#d[`]zCP$Յx#):|8Hg[{Nk4׾(kI V`g̮g^hZEW*~iU9 ]R|hʎy)rLl2խ->c1$.4HE_o}9ޠA-g]%u2 ϱm̑97} (Z}~!|>#i%գ֧|͹>G"}w&*주WʓoK190ëp~+/`g0|XLy$cs`ct¸9o14dƪ =1>>Qng)zyh>'2((@̫,e;I̔ , O3>`M`.Fckv`MܢkC;X?t&~@`M>}5LkFCX?t&~xV`->Z:55}ԠP>j@ A5}ԠP>j@ A5}\Mxg x/Wx!}ԠPÝ757P>j@ A5}b‘J{rA@-c5o>j@ A5}ԠP>xbw(}M.ھBᴞBmBknhL5"iTq 2\UoguS}+;͙@&\X>׽)?e~؜X, }2fgEx+yve[_>sWet;"]<,\$ta/ѕ5`7υFާ[/,͓dA6GW/vCAܭcW>ei5҄GDX^U鎍_9\~ ~Co q^_l$Uҩ5S+%)q}u*d:$MDtĐ6Z\ϟ Y<$tfTa9t,]:OmC@4i@6JC :+ϱkD48D%H{ݞ<5j@ A5}ԠP>j@ A5}ԠP>j@ A5}ԠP>j@ A5}ԠP>j@ A5}ԠP>j@ A5}ԠP>pa ,'d |1]( g~->A5}ԠP>u/~{ǿ6{Ϗ߼Z]S͇۴ǿ K8 |&.allǽ{&OP"L$w sX *ɧȎ%/h@p(w=wKSMJ ى,#>f?Ҳ= ;n >Ƕ';M$'  k,XiҎ>뫋 I؃ERzQ}Y/Is,2>ԜPH&iML^$o4arc%#7Wr>_iJ {z9|I__]zbMU} C[IBb9 @uis;>A5}ԠP>jN.>j@ A5}Ԡ!4WQ IENDB`n҆R^#;,(2PNG  IHDR.CKgAMAPLTE """)))UUUMMMBBB999|PP֭3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f̙333f3̙333f3ffffff3f̙̙3f̙3f3f333f3333f3fff̙fff3f̙3f3f̙fffffffff!___www˲𠠤X"N pHYsjmIDATx휍yvN Af$ Q{"]d@]d@]d@]d@]d@]d@]d@]d@]d@]d@]d@]d@]d@]`dH>K ^.02x8؋]`(vn`FЅ&\]d@]d@]d p@x f] .2 3.c p30..0 .짋@|3Rc?] F] .0 .2 .2 :]@71%@?#.5|t&]d@uN.>-#7c9]M}eV:'.2m'.2m'.2m'.1`,3Luɵl[)?yUХƼ˴L\uw' 7cŖǹU ueՂ@rtGz.Oc/M.\~¯ EIن/:%<uqPW#o]]~tXQB,߾-L.8߬e^zb[Ǚ-!c)X8irVM/vUu*AYrNӼk9j]tɅ[uS%^^Ǻw:tla - Z,dT9Y|ֳG68zcpژqxN_Os%UNJڎ7R}*~<.{e>%766X!Ruq kdzXJ٤|]YG MNk=}smH!mM,v-ҮQT˛Ψ!oJt(x[=H03ZC9mi.tv}B.a}h;v%\nFyDQ. r #Ks7"17]OG)#R^"z=ޘ.2=%~B]zx.=K%7jJf?HJҐz119K*xYG] `O7^>/7Eڅ2٪=nכ?F"OwrpϏ^ Ƞ xT=k=[$38`rp]t(0 }]()_%pnRڐ-ko۬n&EYNsֆ\-$J!N)scڌFۧma[+*Wy_]֛k1~}f &)~6rs0U.#B^IM3.Pj6UcqBh=gG[L{uN׶Ktq_Q7E`!۵%B971/1b < 7>^)L"7ҷ/6)QK׭!Q$T{|BwؔwgA/iە\xcs!Ru<_d~O^jW$9 p+|}[zrEu]ߌHhlsLӫ0.WCП.Ox!F]ŒWibIqzԟ<>AK/xEJ7L/OΨ˞[ě~-/nXtAtAtAtAtAtAtAtAtAtAtAtAtAtAtAtAtAtAtAtAtAtAtAtAtAtAtAtAtAtAtAtAtAtAtam(q5yM.$"'0.]g]p|tyn wuik7 }ta p< t&,n|"Yc8$Y v { Me*CǚEg=8X['9=O#L\Zms^!]|{+AFNctJV䂵5}DJ],鏦ۋ tkk]Kbic۷wbޮK.*幧8s ]%c.w{zL9겗. #K&Xcj]LO]ԅL.>%ߚ靅!cŚ.ɢەw겏ڱ6٢S.`/~]rk_n]ޏՅ%Arbţ@YI0E\NɢKZ$$~5uK8}▃; EnD pf]zOS_JӵEk[uI~Pw_,_>EwaʝWrh0r܂B][O[J? zs>d]'5ˏ->qzv1v4bi32_z'U^XNju_oV?_+9qoz.cz26)dsO䉿]^f'}.4^ eJ a^]%)^IcDG/F]֟O+ 46v-kNZu< G-$,FZNo'QE"k~%/udn7?n8'F-HHj>WxH|P([1RE.AI`48ٍ4uMZKTb6r]ՋȤtt>'L/dX duw.hDGH&[Rc { b,,mjY07b ._Ş?1\u-cx.w2^}7Bm'՟?ޝ3t/ҳTt: ke=߱y2uYeB]B]c7kHbU!%tHWlWRmךּ̲^{~y3(|N$ӣ\ euq$XyFEM}|peyEX._y=X5)#@<t8"2 .2 .2 .2 .2 .2 .2 .2 .2 .2 .2 .2 .2 .2 .2 .2 .2 .2 .2 .2 .2 .2 .2 .2 .2 .2 .2 .2 .2 .2 .2 .2 .2׺0(.'/]d.? tAtAk]<tAgt7 .2 .2 .2 .2 .2 .2 Ҕ-'2Z>c]gűtcf,\/ bMtGKO8Xc./6>oҐ@9}G;RL.I9lݷ[uɖR f,qr㯡[VOถr8T~2{,!궫WL3Kh͢y .G;0VAT".߾[.a]f%IlUX\ 5)Y֮>fV&ad%,h14xe[ؿ!tߛf~#^k?u_kM>I B寎*S]\|ˉLPOKbhTE7&;O>>m덞O<[(R}Uͧ N}?ݨ[y.!{uY^ tϛB 0T<۠d@]d@]d@]d@]d@]d@]d@]d@]d@]d@]d@]d@]d@]d@]d@]d@]dN!IENDB`n%)JzPNG  IHDR*.&gAMAPLTE """)))UUUMMMBBB999|PP֭3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f̙333f3̙333f3ffffff3f̙̙3f̙3f3f333f3333f3fff̙fff3f̙3f3f̙fffffffff!___www˲𠠤X"N pHYsj IDATx흍*Dym~H(۝N\HDҙ(J(7DT(J%BQ*RPJDT"*Q( EDT(J%BQ*RPJDT"*Q( EDT(J%BQ*RPJDT"*Q( EDT(J%BQ*RPJDT"*Q( E( $d"*F/jL0QvPLT@CQZRPJDTgM E ?!*T8y&2T=+P;H* ER| TQ*hWAPV*(*S+eCظobBTu MAQaWi} XN&(EieBű*T;7#X߿*"NAzUF ć &*{H@hh!*Өq׍oa m/ۦ+?PF0 *.|Pٲ~AcTL3P,^(=FTh秩ٔfGer%ATeMެp@IM KGeXF4# l  #7}gpFuQ>+=5t} qD ZܻQ:OSfy%c *>|F.G=\-)F%)X-!QU1_ y>TB=rs^><ݸ';5*Y]>-T_+Dt~p£:T[ŕbOSmWKypeoD=IJșYUuv)L%"VgQ rOSI)k=5haYt,di>TƅT}:/V菡лWBq:.`HW myl#Ow)nVPR"מ5Oc;c{2nk=?ujU)5]-8R]X-=T#ɶN!"K~+IʡN){|KTFk"dQaM M'Jgg3k[Y#uNSB|mD*Iǔ{dny/"wOaHٗeTw~m]T/^mw9ɕG"j%ɜ -]ri4ℊ"A^?J^@ #`Gˣ\7TO8T$T`TLWR9`^P`'>g8#@TŒ>ՅRJYc^lT/MyBur@uNy`;l7|W' :UPɿ3Kw[=r]g]l珢bDEVʑT?{F V^q+/ *vG><`)0*vP;M?K Qjc-/G 8&CP*@bDR+`y] 1PjTdhTPE*> J-vbW:C"7}v}v}v}T^?eBTQY죀;BTP{ ATQܮH. ,*T(,7}DTѩ X^oD 7Q> !*OU\T<,OT6RJ- [OTBP-&AQ( EEm1 Z/BQ*RPJDT"*Q( EDT(J%V\XzsFzz '*B%aVAT(DAT(QyD×PZ=|9 ×PZ=|9_hzrJ/TN<}m<}mᇊ?/QzrJ/QzrFT~]_Bi *V_7TL_p<1E(o" vn,?WHur8#|;`ՋQ5󴥻+idP /97U-Sظiw< )/brt}(Jnb~̆#Ukxw;~h9h(#T>"MёH &T]EѮ$Z23CasE>{Ye8(KPXB@WUvCM VuSm!]Ud29,Gv0ӏ䇊rUfmBZtjF J@v&Vھ]:*}}T=5u׼GUTodKR׾?(̓w}߿ TzU?: rSwN[,9zB>ډedlJ3~uo҂[|%bU RO[٧O5jP%=QP1z] ?h\wk@k3R̲VK4J`{=-(Un%[p#w \gƳˠV;ƺE.6|9Ie2*n߭3" Jo'ʇQӖ=J9+No>#9CvnUPvQDT&U}gy9t9{*AC|"qԪ3lkނtsT? bͫdb/,ͬCyTsԦҰ1v~Ѧ)Tf$8;\^;[\_cHsTw*ST`oڔFD9Q~i@e 02>{m*,q/T'qֺ_=z4U܎j飧\5; V>ݚk!w|ThMZ'}Go RĀ{'[2qQQz)1T$1)or 6Zzo;·+Ge߻Xortø x)+PY}#*V铞@9}Ogu`b};K¢*Ӛt0*Yw3RPQf삊* Qmo )K ,;^:bvC`-EWHQ*pWjYy6{g*˩5D>e8r\T~ ]%X%*+=;)tWYo0c>*^6=JLT QyUV[Y`݇D|YovB{8ɩve]ů1TQX~*8i'T`D U1Q{qv*#uaYWCeOT\Z~=DP`TU&BeDDť7*PS v*k#?C+2*}#Ŋ1QЧЉZTTABP1:"=`!*,}DTZ>"*vˢk"*fiSz:*.! RX~4Q(XqP[LSXTC`ON{Kz贷k~dRDe:=o< A5i)vzQYN{O|䄨P/R"*+i-YHX=t{C/I|yo)HDex6QY)ީ\)]RPJDT"*Q( EDT(J%BQ*RPJDT"*Q( EDT(J%BQ*RPJDT"*Q( EDT(J%BQ*RPJDT"*JESwL걲UQ( KaOD%BQ*R yeB*0DogT QyS}.BLP3[? Dj|~oggA'B| iul VXMd i y}B_aO:f*VVBeTuM3q_Sʛk:9Xt^-T'QmZ")C$[cO*%۝x^~4Lb*=Y=/+*gdϪXPԚ'6*QPi6&T[n\IPY!7խ=f JT5l|[6&T>ʺC5px,*(_GW搶UUTURLY TZFU Aezo^Ȏ G^^:eJԠ"O%vjM@b\3*7i},PvPq5*߂J8'+*I s4>iD:-GEye=4.*ߘATRj7Wr)þUT}sz!f>ޏԽ>iDC؈TFhKHWېR:|QXTvclTꘃ>v ANGtnyPi:R [9Vg-Kz;wCFWr*".qQ,*>-&*'***DEm⁊qdvCP0.2-NaBT &*K_ZLÛ.:K*>]bzurr*f:Z -P ZemIa r+lo r3: k+~ۨʂ4D%jw~âV*nU+D!o&\9x(JegK*˼U{L*eg|GME禪}i=#pϔrKS%lIbFeYx-%sQRYfmR6WVRl|W\$&q.m$Aȗcl*2[FOI3[]ћI, nOY}L"$&V^$ge1N_LN.*vA5Vp5Volw"53\rAf3zDK`Sȋ! -WKCGtn tj3\^Δ$jg“JN]̮ s.|` :`VR,AtU,^[9l|ż{ǽ>=s1D)*>p7a!L5IHXGGBjxACq%XƷLjE4& +;B2/,^W f[貪[U{ۇ, Tiã(S贤Se1Y{yGeq%eFQh!**F}qTˣQuQb5ylTBT,T*,bFťJ\ Q&CT<o2b9 z}2.Ff [ıQYPc8*++e}T|Q `*WWAZ!Wx9r~&:*@DeT7̂ ;AT=C`>Q1:ʁ KvQ\PqXŨٰؒ ELTVEqAŧx=xh e}DT 0P兊^bs,JzrECQQ]F P *] ⇊ǯ8X@MCĞRPNG  IHDRVrgAMAPLTE """)))UUUMMMBBB999|PP֭3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f̙333f3̙333f3ffffff3f̙̙3f̙3f3f333f3333f3fff̙fff3f̙3f3f̙fffffffff!___www˲𠠤X"N pHYs+IDATx휁8? H D=2dF۔J ĄZA+9h Vr @ZA+9h Vr @ZA+9h Vr @ZA!~k7l氽^O@^V6r×(sˣ,gzS˳uO:߉򷩎QxA-NxBp^IcBz'$Wc?cӳ$ī@]] { |o7t Q^lrWrł a[9|L_}3M,f7[g%8W᭦e⳱"G˃ϴo\w?,R}#GV;n;;Yi V0HMJ4<޹_k99P}٤yf:[CqQh5}c.~zVsu-V"J*jm7hUBqGp+B6hJ$pVh5nU1:GWVJ\Io/%7gZZYj(rjXA/艠gӧ|JP ZxiGOoZ Ҏq6@RssDPs0ЉF/h525$9F0Vsn$h(F+Vsğ[ (9jp 7툿wTÊ9ЋZ)@r.V̑^D?=ZWbnjXJ%/sO;bVŨyEtְV%zX+(JUAPPp#>Z+A;%&DZÊrDZÊ9B5Z @=hְejZY?JF\"x#Zsw$-2GhGVaEtӎTf̑^D7Wkd0d\"iGxf̑^DӐ.<3Z!6VN6E/"Z8ZCa|VCh0IvpÌ9ЋZ VP͹2}"iZ}*0>DыM A!^D?@5Ƈ>zoJ9ЋGA!^D?H R/@5>zE%h%Ek 7Jx%7Z'1|Z)rk3#ZZ :%9oFgxZy`ݭFGxZ VsRCqs0JhVN0J^C/^8iZ9g/5̑^Ҏj%V9^ځVcs38#x=ZIF\ϝ(UvĸVFúŋjuqA:~G?/=l /Ġ?y#'(2FN@+Pe^r)ܴ̑K89rvx@/FVr @ZA+9h Vr @ZA+9h Vr @ZA+9h Vr @ZA+9h Vr @ZA+9h Vr @ZA+9h FE@֎n [;3Zv Xuk!`սawVVw|_qwk7VZ^Faa% |-hk xk xk xkAG^ R=vZׂT]Vr @ZA+9hw-oZ}h䃶(r1Ѫ-uϸcuwv̐rޛTתUF7LGWك)verZw{T|\~T<\[slZ5MJ?/TztJW3Q6$%x +Fq:J߶-UQRؽJBQ)Tc_"6gSGszQ8#kSf,߆nʹ1sWWŽV98N':Y,9&dsMU&ºTzRM=Zs#ًn>DͅjJD'I ˩ObƸ Q^0c6DֺX-]_xktJ fltqz=[zuuraysb9E~~k,;@VIrWOErui/GS(6!l$oKX˺ٔb\!yc^1ȱ{) J:ЫN Pw1tyg 9faȇabaVS;Z}%Dl\f.ۯNJC-]?V!TytFz#}mK >Z\vH{[ '*Z(WՁ)[<(/cƤ[0^ՊײFރʅF~*&¡rGM:bٱ9CaKW I-9*K,ؔk^zܩ՜fOtIZBi;ݬ.57tq9Vj~(̎dGi{.r.y# (ux7K69X9m-Uع5mt.I0=Z.GfE>WLF6 d 9,O_0p)GVlٗ^p:%9 9h<͊}xCPNG  IHDRIŧWgAMAPLTE """)))UUUMMMBBB999|PP֭3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f̙333f3̙333f3ffffff3f̙̙3f̙3f3f333f3333f3fff̙fff3f̙3f3f̙fffffffff!___www˲𠠤X"N pHYs+IDATx흁y=A۝dR&6x]`LPI 0 @&($`LPI 0 @&($`LPI 0 @&($`LPI 0 @&($`LPI 0 @&($`LPI 0 @&($`LPI 0 @&($`LPI 0 @&($`LPI 0 @&($`LPI 0 @&($q0 ~0 9Lr!h/˜j]1p? SkImש'a|١:rR0 FD--/MeNWঘК 6`t?GՄ$x a9&ARL'ꨘ&($w3Lf/La}Lf꿁/=㦘$IPD=_mR()nMҪ9_d_'5ShR*0ies a5&\Auj7k4*ᾴ11ڤ)o{LHu:¤6䃍9F qѹU rI}ֲDQ͆lKf|՘s9A1<}LrSLr3SkL$ ܔ^ݣ&uxxIK&}z'겷7>ȕ& Y3)-!ӎ۩1$sKk?k"Ef>RQuA10-&Uܤ;9K*[ƌ}[t.{>Ϫި=ȦUKNMͭKgswx3a{&%+XҝIu2/Y*8l󇎚Nkt瑞>^`w ?lqTMώΝYɘ俽dq9̈ٶLbKv%Ml)_]>^ spRӺwr?׭a{j^s:7gӽՂR=ehVXnTUg./Z^RirT ]{X\0 nJ;wyU".)Vl&tݤw;tV_[RMZz 7L+MzK.~ΤO;D5N0&<芍?mI&KG]AW;mK~ ?hAڅn~cQ6L2Y9Ի{U+ш:3)|6~Τ`E79cה| $` I+@ ^O)& I+@&{?dǤ6N8&As  c9i` c I @`I|2L; e 0$EA  eIM2&H-!e)GhA&5A {93&D`R "&#QI)i4@&D`Rd "0 `LPI 0 @&($`LPI 0 @&($`LPI 0 @&($`LPI 0 @&($`L0_E$x nIoM鍪/M3I%)a|L҄-*ݠ?LںB&ʰ[ PKf_;~ Ie̙0 Is,*&;$`{cp&$x`I&4~!nI~c'Zנ?.xf0 &.2y3RXKLZ]U_V `[;c6M0}U2,]&w1ƤIfg]&yclEfc&=*z㔅4&-߆ݵwIѣG;Mws^G1)h~9ju8Sq9.ƌqĻkؤ䚯(ʎ8֫ѣ-M&u\ո֤'5rXht9gBu:ɹ|\g1<ޤֽͤt>jݓ6)xجߞbR*'x\sb&uΝIu0r[,9,h˓KM &bΗze^D+zfRcrz2N<)S&Wf˙OsE*r\%p&+;:K>AY&V3kM ֒ptq7Uvq]-r񞘔[d+^4R=lfeJŀz#~|;77ʝۮfyr߿˴J-c/UEBWqݲQ+I< v # zJX.Xut6';i؇>V5Rt^M~Ĉ <5;(x,k}юj +;} x!y|G]Io?xt<:GڀC۽$LZW7n_5NG:s:ٮ';39IVʈ1WrUy%H4R2x^Ά'/Wm Tz ꏭ+.ʤ`ѓ9rLf<#/龌"rD% fhq vk5Ԩ%갾I72˲^ nIR(x< dv qUxcaΒY_دpۤbXuͫ;S3x@UhO\E[Ct+9oDO*qWRqtY bW-\=G5IщOJ?tkѝ1*$V5X-~{)Oq=ܯ>,Mc*+UD$Y˓!GS6){)xq`U_nIs}+2{-T])nǑG'3'e%A9Gc+FT٭Iߌ"jkr[;u& ~:joUJwvSLU֤V\CA_R|k9IW2iMVhkjL6=u1[T#;+I5dPsrX k2& >%F׬o])D+GNznNrID^MRT:Jd% 0i&u x[` c I @`G cpW^PB!c`IՐ10j`R5d 02T PI 0 @&($`LPI 0 @&($`LPI 0 @&($`LPI 0 @&($`LPI 0 @&($`LPI 0 @&($`LPI 0 @&($`I.d\#gRI ҂8L(&cR ``LPI 0 @AIHIUoCvB1 e.IU=/&MPxyI3R?)~AtоLgR2 u*#nϘ|7)_m%w+"o3)uR\BcfLOvti~WJEFWzW禇&} 麍v~MXdTUJbt3U,z ev퟽]&rnwZ{Ŏw. __ʿre}8Obg{=w2ݝw,ݩnP{>5+T ; {yNq *㰽̙uj6qB}ڻKJb8:q&}L,/[=>Y*{Ԫ~iL- m7=1}A; w 7 H1L1SoH}frJ3k QTGC1={X&/;)S&|"=Ť9A f[F=ctI[{ȔJ\|3Jf LbJ`NPI $8`LPI 0 @&($`LPI 0 @&($`LPI 0 @&($`LPI 0 @&($`LPI 0 @&($@z]2IENDB`n · %pw[ʒPNG  IHDR8yigAMAPLTE """)))UUUMMMBBB999|PP֭3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f̙333f3̙333f3ffffff3f̙̙3f̙3f3f333f3333f3fff̙fff3f̙3f3f̙fffffffff!___www˲𠠤X"N pHYs.>IDATx흁*ջ 80vn. 4f8t8 @t8 @t8 @t8 @t8 @t8 @t8 @t8 @b8cD#q΄9PXh@5[caZh@5VvT/h@=x5p{.dxr"+8Gqqw=daS8Qp$K>ZqS9OGXuq>KAL z[q]Rhte@m2Ws=DK[߭-N⨡w(?I4scvqSU|.j_wUqQϯSK Sl:q.=|H|>)sW.qMo&Y(/G[GY\*BnN79J)(쎴o'y} ^TGvę䴇]Vd';oј"NaT}& ,Abѝ|̑80wXF"q|]2-7y^N8bugcdy8q_#NrVڹ4,/N0#uA杦qiqri%hn@bg++{˄drH='ʎ?lCAK|hQ{睝x Lօ<9~/UGnN[8/fhRxsncP|G7HץjtibY)8a~k.O#es~Uf{uWfZ]Y?+[ؐtZ'_+OS5^[QKe~Uςe3J+S:6]=?UgS =Th]+;BU9..m.snk־ ߺUF'dO <Ztڼ>su&MsYVߛ8z"vTܤ9̓=rt˟ }튺O`rilcqt.Z<Jz;#6qƮ'Dml9m5c8 Wx ̉J[hc[q5go}U4 ωiJ 頣jQm:#Q!wg|@.RmnWgai-uqb|!|4+q;CdNoY]y̋dqȱg>H;ڨcPh#P;ܩ#N[`[chs36 ĩ7 ;l$Vkh^Aۊw3?rSNcibc_kx),Gpo$NXY8+tPY/nLE5NS 4H)qXq@ -q&Sj5(⬁~@4jPYęJlS*Qg~=p6>%+H8SD5mCrq0ϧ8Oj/-q6oWU`ř8[h8S[5](8JF`gFqPtΕNX)gBLy3!&⼏/58_ꋃ}gtK}q8}WnEE}E#tIPgFLyj+}ti+ eھ$NY=q4nj7MgtLVW8c"+AIq勂&c+&,L8q&E5qT)⼏ωc<(,+J NTPYR _:Sb|L!38 @t8 @Ё8-o/BtV Vi* ` q:@@!_EXq` ZzX*4q)}:)&,Lc>}8.]Xe~qKΠbk46l0đ *^qvFi7T+H8 tj0 qn N1qoZTXqQy'UQqQyn%q~s)d*̿?i. }3Ipӌy!GL"&8gg8Afއm%Mk$AfN8&8 B/:f,LJu3c8Xgb^<Kk*ʌe8󑙔Ջӕ18mSmq:ⴄߥcΟ w,c芣t+ΠTĝÃ7aR^g] [XH8+θ n0GrzT4EN}T (˪8*WB-D-P+ڷse?+5'u%['NvmK77CNT"I:M^ݓH78 gn8.m,^:]R%?/Pđ|:\} uoÞ!/aĩz٪ld xʸB͡t ΚVv}m#t)*Mn=XF5.P{S]*ym{7^#Ź+MC` /&Ni #0K4䗨8mZ$"+$oa:yNO׵A192 ܈&=lO8ȟ[pB.;G0%pm w_tY 4 _={Uqwpbד9A>VTuRINKx8SJ AE]t]nى}=o[8A#'A3Ten'\=S?[D먣\f StRd{Cb&[G`{AudFK'QۻVT '>yw)HT6G>qqFXG1HeoSYm\L*]> }&9S!=8 3%qGb&WҶ{cAq$jj C̲e@ř׋s\=Az57ªmoM-Fw}f60h[4jg+%T[P=qT9rke~H Կl;<=/S\m^{s8cJgWgnux>"kbXq^A)́'c9[ƛf6Wnb6Ya|?vŠ4?b⨄>2|P۶"ܠe)U?T6_q@wřq@1q@k+Ubq@qW FgFІ3#(⼎Gy3%hCqAnG3?&⼐8c" AcAg 0 8k8Ƃ" X+.jX+.c,(⬁8:X#&⼎ωcrc rc rqI@RAIE_mCR@kA $e$e!$e ت,؁,+-H" -H" -H" -H" -H"((H8v )tޏ8H"8sI@RAI>$ea )UcIARAq>deg<-=NVqӴ'LVVq8oq8ocO]#"|K?V8s8oq&E5qT)⼏/ML۔bY!8"5iy#ų:,\ĩ8P3rj/!)]kɋ3npk8DE(c)Z+⼎gdء] 8pyS9jY畔g~-qF4EEgئ)[HqTVKuiύ86a8#"aU!qU6⼒8NU ⼒8o6M7iF8t *Bz[geFX)g4# 8q⌈Jq,R!+pܻo]Y ⼓ܵ|/ΐ"xS!VAqJś !q\h\.yNI36Skwrez8_Yq@ | y<:K?>6 ,NL+Tjgo=Di+g>d%o3z[Ҏf2G:h?V}6/gRCO]L"+w'4qZ"N!qoHĩ*%\"NL8ށʼnkBĮSkAE\Nq\qgtĩ:P03pֺ$rn&݊v_'Ad3c. sM>r6Ui⤇4s….wt运aMo͑+KZnIiL'!_CK#xW}t[ זo(s~W|# =q3kGc.os`?*qSΉ>C92͸<b9.?k<g*SVh7=to H-tjpV.ϵNg lMwG{`UJ/UA\Waxe<愋ˡ_1YYScITЊ E(|BHq$ +{`8XPˏW3 1*>fl5E]}rǙOeRll>51KEƉŹcCyݼ%xԖ^$q[k\ Rhu|%Ϟez(UDv[_cg 8דT3ޙ?nڪ ߣ8 {mg*,syK{ݭ)Hq\U⦵f,Q}.2OEK+~жz^&Ne؆796+&rs_'<2u ~؀Pgu~/+|Vya%D] s-Ϛ9\Y*VHDUx77>VYScqj^t|RFStoy:6>z70'yVϦ0xvQNR̼; 3j[uq^q&w wդhz QD:;8[dQj\%G!&Â75Ȉs(ZsZkQ7Uqe#&Sw1_k(!TgzL&ƍ!%JnębVgMV+cш8GH"Μ_Ir S8f@5`1916ٙ ɇ)dX:' KqN!'k8 'k8 'kfKr8 'k8 'k8 'k8 'k8 'k8 'k8 'k8 'kSR krZ3?+Nrc rl@Nրd >TCNAQj " -" -B B Bh3?}H"h^kc8 )8 )Bb$e$e$e$e$eG0c$IYfc2FEgc$!)V$eتق,؂,8CRAKoN'!)(BTEк@4deq,+-" -"UYYV[E@[E@[E@[E@[E@[TeŅn$:⤩'J"5`űE8M0c Yı,ޯ0sS "h&&+NYj@E@[ "h `I879)gXql8&oJ88L*8@E4lqQYqJS `ƋÒ h9K8 33u0X>@ ycyq.C #K09<q(T-NCs'`1~͚8]G\>j9j( 0k+n [gcuV/jm.;k0~UiC\8 Oޅo@]m2Z; $NYvO dѳ(;,h#;B>|-jt1gomyUPZe'2YŠRq ?6 /|C8}3t@&lcG8[ ,YjCJmn"w7x~8QHv#;Gq{ʼn.w|zb$*L$,:]6쵳sE^8y+OiPYUPTwtĐ'82ؑ&ؼ>ϋw9$%-]?&_ܗjM+y.L\I,N7a3gdIARWbY[W5ga\# lqsQG&n~>m x \3>&Ea\g[ kF)RW:@7g~87K$:sv;NYžFGx]o9 -Wa,osUGtiF3e?w5+Ȕv j™7{q?;oܱ)|հ7bL.aN;uF8"U5Nq鼨Ws<$/ܠ_G6`m\Z)MGeJlrnr[!-jJgEXuiCZ^>S̍j|Y_zL]n(tvrf+8zF V^ t6YZ-tęO5q8h쪂kۆA @t8 @t8 @t8 @t8 @t8 @t8 @t8 @t8 @t8 @t8 @t8 @tLRIENDB`n"rt{ڲJ\UPNG  IHDRRiޣ[gAMAPLTE """)))UUUMMMBBB999|PP֭3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f̙333f3̙333f3ffffff3f̙̙3f̙3f3f333f3333f3fff̙fff3f̙3f3f̙fffffffff!___www˲𠠤X"N pHYs+FIDATx흍yvL[i{L~"v&&O7`<!~Px",D\jxog}?_gQ1BIƈ _g YԢ!Չ'<+YCj(\"Zd6&9* 2(,Ց<5ZP.QqF]ElJbx۹V0SI!h)[['dNEz#igBlRփ2ɹ< IG*QֈkQ/%%yg^rW@ԢhUwy=(h7S}?>Q 1A Z@RD٠j齯Ku,%i|' oiʥ>Ai#uo.loF}>Iј}‚C{T)_C1ZseD t_!Qfu4bk{> c! JQ  ]Bf vF 1ekM '}Q?~?.Ȯ{)kQGri)kL1A @ Z@-h @ Z@-`HfaWȅQwэ&RĴiqFd/TPŷHk?-i1Oɽ$ Ft q҂(xMIԼL7hop e\σ Z{xuh#P}z+;_q,Kh @ Z@-h @ Z@-h @ Z@-`0{=vMﺿ+"> oֈ P'F - lߘ7m7U]rO\rZ@x`):sFc.!ѴMt Xۦ)ՁX_'$4G p@] hAjRri!.77kL1!G`-h @ Z@-h @ Z@-h @ Z@-h @ Z#\*P C2)Y!ZIo C ĄZl3߷/r W`h1\hs Ce6-IT᫸EG0a.T| -7Njõs/D uh @ Z@-h @ Z@-h @ Z@-h @ Z@-h @ Z@@C@m[f5}ŏE ocqoZ h Bsſ&/ao=>X\QKuyۖ_.~VvZ U-ZmrZ .P%v*`y4hֳZwGH'{[S쮸.k-rB9hE ÷-.k-2BhE E d>A,n;.k-2*!clB>AChqx1hqx1VB}.}byx_hZh-*/ꯧB.}W$ŘiFcr*x@ ld̷e@Ko4zڌ+$WnZ] l_]*Z^lKau4N>t},e'd@ .*W2lΟԬF[B\6l,!oHɤdzwdK>FKDZm/ulڃq³YCsp|Ctr9ԃRxDH$%Vo` ȯj;޾р{ɥ ײF6SE\VH[ra㢆aliNruΊ:[`MO5.TvLIgʵ[8m|D-F'"#3Wkѻ' 5}kpa7_l_TW VHlSy嗽ctGpej9͎ zٖY&ojkGywV PzO体1-J'}Z[nY ݙ~*41AW#s\.jޯBz?Dѥgenp6ڎ3䗮J+hN}F <ʕZ%eç!nn H_0 *Zt/I-, K-vtIpRh-wÙiQ~w?ruZcyxC-nf~@7s >L{!zl'8 ]_FI~A E̴H >Ow3gAzbX|7Sh^ F S|7 ;D?u^Q~\nUqXPL kyQw-E!.bawNu!-uFÛԚvkhhnA Z@pAO8@pm `-h @ @ W[@  ovTs[7"I2Z#x|%-n ny %x|%@[[^-n ny %x|%@[[^-n ny %x|T l?=?yo=anEoأO_q UAzdqaA_Uuj Z=X;ZhqK|wK--/wZ<>hqK@e %x Т%x BE h-n hR w_C1ڟ 8-̒r-@r-pU-xmaSh?"BqEh8ТZݰů(h-_Z4i/-@4yT-JEt׼V /j?ZNWs*+ ]ƣ;q4ZՋxL[>]?)촨Ņj1YjavVi~tEk^E0bN k09w" v{r함ޓj}BD>ZP(r4Zt_KЧp{F+ѷkBsmg_rv ε϶&lU{|GňfQfW]}'[E*4xH^~[[XJ.N^|Be=va[۹ou ZzdYٍ{ U<EnvV“v`>FW nLΣ+V-K>>Z{=7i]s֪Ir$º`4aw[[wk:^aY"reֲ 'u-6t>gM<|Qv .W6MH{y=QI4ovs?\& jh ŖfII*OtzLo<җ;jzܗ끣ٵ{W Ɋ) \(lZtԳIKCPonB-hT sSke@kT顊_R蠤AOvtU%d--R|_b9-SE/j) F:8-TA}.OVފjK/<ǛޤIK i_To"NSBZT]6kfZ(JRp6اZTF-Z5E_'0xp;ɴ}&S\Nh!#oF}ZX̍{ahM)*Caj(o^XGcb[k|QPgȴx5 n;kuXZ~kkWϸmЛ-h @ աKkХAB2FhZ Zu)6̴owka]f>A^Тx+hZ- Ztp,u-IJh'Q/z,G hYhaw~7Z4$SWHsvBl`6ky:YCh1˶Z'th1ial +G x F`Z<Z_nOW-|Ck-&HRj_3MTKN;ZjaqQ.Zf%plU.ZLOQVxB" 9Zham6Yȣ͂֘&I0'QHaf0-`F Z$h@[h3Z?" F Z El1hH&ȓ&ȓ&ȓ&ȓ&ȓ&S-<{]`'\jsJ}"MF ȓ&Z<}AȒh%+"K6 F WEl@,(-\~{K$`؅JOiڧQ[ֻm6:JwV]Y#.-Qz\mMW+ѕ/;l=+6ۅEruVwף5hk4z;E;dv4)%xN.q9>gKČkCeG}~]-z`\[n1ت9Tr)Z+,-š(ztY׈8[nQhsmSKkks>ZpaZn]$DQir]i4WؔM)yv}][-vkwaj}[t5XX6۔ToL鄶8\ >]6ɰz-<&ذiL6Je-Zx˱st-pz>`H®,_44 ñS3`+-u@-h @ Z@-h @ Z@-h @ Z@R˵`i4]3~hC-h @ ߎy|v]A2=RZHd[!,:fNi=W!$o)hU~_٬QYCk,) 2}VC"b'X[3 yUNr-VuR8jUp89"T6Ų2NG3$=BNS\=tANSEdRpjQBIE)"-'~Ifu-bi y ʓD:.-s,$h"`[-Kmұ5D )Ϙ&}krh;WP[3|ᒧ2*ֈupNA  -h @ Z \izg-HH 3[IENDB`nVBg(woPNG  IHDR2 ZJgAMAPLTEٟ pHYs+IDATx흋8 ymTBręS$I=BO@ .`.P@e$P@e$P@e$P@e$P@e$P@e$P@e$P@e$P@e$P@e$P@e$P@e$P@e$P@e$PB'D+I}3i/YYV&gu"9*>؈[5?i#C!ڮ9r\L!}t]q&ke s.Ƀn7>Oh|[̲ͩ,ڬ9xRDr)Y'ιSL,D]em cC{ɻx ;(   3,#af_fast.html&%axis.html&&axis.html*'lvhlah.html$(lll.html,)lbbbimi.html$,lll.html,-lbbbimi.html$.lll.html(/infmi.html*0sbrady.html&1rbbb.html$2lll.html$3lll.html</ 0DTimes New Romanbb b0DbDb~0DSymbolew Romanbb b0DbDb~0  @n?" dd@  @@`` H@X*m"      !"b$EL3zXu S?zb$Lr9V&ƨ|q%?zb$|!*C=K %|ezb$9 H{tn:b~W%zb$;4?nE@$zb$Y*ΫC.bS\zb$,Tڢ؜x8v\zb$0&odb=1I zb$eZzcXDN6q*zb$҆R^#;,(2Ezb$)Jz%]zb$0>@MCĞRzzb$US>C$*zb$ · %pw[ʒ Nzb$rt{ڲJ\U"Yzc $@> g4!d!dPb~0Hb$ppp@ g4ddddPb~0Hb$ p@ pp<4BdBd\vb^? %O = Normal ECG9A 55 year old man with 4 hours of "crushing" chest pain. (:9 >A 63 year old woman with 10 hours of chest pain and sweating. (?> 0A 60 year old woman with 3 hours of chest pain. (10 0A 53 year old man with Ischaemic Heart Disease. (1/  .A 79 year old man with 5 hours of chest pain. (/.NA 47 year old man with a long history of palpitations and, lately, blackouts. (ON)An 83 year old man with aortic stenosis. (*) IA 75 year old lady with loud first heart sound and mid-diastolic murmur. (JI ,A 59 year old lady with chronic bronchitis. (-, &An 84 year old lady with hypertension '' $A 73 year old woman with dizziness. %% -A 70 year old man with exercise intolerance. .. &An 82 year old lady with dizzy spells $'&9A 55 year old man with 4 hours of "crushing" chest pain. $:9"!A 90 year old lady with syncope. $"/      !# ` ̙33` ` ff3333f` 333MMM` f` f` 3>?" dd@,|?" dd@   " @ ` n?" dd@   @@``PR    @ ` ` p>> c(    6d!v P v T Click to edit Master title style! !  0!v  v RClick to edit Master text styles Second level Third level Fourth level Fifth level!     S  0$"v `` v =*  0"v `  v ?*  0"v `  v ?*H  0޽h ? ̙33 $Blank Presentation 0 0 .( b@@L@    0d$v P   v Y*   0$v    v [* d  c $ ?  v  0$%v  @  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     S  6%v `P   Y*   6%v `   [* H  0޽h ? ̙33  tlP(  X  0A? l  C DpP  v H  0޽h ? ̙33  tl`( w X  0A?bl  C $rP  v H  0޽h ? ̙33  tlp$( HzhUz $X $ 0A?_l $ C r  v H $ 0޽h ? ̙33  tl,( h ,X , 0A?l , C q  v H , 0޽h ? ̙33  tl4( h 4X 4 0A?2l 4 C rP  v H 4 0޽h ? ̙33  tl<( h <X < 0A? l < C DsP  v H < 0޽h ? ̙33  tl(  X  0A?Ul  C s  v H  0޽h ? ̙33  tl\( w \X \ 0A?bl \ C tP   H \ 0޽h ? ̙33  tl h( h hl h C $vP  v X h 0A ?2 H h 0޽h ? ̙33  tlp( Ow@ pl p C tP  v X p 0A ?2H p 0޽h ? ̙33  tlpx(  xX x 0A ?l x C ;P  ; H x 0޽h ? ̙33  tl( C  l  C d;P  ; X  0A ? P H  0޽h ? ̙33  tl(  l  C $;P  ; X  0A ?7kH  0޽h ? ̙33  tl(  l  C ;P  ; X  0A?&H  0޽h ? ̙33  tl( z& l  C d;P  ; X  0A?2H  0޽h ? ̙33  tl(  X  0A?z l  C 䉓P  ; H  0޽h ? ̙33+ 0 @{(  R  3       C v  @   Wolf-Parkinson-White syndrome with atrial fibrillation irregularly irregular, wide complex tachycardia impulses from the atria are conducted to the ventricles via either both the AV node and accessory pathway producing a broad fusion complex or just the AV node producing a narrow complex (without a delta wave) or just the accessory pathway producing a very broad 'pure' delta wave people who develop this rhythm and have very short R - R intervals are at higher risk of VF V7```7,"1 ~H  0޽h ? ̙33 0 ~v(  R  3     |  C x     Normal adult 12-lead ECG The diagnosis of the normal electrocardiogram is made by excluding any recognised abnormality. It's description is therefore quite lengthy. 8``_ =H  0޽h ? ̙33 0 qi (    R  3     o  C y  @   Acute inferior myocardial infarction ST elevation in the inferior leads II, III and aVF reciprocal ST depression in the anterior leads H%`d`%cS3H  0޽h ? ̙33 0 {((  (R ( 3      ( C z  @   !Acute anterior myocardial infarction ST elevation in the anterior leads V1 - 6, I and aVL reciprocal ST depression in the inferior leads V%`f``%gU5H ( 0޽h ? ̙33 0 0g( P 0R 0 3      0 C x  @   uAcute posterior myocardial infarction (hyperacute) the mirror image of acute injury in leads V1 - 3 (fully evolved) tall R wave, tall upright T wave in leads V1 -3 usually associated with inferior and/or lateral wall MI V&```&' H 0 0޽h ? ̙33 0  83(  8R 8 3      8 C z  @   AOld inferior myocardial infarction a Q wave in lead III wider than 1 mm (1 small square) and a Q wave in lead aVF wider than 0.5 mm and a Q wave of any size in lead II V#```#n<H 8 0޽h ? ̙33 0 RJ0@(  @R @ 3     P @ C {  @   >Acute myocardial infarction in the presence of left bundle branch block Features suggesting acute MI ST changes in the same direction as the QRS (as shown here) ST elevation more than you'd expect from LBBB alone (e.g. > 5 mm in leads V1 - 3) Q waves in two consecutive lateral leads (indicating anteroseptal MI) ( te```e)  H @ 0޽h ? ̙33 0 }uPd ( p0p0 dR d 3     v{ d C v  @  v oLeft ventricular hypertrophy (LVH) There are many different criteria for LVH. Sokolow + Lyon (Am Heart J, 1949;37:161) S V1+ R V5 or V6 > 35 mm Cornell criteria (Circulation, 1987;3: 565-72) SV3 + R avl > 28 mm in men SV3 + R avl > 20 mm in women Framingham criteria (Circulation,1990; 81:815-820) R avl > 11mm, R V4-6 > 25mm S V1-3 > 25 mm, S V1 or V2 + R V5 or V6 > 35 mm, R I + S III > 25 mm Romhilt + Estes (Am Heart J, 1986:75:752-58) Point score system Left atrial abnormality (dilatation or hypertrophy) M shaped P wave in lead II prominent terminal negative component to P wave in lead V1 (shown here) #`+``4`e`# *   -  P  v   4 e  MtH] 7H d 0޽h ? ̙33| 0 <4@l(  lR l 3     : l C o  @   Mitral Stenosis There is atrial fibrillation. No P waves are visible. The rhythm is irregularly irregular (random). There is the suggestion of right ventricular hypertrophy. Right axis deviation and deep S waves in the lateral leads. Another important feature of right ventricular hypertrophy not shown here is a dominant R wave in lead V1. The combination of Atrial Fibrillation and Right Axis Deviation on the ECG suggests the possibility of mitral stenosis. x`G`y` +w>  #0,H l 0޽h ? ̙33  0 nf`t(  tR t 3     l t C $;  @  v xRight atrial hypertrophy A P wave in lead II taller then 2.5 mm (2.5 small squares). The P wave is usually pointed. V`]``\mH t 0޽h ? ̙33   0 |Y(  |R | 3     ; | C D;  @  ; gThere are a number of abnormalities here. left anterior hemiblock QRS axis more left than -30 degrees initial R wave in the inferior leads (II, III and aVF) absence of any other cause of left axis deviation left ventricular hypertrophy In the presence of left anterior hemiblock the diagnostic criteria of LVH are changed. Rosenbaum suggested that an S wave in lead III deeper than 15 mm as predictive of LVH. long PR interval (also called first degree heart block) PR interval longer than 0.2 seconds left atrial hypertrophy M shaped P wave in lead II P wave duration > 0.11 seconds terminal negative component to the P wave in lead V1 *`_``*sOP7 N!@  %0CK&0'0 :H | 0޽h ? ̙33  0 {(  R  3     ;  C ;  @  ; !2 to 1 AV block every other P wave is conducted to the ventricles 2 to 1 AV block starts after the 5th QRS in this 3 channel recording. The first non-conducted P wave is indicated with an arrow. the PR interval of conducted P waves is constant in this lady there is a long PR interval (and left bundle branch block) 2 to 1 AV block cannot be classified into Mobitz type I or II as we do not know if the 2nd P wave would be conducted with the same or longer PR interval. ```:,n(0)0%=H  0޽h ? ̙33  0 {( f3fff̙fff R  3     ;  C ;  @  ; !2 to 1 AV block every other P wave is conducted to the ventricles 2 to 1 AV block starts after the 5th QRS in this 3 channel recording. The first non-conducted P wave is indicated with an arrow. the PR interval of conducted P waves is constant in this lady there is a long PR interval (and left bundle branch block) 2 to 1 AV block cannot be classified into Mobitz type I or II as we do not know if the 2nd P wave would be conducted with the same or longer PR interval. ```:,n,0-0%=H  0޽h ? ̙33  0 KC( N@8@ R  3     ;I  C Ğ;  @  ; CAtrial fibrillation and complete heart block Fibrillary waves of atrial fibrillation and no P waves. Regular ventricular rhythm The wider the QRS of the ventricular escape rhythm the less reliable the escape mechanism. AF with complete heart block can be easily missed and is an indication for a permanent pacemaker. V-```-,,  H  0޽h ? ̙33j 0 *"(  R  3     ;(  C $;  @  ; "Right Bundle Branch Block wide QRS, more than 120 ms (3 small squares) secondary R wave in lead V1 other features include slurred S wave in lateral leads and T wave changes in the septal leads See also Left Bundle Branch Block. Acute inferior MI and sinus bradycardia are also present. ``_`T .0/000 H  0޽h ? ̙33i 0 )! (  R  3     ;'  C d  @  ; 'Trifasicular' block Complete Right Bundle Branch Block Left Anterior Hemiblock Long PR interval The combination of RBBB, LAFB and long PR interval has been called 'trifasicular' block and implies that conduction is delayed in the third fascicle (in this case the left posterior fascicle) and a permanent pacemaker may be needed. However there are other causes of a long PR interval such as delayed conduction in the AV node or atrium so 'trifascicular block' is not a true ECG diagnosis. `O`` r D)107209P30RbH  0޽h ? ̙33r0Q-?7#*D%F&(g*3,ItLO~R/1V[c3/568:_<a`c(imrQv+>z4#^(   B,#af_fast.html&%axis.html&&axis.html*'lvhlah.htmlOh+'0T hp   , 8DLNo Slide TitleNiznickCC:\Program Files\Microsoft Office\Templates\Blank Presentation.potOacisgr18iMicrosoft PowerPointoso@TN@H @m24 GSg  )'    """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www4'A x(xKʦ """)))UUUMMMBBB999|PP3f3333f333ff3fffff3f3f̙f3333f3333333333f3333333f3f33ff3f3f3f3333f3333333f3̙33333f333ff3ffffff3f33f3ff3f3f3ffff3fffffffff3fffffff3f̙ffff3ff333f3ff33fff33f3ff̙3f3f3333f333ff3fffff̙̙3̙f̙̙̙3f̙3f3f3333f333ff3fffff3f3f̙3ffffffffff!___www⼼ݼ½½¼ݼü¶»޼޵¼ü¼üüݼݽü޼ݼü⼼♒ü¼ݙs⼒⓵¶⼒¼¼™޽ü޼ݽý޼޽ý޼üݻ¼ݽ½¼ݼ޽ݽݻ¼ޙ޻¼üݽޙ™ü½ü޼⼻¶޼½޼ݼݼüõݼüⶼüݼ޼޼ݼ¼ݽ޽⼙ݼ⼵⼽ޙüݽ޼¼⼼⶙ݘޙü޼¼ööüݘ⼼޼ö¼ý޼ݓü¼¶ⶼ¶üݻݽޙ¶ޙޙ¼™¼öüݽ♓޼ݽ⼽ݓ¼½⼼½½⼙⼼޼޼½ݼ޼˜½ޙ⼼⼵ü☼¼⼽♑rssssssݼ⽒ü¼ݓ޼¼¼Ⓖ޶⼼¼¼޼ݼݼ¼ޙ¼üݼ⼻ݘ¼üüüüޙ⼼ö޼⼼޼ⶒݶ޻¼⼼ü¼¼û™ޙ޼޼޽޽޼¼޼޼¼ݶ޼ݽ޼¶Ùݶ¶ޒ♑޽޼¼޽♼޼޼¼޼޻♽޼ݙýޙü⼼޼ü޼⼶޼¼޻ý½޽üݼݻ޼üݼmmsmÙⶼ޼¶ݼݓ޽ݼݼ޼»⼽¶¼™ⶼ½ޙ޼¼ݼ¼ö⼻⼽öüݼ¼üݼ⼼ö⼘޻ݼݼ¼޻½޻޼¶ݼü¶ü¶ݘ⼶ޘ޵»♻ݽ޻¼¶⼙ݻݼ¼⼶½’û¶üüݼݽ޻ݼޙö¼¼öޙ♼ݻµ⼓¶ݘ»޻üݼ޽ݽ¶޻ݘ¼ݼ⼓¶½޻ü⼽ⶒssssssssûýsݼ޻üÙݙݻݼݽ޼½¼üüýݼ¼޽޽޽⼻üýݼ޻޼⼻޼⼒޽ⶵ޼ݼݻ޼޽޼޼¼ݼݓ♼ݙT@"8EDp(* CQ PT@"8EDp(* CQ PT@"85l55v%+Lp&V:.e3:oWBy0LX( x0 rÅo!Vs3mAB T^KkGA*xT~ kdp)WH|/8٥3y+g.p Tn6y+#Y6ŊCݯj-0҆f [ujpBn: 8j^9^n^3ś7`ӻVER9t 98kNtq9C;Өf# c782*8J׍'lsr]P$C$& ulZ*#Q”^p<mtD_0%@~@àJ@y3;R3Bv: pn. 8fqe89w*E%0$B]>p:w%pG G8S6I׀;.ڧ9#{7ΉԎ|O,!TgGѭܔTQN&N{hO5?fperc|Ƞ2p8Xw DQfDS_Q38mi#81e;>nlDw><_jcݢi~Q *dou騵P('!8_1`{{6~$a }aLcNbfi?Rq18ٟB6i73E#yiTweMg\Sr|xKq> xdjU 6Ei:NǪ8Mkҷmdu#8ap _M,8GׂNp*>lsj׶cJڱ33f)= >q^q`Z N[+$u6KVC=-Տ NA؉, |SBpC080aa4fS_kpǽX4G Pqr' G8 8k {26NGٸ%+u5 8Jނ1!p@g/G q78g N-354*Y_.'*8F_EM!DpNJ++ yf_8m7))8Wcoa/BOP&zޒX1~zV{80"Jt'N9# o[$<Aݨ{$j+0mF@Zc|}8@p38 `4DήN>MIn~2{,O+s6,\djpz}9{̊ؐ蜷3tszSJ383޺ Z8DZhy#(>mǰ9)gJ[q}^gY$ ]8J6fk 0ֹb#_( SY#H30dn3oZc1g-(k9\c`p>\~q:;!}vgó|vq|a; :Ѓ)#ްs 8fNt=U:6g V(m98Nr3Snꦍ*9>PPgg8=Xbb8R6^I_@R6R>.t&)IJ[*%(LhއU!Nr*;ʆ(8Gڦ;jUι_ v6*3NJM0[BzZM ESg2*"qkT42[nF2VBAkVl/80ۋNIu^:Ubޞ/neI:}mEs.F=yxI\c(^+!*ίTtnPuJU*b"U:]Eu/|| ͔˗@lԖ/,>ݶ]\ 8/4*I),ȩLj!Kϼhq8udI̓N\* Ғrв*ZU{γt'huLшF8ݘB4b+;!d+W挵862l B=yiSc:۔mwPV2xF{PFwכ֪&p43l%]n'&&8ֵJ3-I{;"V@..QY(8nw8k5̝(clȪq;=+qBa 8aݠY' *j;Q`|Kp\.=l# "xipΩYqZzQ88na6f92'" g@ԋVNp&`?) q82 (;ϊQMq; θR~rHoǑۨ 88=~B|G+9ӣ@7{BllJē#3z6-858! (lll.html,)lbbbimi.html$,lll.html,-lbbbimi.html$.lll.html(/infmi.html*0sbrady.html&1rbbb.html$2lll.html$3lll.html&Bl_qt.html*Cvtavd1.html,Dlbbbimi.html(Eaflut.html$Ftdp.html&Gl_qt.html(Hinfmi.html&Il_qt.htmlfJRhttp://www.sghms.ac.uk/cardiology/eurtop/$Kwpw.html*Llvhlah.html/ 0DTimes New RomanHbb0bWo 0/DSymbolew RomanHbb0bWo 0/ DCourier NewmanHbb0bWo 0/1 ` .  @n?" dd@  @@``   _T(/1  3 4 68:; 5=>?@AB CDEF G!H"I#J$%&K'L)N*O+P,Q-R.ST8b$EL3zXu S?_b$Lr9V&ƨ|q%?_b$|!*C=K %|e_b$9 H{tn:b~W%_b$;4?nE@$_b$Y*ΫC.bS\_b$,Tp ve ֝2 Y@e$P@e$P@e$P@e$P@e$P@e$P@e$P@e$P@e$P@e$P@e$P@e$P@e$*Ӹm( R&}u3H32nQ<{w^HP.20F> U2(3!?z YY22|<ʸeexSs$̊̽qL2@(e|գL;cyM]<\dvI7w*#͚UFy{G/=22}B X\nf(Mڹ'_|LuvtaS+{2w3Q72飌02[J.<\Ӡva(#UIa EusG5Y=cBScG;+2;R()S8S{^3mmAWҶc/2bF%Nyq5ɍ;L-PҢPysk(SZZsƝOS^z=F#6,u~4Ѹ84d7qԮ?Ջ/fcVJ{2i⟊.4cIlS&(a҃|.n%asv{2{CC֭L͕P;OӪf_Tv5Y%3PQc̋N/Ybݺ/j :bC\VMѸiU({VbLKjv,'?~q38OOg/*dxסavYYz%kM|L iP uqè)*:5{?HtolC+wB0èd>kĆ"V΂2Z *|wB:qnR]ٮzp4òCUgCѥ|Ip\K:J0JctLӚz%J؇\j֠z?6xb὜] wmlgeӈrFzb|XQYJ -ěP(&v,ᭁcnѰ/R6VёUFYŕSUdcӵkõË3m؟_waW5˕c]2*rvKiRFUA(㌝MLrep< lR)剤2i #.Q{mQC' z /*^Jm)2{>*ve:u:2_SzB's,֝tUOG*svQ;؟Tfqvxeο8Tx)?JD3t~ZSf|d;2]8)) ^^EYvVe(iGތt(ez픵26ntI2 2j(8(̏#rBP杷O?iЅQPҢO2`fWT,ڬy.铭X] )#EU  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~v۵ SejeZG(%\ڮy22(3\`թjVd2eV>,L$.H0]@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @2!jx0( T 34D(ӎ?-8?T #tq@'ja;o+iz.KUJ@ǀ4?(c|?Pfee|<`PfmPR²<`e|<`PfmPR²5?U~PW*#yP]e PFe_2+3u_ewy2@MJiPi[ʸ#?ei0202_wӟ*#tH_G'q2̟2F俤IfT˗>NUFJ;jYW0\<"_rq<'<P)G~l[^TFXPG+cEpʴO}LmkVtV>'e;QBъ^T2)|Q *]*h`>2U-Q[U5R?{VO;v2%|m(BIhE{5pe4 ma / =e!X>f֞B*5>D >E/bS}*;^؉S_+} ֙طh-8ﯖ^Y#deneU4(efrV,FC=O徧+CiR&٩f٩FjZu<2UpReصjCsZ,!ݷiX߭6(-efiӴڼTeG!>onC6e/-J˷#TIێM^ݪs^fb}Ɠ;ZS!_jӘ8j4HV[ּ8oW5NwYkVmΤje>^͚h*8iO!6uW%\wBztDǪK\/0ԾFz龽*iWխsߖ{ֹՑֱ~F&ƵjN,*N맗^b kvA^&WJ=}w4P栢LҎ~࿽ўv&|3([L7{< L#cy+򰕧 F3.DݩLE\2JC/cOH&Ufr]{|v7:?$LPQ1'o_Tٔƈs[2uz+S{?2|g|0ʿ Fjwx0_ĚFWbl^gPfR0􃴷Ogp27烃~te]PfePƂ2`V-J@ <5[&!WXUkeйXYKi׾XŢZqˬ̚ZNOE26kI?-h ̢Ztgcf-\ʬ2(3̆23ƢZy6kI:=ƢZ_կXYK22ЩX]+e,;Vmׯ#$Pքt.Aos@@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @2!jx0MeQ`s+s 3 \ (si?B ۥRKZte`U:2ʯ fvU5 g*#YU'/2Dw0^%}e1u?ݣL@0u(3)SW?u7+yğv &(:(Cޣg}iX';fQd#ms&-knՕўŕf$c\LTfSIjI^ ʣ2'͉$6méHTP(y鷸μgVMZLaziG_՚Il՚W2IVZPTZʤqQBH{&ۈL~q^ϕ?a4BrHJP92:5 > ]^,6-2u>K*~kT&W2vw[YfdzĨךlvlL1ciKe_%7x+s!dw˹p{֯MBOZw '^7-n˛4Rqձs]o2CWh_XRKOgR'#:8v2Pebuv+ARfBQƝtk/e o۱VU5x[w=`}M]>LU;ҎW&MD>,x=ӍWH 2O)yZ˧ʼ;e8? JO cu%qd UYO-OZuaEiz0cCiQ ;mZ (Pf"KNďnSee&WPFV)ƿ^tJ@ e}b?PFa.Ea (èSE2L`FH H H H H H H H H H H H H H H H H H H H H H H H H H H H )Vq( A[+L eP@e$P@e$P@e$P@e$P@¯ H H H H| /+×O#)}I]F*3EWst9=/6,j[)r܊L4~+)y87M3WYh[N^QH{ke7Gyz/ޑhH*z < 2(ĽjIЫ>9p-"3Cl_XN۹Z%#N|%v P-/]KD=̖%KbtMwgr*Q?QƾL:tA ǞUrЈ VސEoi jel)!W#F Ý8 Df Dw3eykXK:niE[,ŋFp,MjFpP6G650z­VBѲwZF;gYVq:*su^޼xOG W-;'[Y5^D]B%X|cQ4詌?G 㩲U44wV|[B^p>` p2Hv>ez~]Ni'Sfگ+3.3eƦGh2ѽ?] 2+#ߥ{cw+n*L5)^XQi)wUA:}[6|?mG2vѡLydznP^-c(@ @ @ @ @ @ @ @ " ,TIENDB`nuG OmPNG  IHDR=̝1gAMAPLTEٟ pHYsjIDATxr ?}sMl(;71BӦa L X+`{`=V X+`{`=V X+`{`=0?NbgD[=zsݒYt\&"Īݞ`O>_%4מS{^GKL{ L}A9מMڹw8vSsp7s˧b=JQi/cMsJ|s{5w++;%o~C  0={tDV78`vDi`{`=V X+`{`=V X+`{`=V>b’|b`w-!+(7?b=mpx=wS[{A`=|x'^c'Lko'b"!2fV#wݳ>W;?aϴD/\Ϟ-xt>X+`{` u+S}=9g`jʚ`,Ԕ5Y{jRo pG}{a{ǜI`@~:Obj{N^`'d_32S'/0= L=N^``PH/u<{Fb{>sndid]?OWV{'f'G>\9`Ac[#XŞba9iܒG]lמ'Ŀ:]0S7Gx=_~;p͝[q=$>Q0ps4;S'~u/SY3 {R]3Fqt^,o\T*Q.T ^>= wPݸbbI.DJC"RSZ=OYKDs{MV/va&8ۮ}I\򽎫t*9 7O E/愦ǎ7!v)gn3z3T.\ړ1ޫBbw%jE5ߠ&:) E^" L(q4Ӧ= !P ոP^+l}JX:qgV&O5}.)d99S_;/\ -[{rgwk䛡}fț|_Ly/H2iM(X|:Gbo+q9ܦ u_6FɤF8لb뎴g6&ր'v7JɸLmY]WjE{*RDBI#^w^kma8a $_ÕkQ݇H5i^ejWE֍>;֗R.IKcOنn<?{=a;ur+MQO]7qgk6asnOE:O&e=&3e%:ߥf&uґM(S{n { h)ɆC>CMUT5y4.Q1' ; aϷ`v_ޯ?;]ŒIOk g&rC`a'hϹ`NOz{ڞ؞7_NKiC8npLLQ5/Ca4-Dt6!/ bkq4-X=. 2vk XqGC6{`;g=`%x6أ*gt4H=;i=^}2'(,Ԣ9ש{'{fְPĞXžO= (xḿB,uqUwG0c(qDObq0:>s 0~x]}P#w &gإx=cֳg5`O=.=Aկoܝ`{\[@]0*U)j>C7Q[ %W˺}wFK$` eQt'Wɏdž<`$_'زo`jV&ɤS|.*gV<76 %~Tsq@^_ùG?ε^QlȦQHswc5IDJgR}=Q7u/{<o^E29ɾ;MKh?&{Q7asNͿ6wU[|`Nn{|95۳o4%~Q:j^Љ-oxȨyΞ/|F ŰCu@*HqgA-k<{YE_G:cϜccgR{&{`2= ?23py}pY `B{ `ϧ7}_)O3(ҋ?+a>8̩D!=#uj{\YmnO_ĞR5( 7СJLntdt;} jLՎ=n-.SeX{z=񛭕6Gum`%r/{|RT%}>:qʺQG [KuS OsB-}.o8z^4͗H/{n] #{TtIj{^̱٫jKhkOHNh¸@vɞM(gO9bKH̞SWaמ`G ]= oUnbSyN0oHUX|S\ Ś=rއSS VXsK ApZr({y/qa?Ȥ&ý=RRwaG;:j(54g<ʤp!vO**Lf#W"!U Zr=RԢҐx\E.ӰWtRDӗbU}Eciιq.Оp~'_;G HQqQT&ױzmARPaC]0rS{"KDRJTDZg.|baV85{"E݄娤͍y6d]|< NP.X" Wrh.=[ܶUg.Dc=*'GY qPVjKD4 "fv>|vix촖h9G)xen L[)†ݑMՅR`7b|g3އaqMxCM32Cyt=,M>QK^t㼥;R7?ȔKHEQ9 qHzHB֠qY;ZRq)6;3uPxڈB-YJ[kr${z LdqEOGUqÞaA{*T yHz}3fe+6S7=.0>%%ʠL8/QK7 =^LtPǞ{ҍk{`ϋK7 Q={`5oG /X`G:?2~?˗詵Q(bO&+BW xBW xBW xBW xBW xBWtڰxBW xBW xBW xBW xBW xBW xBWαG]6z{v誵O誵O誵O誵Q= 誵1ǚWk=WkjmX{yIw |' 2z^$%,֢kSK){ڃ`Xo"p3>vLW;=l"KܷCk< ji:=a{Cbdc*NmGG{ R[\+# ͞vssDPWڵv{%ܹas}}}?={> K`Oh at9x Z=~CVi_.S.qcO=B rwk$qZ?}G{Mn_S%{b[cn>L ɷ|_"J u[j9Gd|򳙩ۈ0A{}(gC;=nW膵9c_^ERsOFJax鶇j\%RіsǞCF)5}٣߮"޻=8bSDl'6=ISdW{w*xng{0(=qC=({Sz!ӲhE3eԧ#|2_B\"yrIc]{*v[g˚V6l[jlG1GV&/]&Ǒj2v 5ޡߍly0{Ui%r mTVXY#ў}&PT,g"Mز=e0t'qOyi1mc Yt>bB0a89M)K3C1+K$} !.;3=juG{ s&]&c]BϏ]߬I\ʗ\aD2?ڊbOno[b\'$x%lŞGwt.jʁI<\m^"\cb"CNEnc 2.vj|V>A'hHI*yTqN<`mò 4 ]?J' ' "h=V X+`{``{`=V X+`{`=V X+`{`=V X+`{`=V X+`{`=V X+`{`=V X+`{` A0ʸ# y{$ߩT<:a,T= wC=V }`,~TTF{ݞH:T4iשDL\g `=w1o[6_Ń<-`OH ȕ{]I }+>몾-= 2 +g =͎\dejmsivlXow{oa ǘz?g{כmR'.yY(ٓVW{zuUev:Ts\׆x9$({.AZr'Y /kOnԈ-ړ] F;71*@ =V X+`{`=V X+`{`=V X3EQSiIENDB`n֍Fl} TPNG  IHDR8}gAMAPLTEٟ pHYsodhIDATx흉*̻,y3nwb8-lM p88@q p88@q p88@qZ,6C!_#|`q#x}#/rRM8?P8H! ępGJjZHǥr qRřXsۤ7vщ'_[\Ca^ߠ$ _&u^^9q k嗉eգVH:q.- ZU?sN}338j//z7c1ͱx^la/"־Tu[9ҥő:Ԩ&k'Dq;/}%+rǸ.{~N;=KK`¸ԣ$>d} ce/[M!8./YP8E!sѧ\~ Jφym/H6p6 7KSYWψ(2I!K%T,<EEs&~ 򌔎" E2m_OIkMQz.+ORDqCyrG씔__tQIi;R ʳ 8+}Z[<ͽku˧$M("\pZŲ3.JhћdsP" myyyq"*-B.@(.Ϳ]CW.q:嫴z /~P~7ɶ4&Nu;Ms-I*8#lEk\Znɳye]IgS4⅙!N!ؒT7J5p|9%!Dn2sI+!!{IAi*8 ͑'j@w%qmTkS/SjjvV+rYbvRDIDWf9\(b8.-i/NjB#-.V+6E&Eʻ^Dj 9hհҞ8 8a(bI뗺KOX5r8Z>F/ljځˏo' M3uUĕ0bY^]J=8]~+ϲ';ğT@MrGߎj]2/SOĹ$/-Nq.qm\G33s׉sÏ^q|&~q.%qzgGrk}a_bAcNHLjL*x_?y\ D#WqyA!Ou8opwĻ#G@K,cd8nQX@=4g8t12ӥf2?5ؘy8^~vn ęf g6%[q*07K} 07K8,j,AY%@`n`ȷR!Nf `AqfYi2Xq p88@q p8 oL`?2g' n Τ)*8 C}Vm,9{#3&Ο٣ĉY+86-├7ۊCിN}8>GSƻVO 'd6=%o>%9wvP_!qy_W{5lv}q.:|aj88XYYX3`43]8ނD8t8?Fۼ)!_qs7y88?Fqȉ[nqV}A~'v 2Hc# ݪqՄ?{EVN00LS#_MuV8?EkcJ!G!օY#S _i7@YVP%OH ƶ&V6#t鍫8z7{ű58E!Uq\+=q~YcC t^/uD ?riq XfG Ngcs\8U,*cZ*8|2z]divz<#c8Vt&r82~8J{ڷ>+S*+NObXhK{䗆وi"NyyTG彏7urg8X8To#I]AVM|dzoD4ʇ3qqZ>#NÊ(CQY[ 8Dwi`q۲p8~Mʻ04G>$X?BsܪrR,x/CMoH̗??ǾDj9R_8)gۡD/GAֶ8A<xűtj]c==q,(~i}Zɘ48nM)kl y`򨮸Rw8ݕEsw2!n9f!18@'qSnw]v#6'E_Ec mwTdȁ.Rzpud!Hh])'^J*5EB&z:=uo9fb 'WxNaӤH4Mv@}{jjH> V%HoY8ow}]~_--r|=71K<|`WG L veq'No;Co,=X>_ӸeAũުu68] $pYgig2Sݪ!NgҀ{AAd8}m,]K,! WN ff C'N/jO,Aw s< 33 l03K0Jm|-Lt: yf g6%@`j-" 05K0Af Ɯ8TSܪS3L l05K8,S3LsC#Nf g65!?SYę f U f 8q&Y~qtK05k3Lt0'γ05k0FV5` c ~F=⹳>3l ê_ř=lYs ߯X*(ѩxD,} pG}?3~8A|3^R1fYq KsKst\=88˽Iiqa8W[/m}_P8WwKX38W~⼽Qp?CqFPa)q|q8o#0 8!C Paq`#qv8"Wq=8:q`^&&:8p!o1O$'Ώ1'LN l80+?[|8VV8E8w9][? --qO܌' N -N:E^qE9Ӽq`#s --vixAwE"O,&EWZ718py\.()T|u# ݊K8{A/-)PK1q8{Dx[$q.ݪyJU+o|LZFBAj}!k!LmۺSYJ-=$e2[YV ?#Nq^!h ܪ,N3WBn#}ʈ1bzL5|8WTqɩ**зU9w.Dsu*|TDHXA+#-no(&~ASzS 8XEĩde<8yZeG\(NUψSݟ/St:n#Jp]8H.UK.ϢOMqƵ7PEaΛLAFlH8!!;&~ $ s ǙnW餙NҼk)M˺W_ִ J%8)2Wc~4ln=BV#D[|)< d_tFFW=mR<-OjUϟ-٫QwTHϲ=.8{J Hi_/mEBcيh3$2|m|$qLT2:3 ښ9HCs6S\7t*㋮Oc-I!kX7\c§8r4ٍGN\xRtҳJ 6{9u@l1Ў:wqC*FErayLm*079c-/|*lBO#j(NhI-Yvpe?5~lY6J/J',[~0mZo{->!p 5+Z;r6j4г;G0`D,nL#DA[wl)38sv:%soVq:Ea%S#{Ku8}ry u):Fy 8genw\qvnl˟qvfwNjn2%qqg11nn*\ #e񯭷@gg$˥5;8!ڎ1m8ߪS,\-j+4F |OI=OiوiNQ*QGbc2BƉʹoqmp!IVWC 1Jd򞰨IQenSVͼ^(GK 3mSKv>ˢa9/ې q[gV:őTQoDhoOXđX*emPՇBNSꦘ?Sehdpp(SJy'[݄ɍ/wJR ө5M4+bjGf((u8%2)xbP@>-LIV6ĉ5<46!pOXPFR+MQL1Jqd/MJPLCޒGQ|bY[Bݟ;xuvl[]x+Wg6lU *PӍnꡢ-Jc:&˅-c;gh6SJhDɿVdoKR݄O,I#,G.8g+gS_b=T#5N?-ܪ%ͧf8pw B'*N\lQ\VVa+71Z5)egew .Beo.#=*۹Cwit:$1H`FT8q`1q`58SjLQn~#q p88@q p8^ʩXȿ IENDB`n& r7ǍPNG  IHDRQpgAMAPLTEٟ pHYs+ IDATx흋v(Ez(Px(k&IBN;!:YAv h!Av h!Av h!Av h!Av h!Av h!Av hYZ6ah!Av䷱ e/yC;L:j$Ls!Av i ̊ a i ,;`6^SAB;AhO!>gV1w sv YY guWt?wdk W$߸ s@ViqjcDeDzI=X|,;^;k!tH6D=;P95K qiz-@\*v2T>ŎW.U C+gހA!l<8bTPkmڱy)5i$o1;|d !AOtXTw>}N* x`az c>٭x-(q7'zH$LM.}:~X٨('܏eOړbm;ЌY9wXv15KfUDCuAv=Yv'fZģqڸS Jca !Q~A&lBvz{x`BCtɑ帗塓\\r Z"H*ۡU:v;^;ebǃ\Ip%YDZبEeͪ=Ya6bj`yyZ!wo|(E ;lK5jGPfYv+1~LQفdE5;B0pcLL%qa ;]:z%;yuPsT*Vlz1k}v@i8Fq(^`8SX;Y6J!λ8|;H)sXYvU̲zehH57Y?oCE׼7+gSACp6KDOq)tߎwO# =FU8ptDKC8cl{zexizT8KsFk45oS~( ;@J+݇vdkGѶ(w玚l*Թ5zegGs!vxR>юs|*}ǎBDK n9zZD1@tn?_O-4\w|fe@cCz>ra~fvlȯرܼZvQ/Zr~4;0ݎ*iwvl4B;C;6fЎccޱ1F2Ayǎ:kvAֳQvfe{C)A;~W|A6v;*Y"B e[V% Saǰ$d*CŴLv fqAg|A²|i8w(A~AvXzih;we.! V#N;L뱴4VB;QAքviZq&;AB;ABDv_`LgA  sY;50Ba9 ?vZC;Lh!;O_Re` vI}vLYY)u,u}у5 ЎOrM;~reUzƈ~KhZЎXa@h<;6go v0xh!*jvۀ1v 8;Y|;3iӎ.hbЎ[<3} F;޷~ެF=z:l;x`GnP]oyl#!s>lQSP 6q?|Vj<cV.vю8άPMIwKLxvKϙUvfP^PAa(yuG*اX`G;.JV_=`*W7+{o̮\1فsGsTnnT%&_h+z>NV4gT~;i;̎5nSrc;Bf԰8,52\|vFh":;7㺔vUE>o8*r&YPhy[%/QNj=\gFq]|*+8(*5Yhu];=w$vָxZԧ(%`5vܴ# #5~N8IkVvvJzkW5Woa;Ž#͗DDS4lXj՞MvֹU;mi]=vv蹩{%~1;u%G ˚gZ>6;pJg(eqځW(퀷I2~v$.\H\#yZD(=2o.;r#dMщoX3)PG8;2?EGrYi%W\"#񃠨!QIB+v\_Bd'")/KqbwK7hr̡*Kv(]!9{q4ɲ4nA&;HiCd2pTHpńY1jBsTú89rND({ cq}q QDQ>±ٰ%Er9Ufm&Ĩӹdq ݏЎvOa!\(,XAv'WVv|h{sxNy>B0VV8 sQu2e9;[ \2.0 ({y{Z<$g#;nej;dg2;h vVI;d~eXYCr ;Ҏ;Ɂ8;zd2Úhi慕Ug!vc;h֒vlFv1(v!;,;SڱÜ;`͜;Wʊ('|;(!;̻r㾃v ;z5;8wv~Av2WZ%MeL ;zov ;}}UėޕgcUcXӎ  vC;6ߎO _xQvuvC;6w(?Yhڱ17h6 ؘw0aA~H+Q& SW1j&ccFervt> Xwڱ1Sa ;:vЎώs ;A;A`G4LNhvL;ʹLds vA&;\!mGv'c(mCٝv̝;52Abv h!1v h m*m#ߝvٲ o8@i}vzJ}v4,iNlZƞf5׿b~m;sߝv˶޴CvvfputpCf>= ^&Kw7AL]ٻ,1S2:BmB*F|;%^oG ;=JhM;A]v_v.95uV ;@u;}a<ذwZ{\RUܱ9sp A:;./?vSvoT6P,īkԓϖr6: 7hqTmǽFObpI?I<}0+#,%PwoYݴx Wlzay$b9Cx^QnVu<X7搆5?ɣ$SlX&=ghDg{M^a!:vUqkXw o3B:>Ji"Ez)̎ǥx4+V|=+y%L"cG4ttvh?VV\X((3 L)> D4;iz?PxUeGffU!U9Ύ9H~$>(@$VX( Jhn>:X@21\Z[DQO;x4Gv;c5 mߎܰ:TF߹pVhBG'!J\)|dhb*5 m8BᘯC>[M!;[fԐl/ ϭʑd9-5ĢODs,D ׯL*.1(9y|2q('b݅tLasB+G%f#sz"qĥު[Hz9  ;8;XUD~rh=A*v1^G*PֵɕT/W+8'6v4~4di^#zjbwbX9\~[xmTfǓYv@ AmFϲ𓹾bGBKǃS?(C =h>cGyuW~N+I 9?d1G"5CJJxX(&uv=;pޱ'g~앂i-(#~|fc q^KXs62({W}yls cU;R֪?m%jxXͣC>=:w\v\aMɟÅTγX'Oo%F޲##(N c]朿 +١죍.'[8q$v)fKuB78%cJPUabe<%/rMxy]i١lEIQ;%?wqȌ>~|EBnu爒$F5 ṣ|v!F++=JS(tQ*9wkŎ+ܧβ~$3ځ1&vdˇWO sGh?n˥x:]Žrl+|ގb,0}.W8Ž'2c->6͎C9Qv(U+~ӎg"^C?vj^[;+!KFgUmvm1YӀ(Aߦj7IMݺXpЎ]0zzQ;|Itmo.;MQݭ:hldzBlNfݪx[vf-,+IڼR0o3s  ܰHWceo^>YOʇ5K{v@@;6@iBDKC;6d'; ŷ1+'e^Yю?u6;J|l>ʭv|l>ʭ(zގӷ̷ʯӷ櫬eGwv|l;a"ztQF;NC;~1Ў6"iC;~ؘQvvЎ6fzӎ젍az1c0ߍan  wch`ؿC;1Ў7v 1c0ߍan  wch`ؿË7v0!Av h!Av h!Av h!Av h!Av h!Av h!'#bfD`;v#B A;AB A;AB A;AB A;AO~H~AveE;X_OⵘX \$,穴G%^},\8`H|-OP=w  ,57NyQ_S;G]]ۏ9(926<aGA^ky 0d,dq|rAQoq};9*v::vNsv2dKrKDƼ뗮}fiyqۓ~ .Nca03';GxZYh]IDATM]"ԜuvGߖtyM6M$P{\;Mv͵1뛍9jŬI-f4)I*Sh]OdHSk/cjƏ7$PѻRo GfkCYO^:kR^̍@d{]̫4:.]4T\x'!UPz IWdW碸s6-I@ wqP,} 3"l5'WG^jՐloGqb؝/n]1X.j G+ɞOIH#žTo? H94q7 eU6!PMǨd`>ijz|iU=dkc + (# a04ҫq;Ҏ R;,lW;2}@+ʺޮ/ gjO( 5ߊ њ%bMEએ0Ya1)'HVb9lZq\a Eo}b2qFdG.K1l\u0xt8drF7m{zavZ<`>׎a(yڎs8P7/ǨwXVRFsvhuwo/(α#o1bڠva=WvGmtkvWCpQ\HzDzZ93,4i6YYR/Xvg;P>vUaGMqav^g@meAsJ׽v p( ;h )ζ4B/cG_f}ێ*ѱ̟aG_];ڏmG/){ћ6ѽgy~7]v@0;vX|g@W jv%F;テv腽etCdG"W)$5qٱ"v,[vva`/:څ@ЎmZ(nxO?>}_9F; eJR=t ||n-AB A;AB A;AB A;AB A;AB A;AB A;AB A;AB A;AB6MIENDB`n['gW0C)Ȏs/xZPNG  IHDR8D,gAMAPLTEٟ pHYsod IDATx흁DcRI\uޛD EΤf_@Q3PT@"8EDp(* CQ PT@"8EDp(* CQ P$(lll.html,)lbbbimi.html$,lll.html,-lbbbimi.html$.lll.html(/infmi.html*0sbrady.html&1rbbb.html$2lll.html$3lll.html&Bl_qt.html</ 0DTimes New Romanbb(b0LbLb~0DSymbolew Romanbb(b0LbLb~0  @n?" dd@  @@`` 802*      !"#$%&'()*?Db$EL3zXu S?b$Lr9V&ƨ|q%?b$|!*C=K %|eb$9 H{tn:b~W%b$;4?nE@$b$Y*ΫC.bS\b$,Tڢ؜x8v\b$0&odb=1I b$eZzcXDN6q*b$҆R^#;,(2Eb$)Jz%]b$0>@MCĞRzb$US>C$*b$ · %pw[ʒ Nb$rt{ڲJ\U"Yb$Bg(wo^"b$G Om}b$֍Fl} T3b$ r7Ǎ &Rc $@ g4NdNdXb~0Pb ppp@ g4ddddXb~0Pb jp@ pp<4BdBd\vb^<4!d!d\vb^? %O =  Normal ECG9A 55 year old man with 4 hours of "crushing" chest pain. (:9 >A 63 year old woman with 10 hours of chest pain and sweating. (?> 0A 60 year old woman with 3 hours of chest pain. (10 0A 53 year old man with Ischaemic Heart Disease. (1/  .A 79 year old man with 5 hours of chest pain. (/.NA 47 year old man with a long history of palpitations and, lately, blackouts. (ON)An 83 year old man with aortic stenosis. (*) IA 75 year old lady with loud first heart sound and mid-diastolic murmur. (JI ,A 59 year old lady with chronic bronchitis. (-, &An 84 year old lady with hypertension '' $A 73 year old woman with dizziness. %% -A 70 year old man with exercise intolerance. .. &An 82 year old lady with dizzy spells $'&9A 55 year old man with 4 hours of "crushing" chest pain. $:9"!A 90 year old lady with syncope. $"$ A 34 year old female with asthma! %A 60 year old male with HTN&!A48 year old man with palpitation"!'A 76 year old man with SOB( /      !#)*+  tl@( w X  0A?l  C    H  0޽h ? ̙33  tl@(  X  0A?Fl  C dP   H  0޽h ? ̙33  tlP(  X  0A?l  C P   H  0޽h ? ̙33  tl`(  X  0A?l  C DP   H  0޽h ? ̙33d   ( 4 l  C P   H  0޽h ? ̙33 0 p(  R  3       C $  @   +MAtrial Premature Beat (APB) an abnormal P wave (arrowed in figure below) As P waves are small and rather shapeless the difference in an APB is usually subtle. The one shown here is a clear example. occurs earlier than expected followed by a compensatory pause - but not a full compensatory pause (see ventricular premature beat) ``1`*0B00JH  0޽h ? ̙33 0 .(  R  3       C d  @   <Atrial fibrillation with rapid ventricular response Irregularly irregular ventricular rhythm. Sometimes on first look the rhythm may appear regular but on closer inspection it is clearly irregular. V4```4H  0޽h ? ̙33 0 x(   R  3     ~  C   @    H  0޽h ? ̙33r,$V"ǥ̀u+(   F,#af_fast.html&%axis.html&&axis.html*'lvhlah.html$(lll.hC>::uzӎN?01)]ᓩc'Ұ }4t-mS1V_~(GSPv/p8aJ[O_\9kC۾c6ѓW&ey ŇJz迎v -??N%J޵w6{=1-9O I6b(Z~~Mj`ɳ Λy|t2=Ѵr^\?K\؆L˭S՟`荌ch~ Z;kr?a(bk{rO 锞YuLÿ5q,zܿ'b(&Y'+R aeLiN?M8Kq!a*qjDpcA #|}714 L:>Pp״t 1É(0D``hh`hHdE嚥.k{1NuzN΃h!ʍƄ19C!]1&T׾#еxM_NC`(`h@ !fq6oq{$4^{O ECZ6F8!|tX:ahL oBKt|CGM9(7^t^1Z73YLⓇ!!ܼ1WOP_cR 3C4R .]no)-!@xQ`)PW`Ź~ n}OcCv6 F5<"F!|Ķk Iʪ1yؗMMW'PZDb(jE5S̊ 39m^WB< >OyDz/xj|%8af^V|,|f_x5qҊZ" C(tbh`P$ M ?qV鎍FR(Bb p\ۚ-H2lo9$;YX).zch#ӘۡY>ֆ ahy(Cb(r+haK@ b%M&Q4Y3XMt$:i Cq+T ǠDo5?Abֈo*ȶ2g =ӰWGRJlW[8ffC%fۼCdIna(W6nPTqu5 :ht&Ⱥ8&qvx :xktGΌ ᯄ *>|=J@fШSQ1D>^Us/P⿏1_ЁzWV uhfW!Rgvb/YyF95O+__-#hd0K Yx; ehq9#IR~iR6lUE/P4 3;`rP"ĭex[< LS\ľٟ{oW {!q׬=79뷳Dtɔ|/ͳϏ%նaI** r aҟlM%zaHBZ(`$ \=\ϦEՀ$h%"^Rk{.PmE^"E?dn= a_Da5+\!W,BtD}?+M^P EϏ.R#,&+o$v}N dݠDdckN14$j3? pȨɎK1 K.`(q53/ hJqҩI戺82u>ۤƐ>|.I)d !ad)ڄ&\N>Ժ1PxMp%5 w#r77t4Ё4"-D+j%8`"8# s\Dm>>^@o"2QlǹCo"OzMpTi+5f,8N4Bz'\ըĊ30Et#8Ma#}̯\ s\Dap.>a458ad_i"LpK+NLo*2+bzⴸU"f:WLrNъ+&PN>F<+&@z$X`V'WLrI."LϵG5a +&8+5 p`A^ N@"cj@p($/U?љLs>/N8`i1yw[}\?pһ&8PwctGIBX޵_F-ͩ' o{F6n}Զ*n@p֬hGKu|u8g0:R%mu8G2[y E N5H{j =OlёG}_[mMplsl %2 j߿Y#[J]3ٟJg/R kkY#+@@Dh`_uW^5xs@N`z_GCM@,?A;4{{n/{!%,0^ 3Bcy5occ&Q[0"noA7+_ *81 028~?w0WoA붛i~\G[yϽ:p}oa([aɧ"'/JNgq*ʣ,u=>u 5*폷C1pԡ5*\[HO>^DUs r(wd5Fۘ X#%k-ls\ia/Ycxp1^ Rj  G[Q L%+ uVrRVS\Y潤9hy7SӃSSZzcp,ptqE(vu1Tz?X/֕0 ]qD` M|+97B潰c!gkAyw>0lvV-NktspU/ڂNln]QM.G]H 3 Y B|o˱l&C6x;^EK^8Zo:1"l/'x!9>-]Nw|9:ӑO@NYcZU;#R7c(8y?Eq ZwoGmf |Q%Zq\Rp:7! NrJ,~ n׀cD`77 ͧ>j;8[?;<kW[dE$p /z[w*O<ހ̠pS>t0M"TaVAN+8(hQ ld[8TP>|o 8]Gsrn.'@(2Apދ8˅+9CtT[F~8oOWapdMdp,FMʹ~rij`'l<5V}*f q31c?8~0';ͪ'->*EK( n2z!Bh( Ά.4Q Ap`~Np4zGjnt7^0U48MW{}W%7{AC}J{M*'߲ "gˎevmMjz$z)8MKm#^ʵkZIkAdWpTNvymhlּR&d6^,H10U# Γ0UtGn^|Yz<)Cj\v(%[pS42 `&fvZs؛~dwX[f'V]Z"y!k]za6$ML3 ~E(c֢>B_.>+@e*Erl :fqEx]N·4h"qg&$j-LGW%}68z'co(I`s3JKvIm__d/Y(CYZ~ %kG0u%*}2G3^]#cŔǚ |-ZǞiYE[QZ qbp.>[xNsd"jDp^(^pKbGC4fL it~MW p=̬(jRh,p88 189}!Vi}pw(ڠaAvZpՐZ9zv2^SD[sUp7` 8`E:E!5Q?pPw[ - 0bOtǑX7ӵ[ v!8:;86#ӬOiqo7QN,T#z=8ع#xB8ClpIo7c$wnӶC|=ʁc_m 8oG B] d"n.`Z4XY{'@|a5w8fA(NWM6`\1"x2Z18DǺWKp<pp xj/H@pp)% p/^Sձo8bq|8N[5 4瓕cS 8Tp֞k{q]cl?G7}W6Yc^`OoOӳaNNk"p;׃w$6wt5`{n炃fdл ppo3~ kDpa.rアޞ]CXc HW7)r 7jOOӉx'-Qp,0L]'8Nx؀rs p:`at;~?5^E]%&3EDp(* CQ PT@"8EDp(* CQ PT@"8v|IENDB`nRldtX>PNG  IHDR6E酿 ]k#ǥ]_Wh2XY!N&3[xeTdg &?\o ZQ\NZybpUѾXU>{̋)S l}Z4+#mI\x@i ޜvi^K ~tc֖ʶdgF,BmI,+{/bG ܖmTZ7;/N6Ggtw]m_yP٧{f鸱P_g45jIOmJhWbڳLl>-> [`Uk>!'W34+ck#5rvʻ׳L:Hך$WN3 pȃ[vkuZ[;Z\5vW-?'#=XLr, _lZ1j"[Iy]*(oj sܝ4TlXr~de/ژj_*Jc)D?Spׯhmi]4np!J-q k57OT~PQ2[IFnmkc6ZHKY\xhnBaO,` plخb/Cd?Nﴶ^2lk6)8͐5cLU'#jZ_<|1ח=κ7cxONɋNPYJqOz׻'Iv]a|i].`uD[ 5-ϖgyڂ~h#>Y%{˔f߈/qUXKMWS-y84If[mfo+T-Ok˒޳;Vi4[9GjG:p0Z+Kbm&qͲs^2t;om\omf`搵}5U ommWZ|fR/7b5Uqҁ k;ٱpLNl=Zs'5vB9fTCco{L(+ krM=b(K W/sGL2lF~~ $BuOS_6[6;wmYQnv`s2kHFOoַ֞ifˬxCc_:0&rKF#w"XfgKI{UP.d?s|!'7cX|=|cj4|w5kO ',ۤڿ k3uޑLvxcg> :^U>W渹r?kWv]n[kyx|g֞MΟ~'Ǣ0\3gn/!=!v-XF49XC#Nv;^3:0WZ; >凎qΟ\B8!vk±oU`mt֦}EkjmڿIBpxW[[kϙձEձTZc}X[ؿ1 {hX:ۨZnb,x;\mTkh[<X X]JkY-MtVYUB;$Fm.㗞5vX+m퓶﫿wkkm ԭ]H]@NG Xk>hwm akwݪ7b@NG vF@ ĕ dc*J֚ ٘ʯ@\T~}r@6 v9q|/ 0ȳv9g:a69kסPȁ@+@6Pȁ@Xr@Bu(lr wamO!.|*dc.? %BZX@NV"P!^oCNZ{jHZPrk`2Xj`-X j`-X j`-X j`-X j`-X j`-X j`-X j`-X j`-X j`-X j`-X j`-X j`-X j`-X j`-X j`-X j`-X j`-X j`-X j`-X j`-X jlCEIENDB`nzR.EPNG  IHDR qgAMAPLTEٟ pHYs.>IDATx났&_:nCEGp~g@FA @@  A @@ d^+;::$-# BO>ue8ʘ  ˜  ˜ \#H0o`cL.d_1:c* 0c*p A1@1@1@1@1C  5,PgL§͐ HdwI u+kٗ5ϦWذR_.c ];z8Gӓ{ZF2 Ada37HA$7;]&(3X2K~ 7 ==߻7Q ct Y/񕹦fYFHzv4W iH7J !ʩ.ȍߦzϨ`՞vkF MbӞ蹽hpOrƾFj)-;#ֲHrDr-6qkToNӧb!{Dfq}?Y'f.y{օOC ب8vY;X'^'HqoYv`=HƘ`ZNc9#usIk'Z`攫ksoIdѐ\J f*hD3/$-fa(@M Io9KE*xE+Ėt 0˰d ]OcdcӉ]ddaIbʔ5Ѫ s.?&rϤ2'͜|#!c Fؑ:BD+::7Bn| ߅c,&-M1U~b_BqLn$F)ꪦQ3F7j +XؔJ,y-Jַ5KllKd [V=ĄC+]T7P)F]]dزw9د9Nm{[e\ "=6 +X7+ݶ{ܲWLK[nEvUT7YҲziţOINrXm62ǖRtCf[=EG]\kl]1 ocmCEƅy^ pzhu|O Rѭ AKg}Wo5Ȗo*H3Ϗy7/ rlAZ{٥і?8|%w3lel -A4O B|^3~[Cc O ҵɻ.85%nDwqWԔ[Lcacs0Vv }$jJ-xXO;X?=|' uuNA A$oAA @@  A @@  A @@  A @@  A @@  A @@  A @@  A @@  A @@  A @@  A @@  A @@  A @@  A @@ !H0|oHPO B^ @  Aǁ p)E'j#1 䶨-3 /Ȑ <_"<ŷRAsi ]}@vYFE)AzzlڿۘEu(0 ]S-w;<=< }S-aFAvorQ*歴n 2| ;RR{s w˵ ~_zv _AA:uk4]ߤ]O4Vs[˾j#7"Qv G%Av;~mƧS#qI_Ϧ$6OnplYeׯi/H2) [u-fKqMAK-j`HYҩQO hޒ8hޯs?dbyQb}]pұjb4E~5lІ%Lg}Z f:[A6OKaɺK/HM>I'oٌ'dAH_%i`TA1?Jm[+f"6_w 'Eӭ]vFk9ݘ @;lYNRcڲ}nAY'blv6.h~&ŜK8%-TVC2_+/jP%jf!ں =>0A&)l__*/ kJdx]nѿ^^,i0l8ͤ>Mok!. N8y1I^HT]\0BtiDi:dέU/Y+aV(WkbZըuK-:Sh]T@!.Qp< r١~[oNR}tu-_׾N↚leL4XzcC>]\Lu尲/Y&/H3c+%\KIeѼn 8rXP d/oYAFG1wSEM1AͨN-TpJ+/; 6z &z=G; >S]K u^DG-!GQNikƉm_a(H~_9A|U'An7ߗ.trA,~ǩ Mҧ(\ ȢfICFSE}4uY 7'YHwD#ju 3 38kWu$tt ~I!4_`RS37u yn|A` SA`nAnΛ:x>oUWOm JT]en>@ɽ >٭.AtS㙄WOmt6AO}B-SΒ:$<,CyP A @@  A @@  A @@  A @@  A @@  A @@  A @@  A @@  A @@  A @ `~9  IXANº̓Nh/Wݳ{O zCٽnw]  TSØ <5 ;S$ `4Sio1(bLQ]"nA޽ S0/ !}z2L7|y~1>Im+z(o΋^XslA"ȠV兂tdUd̯SWDV#zhџQ;KM/dQeuOsT/yI;#7Ș\2B@re[tok8j~qWR*72bNAڢ{#?&ґ2^%ȃL+W,E7L+BQ޶};⡨+32 l7%@Q}^,HY;=,A 7~[M_ Q^aT T`LA*qWI>;TQ"T2=-??dѝcpܦN~>IZ_sE]B}qBRw8(}s?$K=ڌdW`MDċ9>+WrB rI|҄KrcqѭAℸKT-/p IGuiPvFEO9H ۧj b̩ƃiӰ\=3}/o7D5>wɵN?Y,I$fa*3=[74 q-RMGnN~j;hc4%$ELhg I>Qe/Q 1Oy'aΚ'>Z9^@pK<ۺ5Iq:XQuڿڍpik~躐V3|dٛffbRzFIB[LѮvnIL&[b%!AL" 3ޢ&XOvvYRl9 ,Q ++d^u l1jٗ'A:{HnxItԉD/$ՋuU*H^ǣeO!%b&s0In@!eEɢ( hmcRȖbK~LJ^m$Y"ە-/)#?nLl&ïRQG ,bvFiQTGņEz۴kQotj}rNQZF m#-WnziU}EDD)P:}@74nu{^uܲVDegD]dx~wui19Zӻ%`n_-OH#-(_2d3}wSCO|]f`>AҁȏjwLS{Xh+hy%!-A# $vA)G$ e4/*bQdW,xn⩽Axj/K{ZOt) Ӹm0":9/ U7u('HGtr^<20 "湽!y Sѓ(7H7}<''s{49-X0 }wryǝ7} 4owx^=qYwwg>#u~w3 _wg)?-CSh  A @@  A @-3yIENDB`n6ASR#lcPNG  IHDR=;U9gAMAPLTEٟ pHYsjIDATx흉v(upmzIƒ89@uj) {`=R@ H) {`=R@ H) {`=R@ H) {`=R@ H) {` Ƙ_ZhN} +gއ]ec_I=3e{ԱG:i\{u"_`)P6ua 2VսH=m:o˹(L_y/97}?w]Y{ۻxe=R@ H) {`=R <]=R@ ĨkC= .{`@|{"o=ݞ;|a%Ix=6 {nLRCNJǞh7~hXg2ڻ=V_ ʋ{Pp|LŇ=voKBMz)`='8(j{h)5t3wM!n1 7Mm?~J"Q9k=5{V9tS,5W#tKE4퉌U8{Z~ㅉ~:dTҳ8|Ywf$KM~xhػŊ=5U(cOXa~nVKMŏ6?ByKY1NI!ϛNF81zUz6J<5m;( I>=\a2S`ZcDZ LO{sty\_#`ϞTW:5ZIi_l62Nfk&X֓z=SK,@xH6dtO ֹ;7E{\l?=Hpy,'{RWzɵ-TAa27rZ/^WwpQB1~ד~N]K Mzjvt\mؚ+q4瑪Zvsu i:Lm/B{7,Q= k`AsK;tkk}} )mCձG Gr=#afؓ?U9''=_|:|s'il@H5 z{f͋{:Dth-SxԈd-{$LGX3jO,tk=ð`ϯK{[_R0WG/u=Zأ-Keg%0KK=*``=R@ H) {`=R@ H) {`=R@ H) {`haqPя>@ Qӧۿ|&߇P뛿3o}[\3U*ۯ?n(N:ky} 'JZ_/X?3{1*Oת/s՝H=b{o3fsl'lp4w"Ϲ}ݦk|=4 JyY@gX {`q-gu9-PY@VgXu TK`7-P1{.wC='W=0:{jY@w==T9(t{cj{`Uva=fρ=p`?Gݕہ=p`?G)o =|@%#kXž=ρ&B:VZ{ fq{Gz t='#]Vэf{bk~Ngg{ZGbOs#_ |;s9{j=Mc(G>nS{j&se3ֹwgڀEY$$i+ ʃU3೶%c 6;[~쳀"`g6b'ruXvݯ[sz;Y=JlZ+ kŠV;eNƧ:dƒici|t`8Aڞvҗ5Iӗ;1%M=:+d" ;:bPAٓ6[ԙ()ֻI)ŀW]o@f]g]wԞV"'xl,-fN<)h7VqO]s-<F>7H{klR Iz S"nM{pd yUk]6O vZH̹ x%;bGlM7[{=[YX1[D6Sqwx<&o{}OJQq6=m2ȜғBazg3Ǟ9c)JTeݚ0.\WNkǪ8\ Np[B7ٓY5zҼDA7ǺlK5,`Oqm#IdMf ߗ nm=]Ǟ $KɌ{~A-t#q?wSxq|20aOKU6-3w03 Tj~St{zĞe}Ȕd=z˪la^B"qq[#g^{԰G/U173G/U1Ӟ 1+V`A=_6UĬ?,kk}z>=haa Tأ}zܴOO{7٧zH:{!S=̽rrUfR {aaV9_0O=Z`{<-(ayڷ6}%,\pb,=8 W(,\ڳmǵDa,=\ Ӿ/ڶXxgێcyڶ:ʟv~cxB~}*#Wމ4<_۳JkڣF(kBuI0S}%8⃞|01u܇41.{0hWJ6MkOµGs8^{fݝHj{}>4ՠeϡ=?zέ=ZnT!źs՛m;u {`u֝'Ywr;أu {`u֝'YwgӞkciC]w>fǡ``ϋ >ߩobl1=6$5}yG <ʯ9diڷ3?G9Nn(7`]q۳eϣ`9`?fGQ 8X{qDn`O;s`O;O H{mV ݞcOTf {:^5`O3c ߞBDd=|"W|cob{ =ӞEkxζ'ƾߥ IHj=h/xn"r=W`q#^]afmK4M#iϧqkO[!nO<[j4k䤛0gϹȵP4 ^^e~u{5̾s{;!a[F&R)e8+9ɭjU4ٓ|; q++#y*׎xmXqۓXyvpVywu?T.u{9eVq` KEYy a-WZO=q=&Blx텐ãs ͪ)|+[_+DxR_Eg),bOi\cƘ]0պ#ŸR5RqjgƪQ檪==0F"bo49 qo׬' bmés\4X"m;;ƹ?[j,@ЗODoDi4'kwny4>Vx\**Sx}ȝ# ?=x埂.1^r'֘V|pyzzS=Gi{VKqCMz@g)^.f<0 ՝Z"։sm1tN^3; I4éYmѨ9^RHmldgoj0Pw{>RNMMvG3$W㏨8IeiϮ[6;96dO/{ {THL䘺j,bOa\?nhy{fXs?[TƓ_Ͼ g`UC#fΞw{ź1M3"{N=JIS'q6N=27=!'L{f='WD=e?61V {#'L3/ x=/A2Ne4CiۭG2Q^:>ӧ%쑣֤{~GziZyF=#.zj` _'2(z:ˡsodBN}z EL=R@ H) {`=R@ H) {`=R@ H) {,lF :)V=ڳmǵQau.= mǵ=Xy سأYϹhayڶG Ӷ5=ZXx-m;i"2+ X;O||º=:Γٶ:֝'Yw {dpHO jB{4vr5fȭ}M*lWPG֦ؑ<'e[3!c=,!F͟^*A?x W),gGߢa L,v ^ׂsY{7Cj"ӈ73HuS~6%sxx;shEz`|ѩU6c i+}fOٓ<0. B%H"R5{nX?'3{^M:rhsO<GD)eP{[ + 4SAȚuCGut ica2 TS -t67]XJNrYK߭ q3!?i9x=UAyv޺`mQ\.qQKۇ0h dC uԛkad8h I |kl/aتy-$Ϲ-}헉/<4}i\/ C͢1}ێg6/s],mϋKԞMl{+ύSjtgƼ-/|jMPFP.h}:> qS 9F_&Reׁz¯Sy#س!} Ddl\Cv{e5@%H) {`=R@ H) {`=R@ H) {;v {`g?X?}`aOngr|W?/wPH) {`qm3H̓vȨpMJzIu+ȯwVN#oƞ'Ν38E=&Z/satUSf.H;5m%Tcs< sǮPƎuZq^a׸ٹ}tG&eq+#{\{<~NIHl`4X/Q:z+Śc^:9evrU=qtkj7tލ:ꖱ_t鉯=9^;;[';Owsb=UցS}>rJ:8e;.{0Cʞ-s1عX~ܞ!˶^jR]{t]'Pc'`DmIkuɭ] `r%9ey{F:w Ȟ[3F}U%sxY{RMX^=5v$w~Ѱ܅Woн!ccsݮ8}Db:zIJJٓHJdPNG  IHDROm gAMAPLTEٟ pHYsodIDATx۶ z֙D.JmcbhR.fF$~ dOdOdOdOdO>0[wax5E>Ys*>]-VNws~ZjN˲l,5J'ٱo+<~j.$-5JT.m#,",",",",",",",",",","0cXCsyNC^|>j''AdE>Yy wMy(|κngOc9wt'ަAUGW^wHkƛz牸]O:@ێQ}mM#+$)e.9%؜x8v\_b$0&odb=1I _b$eZzcXDN6q*_b$҆R^#;,(2E_b$)Jz%]_b$0>@MCĞRz_b$US>C$*_b$ · %pw[ʒ N_b$rt{ڲJ\U"Y_b$Bg(wo^"_b$G Om}_b$֍Fl} T3Zo=,O嚪 <1*?^b=5Ղ=.ӌW1D9\zCvc7冀,d¨Y6.|×4Z:wVA,XNL:gS YrD&y`Ʋx' !,2sl6]=7T۟#UtL0\B峱[>Ѳɖɖ=3gcσeVW }b>z<",޾OdOdOdOdOdOdOdOdOdOdOdOdOdOdOdOdOdO>ܗSIwl\NL&?fIe5ӿ'ent3LCOpIkq-K'||ñђ-y.@VicKǵEᖓ?3ŠL,׫ (ׁ|F_=]Ϗ,p>hiG&n(R.mR >Rsta¯D_ivE%gԓ(ꢶOlՖԛVH~|?*gЩ|3HZ5M>6|&>]3 z $'J)Ӷ[ldac>`|H|{k#|Y?ʻY>:xs8 s7O*PiGJiR kct>Ît,]v]`}s|F+gXgdB:zct b~CO~lOO|4]lGQz8c(g%^sb\ᤏ9d>M>"E>YE>YE>YE>YE>YE>YE>YGIbIENDB`n#PwVpq7?+QPNG  IHDR&ΠgAMAPLTEٟ pHYstml,)lbbbimi.html$,lll.html,-lbbbimi.html$.lll.html(/infmi.html*0sbrady.html&1rbbb.html$2lll.html$3lll.html&Bl_qt.html*Cvtavd1.html,Dlbbbimi.html(Eaflut.html$Ftdp.html</ 0DTimes New Romanbb(b0LbLb~0DSymbolew Romanbb(b0LbLb~0  @n?" dd@  @@`` d\<2      !"#$%&'()*+,-./01 2 b$EL3zXu S?b$Lr9V&ƨ|q%?b$|!*C=K %|eb$9 H{tn:b~W%b$;4?nE@$b$Y*ΫC.bS\b$,Tڢ؜x8v\b$0&odb=1I b$eZzcXDN6q*b$҆R^#;,(2Eb$)Jz%]b$0>@MCĞRzb$US>C$*b$ · %pw[ʒ Nb$rt{ڲJ\U"Yb$Bg(wo^"b$G Om}b$֍Fl} T3b$ r7Ǎ &Rb$gW0C)Ȏs/xZc'yb$RldtX>#qb$zR.Eb$ASR#lc>b$ӬTZZ>Jdc $@ g4NdNdXb~0Pb ppp@ g4ddddXb~0Pb  p@ pp<4BdBd\vb^P<4!d!d\vb^? %O = Normal ECG9A 55 year old man with 4 hours of "crushing" chest pain. (:9 >A 63 year old woman with 10 hours of chest pain and sweating. (?> 0A 60 year old woman with 3 hours of chest pain. (10 0A 53 year old man with Ischaemic Heart Disease. (1/  .A 79 year old man with 5 hours of chest pain. (/.)An 83 year old man with aortic stenosis. (*) IA 75 year old lady with loud first heart sound and mid-diastolic murmur. (JI ,A 59 year old lady with chronic bronchitis. (-, &An 84 year old lady with hypertension '' $A 73 year old woman with dizziness. %% -A 70 year old man with exercise intolerance. .. &An 82 year old lady with dizzy spells $'&9A 55 year old man with 4 hours of "crushing" chest pain. $:9"!A 90 year old lady with syncope. $"$ A 34 year old female with asthma! %A 60 year old male with HTN&!A48 year old man with palpitation"!'A 76 year old man with SOB(A 60 year old woman with HTN,5A 68 year old women on Digoxin complaining of fatigue65-%A 57 year old woman with palpitations&%NA 47 year old man with a long history of palpitations and, lately, blackouts. (ON.!A woman with Romano Ward Syndrome"! /QTcoNormal QTc Men < 0.43 borderline o.43-0.45 prolonged >0.45 Women < 0.43 borderline o.43-0.47 prolonged >0.47 T  %'%'e/      !#)*+0123  tl( 4 X  0A?l  C P   H  0޽h ? ̙33  tl(  l  C A*P  * X  0A?!_ H  0޽h ? ̙33  tl( ̙33 l  C DC*P  * X  0A?H  0޽h ? ̙33  tl( 1 X  0A?:l  C E*P  * H  0޽h ? ̙33  x( h l  C DI*P  * l  C 4     s K*0e0eA?gp x  *  H  0޽h ? ̙33F 0 (   R  3       C   @   hAtrial fibrillation with pre-existing left bundle branch block Sometimes this can be confused with ventricular tachycardia but closer inspection can identify the irregularity. Irregularly irregular rhythm - suggesting AF. Features of typical left bundle branch block wide QRS >120 ms (3 small squares) no secondary R wave in lead V1 no lateral Q waves ?`'``?$zZ2c z]C0czD0 H  0޽h ? ̙33o 0 /'(  R  3     *-  C dA*  @  * Atrial flutter A characteristic 'sawtooth' or 'picket-fence' waveform of an intra-atrial re-entry circuit usually at about 300 bpm. This lady was taking rather too much digoxin and has a very slow ventricular response. j`v`X`vVb !&'-H  0޽h ? ̙33 0 ld(  R  3     j  C D*  @   Atrial flutter with 2:1 AV conduction The sawtooth waveform of atrial flutter can usually be seen in the inferior leads II, III and aVF if one looks closely. Sometimes the rapid atrial rate can be seen in V1. Suspect atrial flutter with 2:1 block when you see a rate of about 150 bpm. The atrial rate is shown to be twice the ventricular rate in the figure below. See also atrial flutter with slow ventricular response. n&```&Q-)  >*!8O'E0wH  0޽h ? ̙33 0 9(  R  3     *  C F*  @  * GLong QT interval The QT interval normally varies with heart rate - becoming shorter at faster rates. It is usually corrected using the cycle length (R-R interval) as shown opposite. normal QTc = 0.42 seconds Romano-Ward syndrome is an autosomal dominantly inherited form of long QT interval and there is a risk of recurrent ventricular tachycardia, particularly Torsade de Pointes. Ventricular premature beats (VPBs) 2 ventricular premature beats are also shown in this ECG They are broad occur earlier than normal and are followed by a full compensatory pause (the distance between the normal beats before and after the VPB is equal to twice the normal cycle length). ```#```# [  F0l~H  0޽h ? ̙33 0 x ( P R  3     *~  C $E*  @  *  H  0޽h ? ̙33r8ͪ(+p<.YJ3% (   H,#af_fast.html&/IĊ%G7#$s/ 9 7T-π %ddܬA.jJoApw6rg=% ƐFMnɥ.h@!Sٴr~z 4V}JT<^@ݸyL[(("&557\#2,?y5l]6jn~)dn@-P/Xij3<hҵH4$Muj!2'gX2-&vDٳP\!SU O*T 9M~OhJ:_[T#H`D&pBZC%XPb^<ĨzU3|HM YuR._#~l1зhؠ'^bѨQ5O*I^*b4"IjKS-$@nJ`qff0N .a}2}dk;a|,C<;Ќ_̙`'Zߝ&m3-n6PYj+ IDATx흉(Dzμ.%7H3ӯ z uL +`A] @PW&0 uL +`A] @PW&0 uL +`A] @PW&0 uL +`A] @PW&0 uL +`*c(HOUwWX:3lnx [6Ugvsؗ"S);(~׻##t$\mNju;9 ~Cars&&:C-H&rC^ w?T ?;hGLd?1Yy3@&N&!~H) Lr!~H) 0Qy` ab剳\^p&rϝ1!xmc'0zFx:1p=M[Y.ƘxRN0bay|0 o|/OYksU&L OM4P>Ie,+erL7]W^}NcGkPah1!틫*&yF-cLGʿL.G04J_$'D0w]`r"[L[c{#D 5&3$ЪH0Tߚ$T8ECK:ʂnH1QX2L#M U$&Gӑ\h0&-%cLjstn|;+vDq`"'t˾)& b}#{}㛡GbrR i5&5(3II7DǴabMȲ<'P|gMt:JMD%¤{1m`7\D@5jxlgd:Ewi)-Gsڏ$&**˰. jb&ޅ~E euPa dzJI"2m-CK/R▫6eO~I\OyᔘV©F8j2k_<7f'$6KwU*CڤB˼:B6'әwraN+鯜ٵg=Rnex\=I7^vg.yQvHǫ-tفsb+KٽĥB(q&T[RC*.ܟ~HҮV|CQ lc,յtW)ul,J3F˳cdzq+e'&< eGʤ,rpc2kʛ:[Z ڥ{ϴwWYr&}@Km;OSsKV.dnJ*~L3cٲ ٲ lL rn2DŽƄ_eIf LZP._w`"ލpQ4d'fD[1M`Ba"C} Aݘe6L2bjL'0 '6i 5LL Ol"q%ݵ%0sl~4*&}Y\^;6H`r^&vmD[jα &bO  yR,>Mk$αm$&7+,;αm$ٷ3>+E&K$D.`ri62@;H@;b-V 9wЛ1zދt\q9`BML轘lF0>&@[) Ln} -ڔ%xi} BB>! aRzrfl`"hmL7 &41̿y~̳4tH #LOL&0Q1 ʈqjiU]0Yz&gUb5mMgL?UNQ/M?5&Y#9F?=|0aW dI)djI+0Qݷل[z7)M&myrjx6)LY=0T&crLt7d5ML@LZ`wlmǒMykU,\E(TS0iI( R1tsL;L i^Fζl 61sƝJ7Ù rϴjP,.N0tO)yq/DȞqf׈a[qhЉԳ:Ga-bB ߌay$×bRNbLHSZMS٣74g_f>GKYBFkUx5p6#3zpԽh z.Ƅl7Mc cމj;FbJߍd]͔fyئz6Ӆt?RbBC|`SF:(q3Lj#d;Jx}y5*jr-8ᵫR)5&oVjGC wg=k'VZ_#9R^dIhm2j Q;[XPWT,G!=/PLZji)ng=SR0;)ZRޒ Lmn_dIǬ\`dpmEZ% )Kna~2!H%~fKmu$Zk 2LcWL͖o4^-ɬ&BWƄpluæ^q+_>M[;bc!5`B;l.kLy[0aeM ߆ɹkR}L+0LjlLd>\iegMÄ~w 06׸ o1\>LjZWD꘴ĻBNJDžTD"$`"hUq^D".&qIL{@ŽBxژM'dڵǟ&K췄x@U)0QXr Tj0V*` #oR#>L$Ϲ1=} S?@-u @5 0Ѿ L"OG`”`C/&s|OG`0x8; =ŷbdZXcgɫtf$V:1Y9\H~~u&L5WVv{ Ɋ/eV\90YLeLlW8_[d/D˻'Vdl\yjNL,,ǎ^w69Vw Έ;$ רw ? ӆ﹮# (޶87 A#呱ZL&2zޚoI5/rَS< `B0&{L +_LBC ,ﶼ0T~ _h`yir%e=<ɫ4BT__o&'QTz&<9$AmQ;k05?01 ܔ)`=d_[Ŏbbg!&h:&׏i6W7+gY{L$j>.Q&QZooR LIIّ:s̬ߋI0ѽ LrHYOn;sd{&,]kFW„VjAzxj5&TCd(_ZYiU:<{9$eqS@ L7d5Uay'ʿ& e6ONiᘘqB S4%zL&a3[amld0L{K&r?nLLYSc3Oa"\j)caa"]+ڤ1ɋ60icoccr+ $GZc0Q^0߫`$Ò }i'9v@9t$;"I1]`BBSz6) c6i[.9llLj&}r(R{[hL)[Q+"O6&/.M%WDes3Ldg0^ &ɜIc\0y0iB&bgZ^bLUH=8mf1D>%Buj'b"߶<Ӿ|GZ(& Q1r6)]^׫GT| Wc}g vdL…G8%ωDn9[SOܟR%ͺ*R"sgУgqzu'9=kOb-8'0I-Cp. DRRэ S3X2EL:fϖ"cRzZ~PŴI4ggӜ93B[QtDB/*ՖW$q> n-'vvY٩oQR8hl\/$!#k몔eYÙ)?b=0i\;OtD;G5&$;zHoFg-dwG5-Xnl?B vDv|pc28)_z)0 ISBLjѼ`XQꔕI[v^I\czLM)b=oeyJin6q^mݏ{1ɲeҖ;7cLzf&77_&b`$ sޯ\b`b tML.>e4Cv ј$}l-1a-/LzI+I dF;`N|0빻GLznxG`IL|[`Fa~Cd#O`2J?{,?o`2s5mKLQd#Q>w׀lK`8K`|0@c&}Ɏ0r&4Hd%0FN j@&0FdlGh@َ(`Wi $Vq,Arygh$vh-}R@PW&&0B_ ]&U 00r0x3lC7|k+X&1.sYwcD-.~w=} #傉Kc>&ed`5S=YCkdf됳?8ݰxԴ 3T>1'TG$9)u|Tz S`vA5&0cb0s:+RƜRMaZ LOӝa*rV选αTa 'Ԙk-H1u=4D@ 0 L&akm=V0Y(Ll^U(IE9y/&̦HXVxPQjV)sd-Lk#Zg9|R y0*f"G>&a&u^g(gEp11H 6&GFX2CS:Ɋ) K&&͇F8QfXj=CD&1iކ|2g`3Lв9b"Sξh0a&УS:D) 3ha'5 &٤׳Y> !&V㢘lG/c"^„giWc6 aB͟dLyE)9&MөaIa>FK;;GSbzIZhIQjdTA3',I|{Kȑc¨ 4 2o6/DŽWbGn0~+_xkjX(L׼5I$OQ1+xlbݯ<vR&Y:]ׁCb53SLdhtg^5 uBl6uf`YnSh,=ԑ-Evly+йbvkQzϟ j֝tkw `^ ߿(8RLM%C&y+5x?m>hziW)|!i$h{ivbczߩOmsel;. B#X) BOfyγk[E0AsXp<0ὮY$ʎ%a:9]!%P%+e9+͆gn]x1fl_ͭ}neMFbFI"Y87(|>IWs7ٴ& Ғ6XW&ːj2/`fӥm\0r6^,}ɭr^f4&n;7- *oJMfk63uvאyY9,0g9h鷴o190Jηt#Р6&Ya8OX|GLna]fPp~δ&{xdO&c=:zLSl2酉K8`2tYL!=?I9W_d0LZ׏ɞd\G,`2rL=,8 &,G;;#g`2l LFzMcgdy]>]rɖ 8,0g9l L[-<0&-cd#+IDATO`2 L[kk-W5^U^M z;NԒ5 GJ.LUk Ӳ?%bi&u\7ʢVBg&JOJ.udcy2o>maUO?FǞf]01~ʬM#)&<ɟE&,`r\Hkz v0Y&!I$-Q$~L'&)xmr-yG$⫝q_Lk|*yEɯ>9#2?2''2Uy쬕1 ʜ = 4vd'ٍULdr,zPbvQT EuPT EuPT EuPkCa3d0Li>ov~h"2ǎV*d.#`zOwn3+]"DdP.#dVDơ{!XHu"XDơmF12ӗ8ۂkh."P;lGv[_I<-""'2ی|Mħ߫]*FfM\wp _#"CQ]bST EuPT s%=6T(m BIOd6fF]j?A&,;Jzdx5G02DiLTm%?"C=!ffϒǑDzBdr{26TUBdzPGdU'=H6ĵ?\4LQIJdȈiOdgBP}g0QWLW:Rv("CMQA/2$dTȨPV\VD*,yϮvdJPIe 7tp$-0k4G+p dv3^i??1#l&2a0AFOvQ9Bsa#˗Mg|)v8z 2 52sHa^ GW 3BfziT֣yqdC맭^b2S\8>-'5/ed 3pnL2L'# '2ӌq4{ij0k+%}L+BUDF2DRq4hg)-wy[Vo;jV-nm62= ҶA.Ȩ?O}3ch3.&?L3Mt5v#\LZ<Q\ Udխs&tBl% ,u.λzT5t˻ZכEb !;Y@|}:դRJl[n Xz&IydNUHT]iD5ofqd}3[7䤿._[rZۺA&խ6uDH&QqUbsh|ds^mfٸyQ22F+RnA osՕn.d,)ԙxree*_Őc"v鶻6m{QdޫX/MV##%}zIi[47*C%2voBr\x߯o["lNxzk 3+}0^fRn=#%cBX<:YПLDd)Y^^l l62N.!s͕GFhF{&ڒ`WBOMfc]Zg~Vg0`]YdCQ%B&)w#Uz˙rkme*ϫxvbo//j=H#ȫ!!V>]Ud^sz] [vU/91 K1UTI}lYBh6#STEd&Һcag*=[nAFLɶ\}{WX ysi7_IZ:7 _ׯTmG06[ղ2y&{XNU9PTzQ{*F-CU_R##0w :CuEACF$8s[G)m= hg!&n@:tK)k# CM4ǖeuR9(KȘiCX{Md!#ͼ/8缕g`"o\Py<&}^hN}юm%529 2(aǬ8ZL!sCT~nᝲʭȨŐyИ31@4[2&oL +%w$)'3w[ r:A(l&̌Gמf9Yc)"s!97F(2f"Ad#[mw+%D $vvO(>HrEdJg{};'=Zu -enqUhKMO˶32%C2+Ndq̺jcd#R!bQz/۵OVZ3\ZI"sR!2/XΠ5?ZPE@PGP\Dۣ^zdnl;岻2dbd{<@.pӐ9dd!u]]7C ZV`ߕ0/ytJUȃL^Mg}Avbb,>ʏ]Vʎ%PHuH|*&DsB/O lZEN1wvd1dd{wFYrWgEs-+P̑*x Lyc뉙_17!TuySһy0FG 4CG]v]gzl΂Z"=#>Ĉ9[~-F4k_eV'bSж,2ؐiW!2c[8 en^U38E#,C/o]K34NuY&P41Adx9U:'^R7a"*"7dp2O}G1O"*J&րtqZٹ,P *=Lֆ 6,tf`nű*,NdbU12wgf+9oJa۫ŠF7UL!O ?y1}adB'"c28q 74Zx!SLSUGȎ !m3ȘހKlkk? &KmsDf*2}2f2x?G n=%G>:! ~.!gS6/Lfe227\B(2142v&2#c; D DNȘ!d%V!Z#t4] "=aƐ[2!3@T!2]zH*xOd~G1dO,뭙2HDf+wٴ)2Nkn>$2+) h;I .Dw,XSyg"&2K "s?ҥtu)jD:Ǐ)j EuPTbPidBDE&&C=!2T 1N ^NQ Eu@PT EuPT EuPT EuPT EuPT EuPT EuPT EuPT Eu| Bi?k嗍ZՖT6AiЉ_[#߯g/}z;Z*^wkȸlWy:NdOI_"kٮ5|: $qJ(CeB j"sz49Efu\)?dNŗ==o#Y!2Oj鮵VkECQˋPT EuPTtm|M rNFr֏wJ~CM]|p5g|̃"2(y [6Dffb) Jd@D8 ojdEL 2_ "Sh62V=\J3, + MB&r ;XO h&3k2+*aȬke~t ܢfp@f_6&&d&#o:,s{bŴd>= QdFf}22oy]Cj:2!^1mcd̬79,ImIu>%S&04@|&2Ӯy hA{? ʧ"s:!sXv|Ōs,d"> .d.2修&"sdw!cC 2}xf8سgAc_Y?o 1& 0 c;(ABׁl)'{ 2nySeZn!¡#sXvm:_Af{FT72J2Ep"cv4iX'ʴ\oA&:"'9^dor2vK`L jNfPG={ƧCQ&unH>9uYov6eA63h-} "u8vUayBysIh&Je=EF]Mo .V穽 wfyDͭw8^&_ߋ5+vPr`irBlxӡ*GZM iÇͥiZ82+>T۬g8,@*k(^M:gfhYzn Fzjly/s*.ɶ%6w2jvImV4-|XXۺLbgbh)V!O4U}@Fw! 5< #cdBm^ ڔcdJԹf"#9ׁnn=vv Ӷ6Zlޗ % ݬs(g"3kbFp!mVȌAfcݻBE5|m3ْȔ;̲Ȩ'Sҝ?L\"# r>^ɼ];sѺ{ Q_QA$Ȕ$Z Һ?ee D57Z;Ȁ'ʴz?"sF2|+"H\iĶ<-s7EFo8سqcF&v ̾Ou:ߊi w蟪SN}=`2iwG x2$!,2Ǒ 2`D2GO &02=d}Ȅ#ا"=:T з EwX/Q!"c4(s Q{BȘd̾m&2@NEzS#22Bdy T !:ɚ,d 2Fƶu2v$2vdiGd#102'4| "c432BY  2w(/Ǐ?D>pl 22vV-2)E|&2FDfo!3l0NZ"3W_ 8*2TP#3A&b Cm-"3fV"L|海v:2Yx;yLLdYijfőyUdbYObYLS ~*2dw5x?GIoYy;B jadD"2uYdQ/TdPԐbȄo Ef⿤BQs.D}uzx3zu]p]]N{:S""O!Eͪ]QIDATZA۞ˉ'y #ٛaw~:2ɍ~HDTAȑOK$( *Dzin/Tģ.Ud?*s[vW/̔wzDb<2u8DU^!s2Ȍx{Y5ӽ8]/na]"2}F:juUT\T̃✹,2YyqȪLy;^ ⽿O$xB!qF}vǘ/H+fVh2h}dV35T%"ӡ_9nG/+>>Kxi+gRyP"3~}zڃYcr[q_q'2>p>/~/sds$de)됲D`:id_~|գT\5mVWy<;ZNGLF&oM"#ӡ2WUd۞Uq:23Yvq4{y*Ȩ^)p%j5꽢rM;.Q k2&rLiϥW'F3t"1Q5?{,#2?ŐY"3[2iŎiSG`SUsy]m#G`,2ަz?ƽĂ.W!02;ԙ^ݣJ9ݢ h;Wxb B@&X`s3k/2vBf:#3mIݛm>dE]{Uw*`=LRWCH:cIkn7A^ˮ>9h씛af!< kd 2N|jc2dlyWHX'B$& Ɂ ]mFel_n33AmZ[qd`*20Cfk\VCr^] fSj;Le802vx"~dk| 2#+j[F&1؇BY3!Sad`I=nQ2C4cdOhcҿ{-[j iۭ 825zm!d n"v,~w?2FkHlلjG֌GG>|!Su- Ci|l{z-^?X'<}ֱ8iV%^jwg{zE뀢=}mE; J?Hkۖ*weȌm %cu۷lDsܭa"wwy;kޥ}̲Vm5k%ÑwlYwԢvْwk{rZFlc='lAd\8q^Y&!.yq0B'##h\ AFީ q&QNk(P@dQ-2fezGoS;]^0'sibRuATm^jȴfGM_EFF޾SvMԏ3dg) +fxLX^3 4PYc$sJxTНfZvdݟ :2ͬ>$T( oxGF,b'-oE5Lꆙ] 8)VW\+ҸI7N?^`EJU[|,Vk[<.\dr(TM2Up{qiXt̀"2F`:$4aPxN-Zo d E;,i`Z$ f`v"c:>NnN2 ]|I%DdRKFF N-°.̾{#)"(j-bSi 2N, ̬,]XKJ{:a$V}ۻ:Nd_5ujV^:tsrG> v3"Ӑi3Yb.]K5j7cӬT8L[Ah;ܸ=Pج' @ 3oӺAFpL ʻ2 4nv5sDž22 yLh,8``o2uМzK02şXr79!dqAq1O"3#)#AdbL2yo8/ʝյe%dFPhN5~2B7XmV#3xQ 2!/mCfT˝'[e<,21vs8`hq^e##2޾c K"H-i%2!2}0L["1@ Ȥ82dL3,aCȀUc'Lp̣}}2qo 62R~cd@ߖ9v\dW tadaW3{ Qv!cxCgLdl&C&ddh&?v,2TKvڴ!Q) i!dG/kǏ)7/OSP%PT EuPT EuPT EuPT EuPT EuPT EuPT EuPT EuPT EuPT EuPT EuPT EuPT EuPT EuPT Euּ~lIENDB`n?^m<.~qs0PNG  IHDR)PgAMAPLTEٟ pHYs.> IDATx * {v S-!WM?Τ JN zPȢ %(H , RB!PȢ %(H , RB!PȢ %(H , RB!PȢ %(H , RB!FJ<37OSwzsXTI ~i'!464Rinǚ/uM=rc(YRyÆ&ϟBQX+d!|N%J8/ 4g5,'aS˓BFf!ܪ:+ D)tb=zhO=lh* bMGypА?7ɖAlpP(FFBn$%axis.html&&axis.html*'lvhlah.html$(lll.html,)lbbbimi.html$,lll.html,-lbbbimi.html$.lll.html(/infmi.html*0sbrady.html&1rbbb.html$2lll.html$3lll.html&Bl_qt.html*Cvtavd1.html,Dlbbbimi.html(Eaflut.html$Ftdp.html&Gl_qt.html(Hinfmi.html</ 0DTimes New Romanbb(b0LbLb~0DSymbolew Romanbb(b0LbLb~0  @n?" dd@  @@`` @6      !"#$%&'()*+,-./01 25678xb$EL3zXu S?b$Lr9V&ƨ|q%?b$|!*C=K %|eb$9 H{tn:b~W%b$;4?nE@$b$Y*ΫC.bS\b$,Tڢ؜x8v\b$0&odb=1I b$eZzcXDN6q*b$҆R^#;,(2Eb$)Jz%]b$0>@MCĞRzb$US>C$*b$ · %pw[ʒ Nb$rt{ڲJ\U"Yb$Bg(wo^"b$G Om}b$֍Fl} T3b$ r7Ǎ &Rb$gW0C)Ȏs/xZc'yb$RldtX>#qb$zR.Eb$ASR#lc>b$ӬTZZ>Jdb$PwVpq7?+Q#b$<59NT.B c $@ g4NdNdXb~0Pb ppp@ g4ddddXb~0Pb p@ pp<4BdBd\vb^P<4!d!d\vb^? %O =+ Normal ECG9A 55 year old man with 4 hours of "crushing" chest pain. (:9 >A 63 year old woman with 10 hours of chest pain and sweating. (?> 0A 60 year old woman with 3 hours of chest pain. (10 0A 53 year old man with Ischaemic Heart Disease. (1/  .A 79 year old man with 5 hours of chest pain. (/.)An 83 year old man with aortic stenosis. (*) IA 75 year old lady with loud first heart sound and mid-diastolic murmur. (JI ,A 59 year old lady with chronic bronchitis. (-, &An 84 year old lady with hypertension '' $A 73 year old woman with dizziness. %% -A 70 year old man with exercise intolerance. .. &An 82 year old lady with dizzy spells $'&9A 55 year old man with 4 hours of "crushing" chest pain. $:9"!A 90 year old lady with syncope. $"$ A 34 year old female with asthma! %A 60 year old male with HTN&!A48 year old man with palpitation"!'A 76 year old man with SOB(A 60 year old woman with HTN,5A 68 year old women on Digoxin complaining of fatigue65-%A 57 year old woman with palpitations&%NA 47 year old man with a long history of palpitations and, lately, blackouts. (ON.!A woman with Romano Ward Syndrome"! /QTcoNormal QTc Men < 0.43 borderline o.43-0.45 prolonged >0.45 Women < 0.43 borderline o.43-0.47 prolonged >0.47 T  %'%'e4/A 50 year old man with chest pain for 2-4 hours0/59A 45 year old women with palpitation and a history of CRF:9/      !#)*+012367  tlP( 3TcP l  C H*P   X  0A?~H  0޽h ? ̙33  tlp(  X  0A?fl  C *P   H  0޽h ? ̙33x 0 80`( @kȩH&c R  3     6  C G*  @   Ventricular bigeminy a ventricular premature beat follows each normal beat There are also features of an acute inferior myocardial infarction. `7`F`9$: 9$G01H0jH  0޽h ? ̙33 0 e](  R  3     c  C $*  @  * 5Ventricular tachycardia A wide QRS tachycardia is VT until proven otherwise (1). Features suggesting VT include:- evidence of AV dissociation independent P waves (shown by arrows here) capture or fusion beats beat to beat variability of the QRS morphology very wide complexes (> 140 ms) the same morphology in tachycardia as in ventricular ectopics history of ischaemic heart disease absence of any rS, RS or Rs complexes in the chest leads (2) concordance (chest leads all positive or negative) 1) Griffith MJ, Garrat CJ, Mounsey P, Camm AJ. Ventricular tachycardia as the default diagnosis in broad complex tachycardia. Lancet. 1994;343:386- 2) Brugada P, Brugada J, Mont L, et al. A new approach to the differential diagnosis of a regular tachycardia with a wide QRS complex. Circulation. 1991;83:1649-1659 `Z``<`Z:(      f * D <H  0޽h ? ̙33rv4@o ; Rh7'(   J_b$ r7Ǎ &R_b$gW0C)Ȏs/xZc'y_b$RldtX>#q_b$zR.E_b$ASR#lc>_b$ӬTZZ>Jd_b$PwVpq7?+Q#_b$<59NT.B _b$^m<.~qs0?(:_b$-ȩjF y,y_b$ (3$0r: @9ς_b$܉f%= t7X=kd)lU{.)٪Ր[ mG JJ}]L͈ZG H tBJJ,h1}6ytQ[_)9Fk[?J'rB&>-{lBJfdB[zJA lŠluFz:Qe}.\s,ƒo^qa+ )}^AQ"kȔ-9e"o-v"]S f9H zQ.r{>-垹xBN=jؚR^7 )cM Mi%S|w_x76tB+GyfKOU#QKB. HQYm̜1P*kI:~tI<(4] Lj+)!E,!)B"i*buǸ&tô̤26B=BkzKÀVRoMWKXD%HJ cL?\-O.IwI&jωfRر&l(:R8^UR-u? ,V{@AKIW!"S7aJؿ0:|F)tRHtlewCaӳz 0Q G?HiG'FfHiO4)B'H`qwi6|=xY>X׽~S"5{Z,eܸ#-wR-1LȥFpgI$UR/qR8 %"RbrUXε³c Q(ӢSz2$%:HRjt"p.H fS]*.~RHmѝXK.IJ %4RRYZSFwL .$ˎ.T@cxhNۅ3i~u \SJ=j59"oo);bd=B6}<;X}ZɾQ"hw+@YeL|<зB"R>w }DjY~i>m4igDDhHI+UNXB)zDJnk)@$I`5ͱTMv_]Ed ͟G>WDuχM^X }sS6ܜƻʼMJ_lLR%v) RGPnH1)GI&tFHۢJǝ)M E{Ś =ZFRz`;p~Bw懖 %D?nbTMW4v!:NO" uHa0uDIiwDo%͞B֔co m=טneh$btA̭ ־SH KMKuz cwDsG.JV![ӥ{ Rx"7v!IJbsu=)W%c!Ź3l@"H rX9'"=2(pIJn ĒV6 I .-MA x>H!IMBYAa ; % +YvdtkA~ZO6|rģC#HAՓe0s;zHJKI ,TJ("ԧkY6QuQ1)+(H ,2޵YQ(ƥ ~MRry9I TB?*kYz(Z}J(dQ Yd}8̪*~VMh#9~F|+S`TBR{roդRr*n@L1grv_;ɔ_ácH 2udO{GAɏT# m,')5YC/D <ցRt3v_+a=v_R R쾺W1=ݟ]I)v%B'P!4)+P i&c( EGu2& -Hx u~(~ӷ^b\BtۿM;K:H_ {/N9 #)7IyR(u}^lq; HaMVu5&RheRYӗ#"𹰪IAJWV*?b{N_J=沟kˤ T}N_T@b{(H鉿,PL ,)hb5eW%RG~OJnwų<ʴƑy۔)TR\HyԞKkAb?+5緓z4H ܧ>b)ER!AJ'-)Uͤ %4 %hM=yUkЧI_ bYSn'-)Y͓eIAJh:2H 5u'F_+2얃7W*=g_GrӏK+=Oא+R|+Mg0H38ND&ٵٽ)O!m0?*)7>\` %{s7ɘ1SW`\XM&<" ŶM*?.$cR^j]SPhV`Ĥ "hϔ1% "VRB CYsD%BJlUR]D `Jml )J؁^E:KW+Fd&*֭S34e|R$iuXB(]4ShL x]B&|ׯ>V&:[iҽau+z~ #KVWUNm[L$kM) khD4?XzϞ4֦ªS;lgIa`) s%Sv3>zeS&2) dhasP7C8`W4UR"$&ia9C#H~ YVPFĨšFL~]Jk9Fф0f[cBEc<,$Wv[,ig+RuND~m:]&T\H8vrMϋqmľ'%ǧb9 )ȼ#RZ&OK$2r)H=V`AWŰ_8QiQHI<';*R ԥTSY* @:7C12U>LԐrӎ!)ӫHiP6NpJ~*-}W1h(|Z6!ǹxz)mR7?Z/ = Ŝ@\H暤 hK'$H=RH9(;>AKmgPh'd ?͢vvT-g&fY<+Phi,7r*,5 Eݱle\r[Ms_lK((ણ2ܓ!W)l|c~P U~R,U"R\1s{导KF zf;}6 ;{G&'B9W]."^*RޚD(o6΂oA9='\4)AR,:w)R1=.II\j[)'}[X}Ao~ })~\_on WjN fBꅞėڡk>)wo[e1Y$%)o<)KZQ?&TxQB֤oD޴)[դ2(FE eK)G :\1?RwJ')[jx e`u)tl)IFc}îqG}kv_SLIq}f[R.YS+HR\Suњ"eI؋Hubs+HR#TR"Rc)[q֔AJǑhM RB}=t`SRy RԛIAJn$c)⛽k:#ž(/8I RvԢm+H1.c);H3 ֔aRBRB}9w_R&K4V 5k)Ph͚2MZcZu %T)}%{_Aʎwdz)2>Aʋ8R]APAʎ'ݗCH82_qR5{ZmL f^)tZћ}f Rv|km.ޠvM RB[i :֟wh3z[ޡG) %tN ~+H %I}4)M :Gʿsӡq.-y|QIN ROS*Uw[sWRoy+IU!=ɔI֮3IILub'ŸK2P:&R 3*#%'ޅn cwz)bE1AIa`v#E٧@k|-)AkcIJ݄kjsVؕtaXܘ1 R:kJnrހ{qב;F>}+Iw_}Hr){gԻHYK2_6R|G""Eb2(jwCmK T)f~X:)RAʫ;?w"@ REBw@u+):]Z]S:L)J:v =ͮ)H]1])_ H%Hy(R¡B7 z )$!Vr &XÚĝt^IY&b܀%}6&Ec]K; y}?R@vM R6rSCKؒĚr,0>)LxhWRHA϶Jv`LgK6`)Amƭk X=0)=+@;9@-4Ώ=%5RL ?<I9;Xfv.ȗ[(RZ$DJJ<4R&%TSJ)U` u&j@w5rDaFDJjHIR+^&I~5Y+)ZIS&R]ܚ`KJ$%cRDOHQ#//l٧v . Jצ`TH .'E1zj5zF4Y1k^Ghp@5|4R?ؗEџc[4կ)5FޤL0q\viu#\Jq, %%+$e֌}%)-c+B x^~UbtMx`"q:E&6RGcUBuXWhT6j' I9\XkJ T ̎q/WMWC_.&4 lmIџzH3UWjc6r<ӓO6PM9m᪏BBpU!]buX;V )^~>&Sy@pˢ`x$=À.Ee,+mg ڶ Q) cR4&piRPIwiJZ\) s/[opLzD!J o@K ] (1hbRJ')RU#%CR@\a9^IDATOEURr1)ϑ-9R %aǬ/'<[HXY_)M\HL*Q4*) GHJeA br $sYLJn `)~()iqثIA8I51NW U!ɏ|Q+ ^XxUCZLʐɑjtE/E푶 ԉ" }e.t˄6'08@ #ESXM IpX%|rLԮb›}$'u`!ŲMVen^g%?lHQN)0 vWa%AWNX,QIRNy-)XKJlΓR&iHO! ʙ`{uh ə񝑝H1JLJX0-"E@ARh]4z9_X閪=GPF1c>Ӥ:kdU]I kC M) K()85t-j7\[ )HUYNk~RGUIS2 ݱJ&:]ƅ$}CS$(TYRK Iaϐ7R4R;I9~ KAXYh$OZ˲:⪺予t1E Rx Q2.ttTcw9yHHfĚz)WP ̳ 2[H!Q&0lnF yH1XG"[Cʘ~ ?RI[/@a=[ W_'Ei:RjQT}ҳH9^!9^[Ǥ8o5eRķMRi p)e퓂2n"RO%E^AK&\άgt}yU"#6sX'ec͓u₪[;DHzcC0YQ!EJ#nnRN#7)譥 ?)8_HQEcY4i^Id&0)e3s9辂bA[!tA&DR5.) 3=MiR<7R+r#)&E'C?OHiA pdtV*{SC`'I r&;)ZZZ}!EV?/iz"6FBRP`$%u)JIIiW毒IQT@J͎JXIy-)RT(=,!̤y"RXQu"CR r_C =)2M]HBIB oO tmI1{$%l66}.Yٍ.\mQ5-9H}S7XƋiEe(L(ۤ:r}&)65/'n>f)6^SJ<ҵ f{zYbu RBX^GroVhzXKZ}W^RRBC-* Hɗ2;׵fMqZy9ϓbQ+HQl<(XAʎz/)_Sr"=Wo]y.R&* XAʎz )^Rc);(kH| E%f3 RBDO[Sa eGn{;. @5Hy^LC>Rkn)A- R:rfCh|/)]z+ڂk?J_# R|cHab|c9IYx2n7N7j~^Rp |c)w{. |>ŦƺAJ)&n7*R?h_RJ'FO)铤h JƔ9G"t%6 ?NHޝꫤg/t_)Ewߒ"իy-K:@P[zWNMcUj~Q[rzMUsc50Hi)2D/È֒P邼drtY_ܾNj`HyRB~-XSNUPxI@6Y(¥\ubedfI FÚ)9,!a^=2I&#%QkaLfV;B\6ZUVy @D}0/lyk#6oF3;-5RZYRhc준& >:Ռ7]J詁jopѡ.'ŵI޽4I%f˫o}Mb@>U "Rq\J TR( ).&8Hq12 ?~*t:RyIQ.펤 aM續.y #IL"<\S.8\agIwT" SkJyΒ0`X˗ ?*)6x)S)8H15.&%:RZH&LfE1=yyےbɠ[飋\_D rV ؒr}p V]  r)>}+iV⺊0Rk2̒"!b/0Rwu\B Sa6Ð,a` )+~)W XO'|[i֐HoHIIv57: 0Ԏm eJ I!*bRr#8&]`%8\L+[(`_i&*t}F&[kGD1"8&%X7KNRVU'),xL$Vjh%>C).RY I S)FKn낝X6Rv%g"ɟҳxizbF )q<)jzӃ#u]N x0JIwHc +:!L֔@I"/E,t\ҖB ,vĄZ3 jcv0-%uGwדä5L 4fvDzEVRhҪ=P׷IqNvE^D{N<>Q[Qp/Hq:IZ Gcz^; Gi+HyvגnڇG U.>Lo %=҂MJ , RB!PȢ %(H ,W>a<~pX:1P҃)S M 4儚a#O )HC Q=xvkJ%0sR$*6PQh#9H -ѽw~cʚRQ!.)urS1gV>9i`"H }1)T99RO會Ѝ>@J=O)oWmJKZ]IweB.cg4Z(PȢHO1 .7>O ؎Ph^wF?vpH|M RBbI'(Ԝ8)JBVM`%d9JnHiS'w->HIdeFRSxȤv%H ]Sb8O9⤔($H ѽ賫 Ry(USWZ1<˪-u^Sō ]fMm]Җ1mn]a`.dR}iA 0v6W@jN"p4C6S-enCЇ.B IaKIXR/^XӼe @cyA_+çfx&Ԅw@8^scCJ)hlAMeeu࠺lO.,_.ÄL۔ ~8 4yQzh ^@JR3\SBu,Ά;p]W#.[uZq@ҭSYq ѓTXjo2;^ 2>,-mh W#|zy/)W)_6RvRhF:\夨H&e.)3aQ\LGn&k'Hغ07 YO3fBm:]6WWȢۈ4).+sBGw˟ NO2R&|\ZT%wLuZcד2X^p 9Ę#H_Gq.#eYR[#z)^It,˯Afl`ԗbO8{-C2'%I II3@]})vPHZ!k_ 'ŷg pbOr Oس f' }1)T N&4a^[S/^H_[d'_L3)+LVZnMkŪ E_z׸GA+${cgW2eFKʬk4l VK9X3ԤFiK%&HQuX}Vrؙ#U2 :[aQM:-抄V8Ѻir tz2`tz$ ]`<8Z_Q[E,.B` s^PCcI Iq]t=)[C*R4pCz1wEA.t_"+lQ=ڞҸVhuñ\47ϣ[Iͭvj׼N]yVmBWyOEPȢ %(H , RB!PȢ %zS )*]u.  H sJ,ަR:grd;zW!WU{>"v2/KL[#T-8UڭdyJo/(OIr5Ϳ[.@J-)GMf94$%cܒ;܇UNH#-" LBy~L5YfAY[$1)R +z;SRܧfB}QUGjjy+ПTRf&Rұ1J>d@\3B?]CJ+r, IAJ(dQ YB)EAJ(dQ Y?O8i!IENDB`n-ȩjF y,PNG  IHDR(8gAMAPLTEٟ pHYsjvIDATxz ozmUINB@[k"-E%d;@=[JRET@*UJRET@*UJRET@*UJRET@*UJRET|Qj.yD]馛>KM7|.t=CԥnsȩUl6?^1u jq+ jq#l,kن>L |f606lT AmƏޡ'oQSiBLG/T'_AzGTe"h\nQYd&f*@^f =WzQoσ&OSƻԣ8Lx,i0pV9p z@q]%~V&Cd]pj7@6#i@++FĹV  t=aV<ӊxStT6;#hoOFbI Iz`QkywZr v]ʡT?A BQی2^jCwGȼP!@h X  |&=@+Hj(G7ƣCibC-}:=ӖKnތAgB*\3i(UoTQb5[Į=i'< _#p ϘHFr>6 @?kz;:RJhR9Bڊ؂Ah+(D}arpsL*( 势h{+qS؆ z MGT'4XQԣQ 2I 1ΓXK% eqe/@ަW1PIK:3%C8এQ Z툱U[|lZy 0ܮ.LnSU"TӧX-3op:[ bEֶ"P/H E'mfv> GO;ao ilǵ, R/Bv0~ş].Dr wXq 8BE:BFߓ :гΎe-vk7@Gk#T@ᕣ^}v%~C(?4xPŜaPZz]+X1%n$|NF:-/4Y @%jOʎÕFO-'5nJWcGW- >pE4~&bl]{t{6Tb B, T* HņN%#}0 =mΟG Ifm{ښ}j1{* `1ڔ}wܹ?M2@pdQbrlɰG/ 7TPY7- M7D?Sd~>wpDNv 2d{L/MU\GU't̗jg'Z+c\Țf֯ILލj&B5T_v@K)q+)@"emP@JަaR P֘@*" udML@*UJRET@*UJRET@*UJRET@*UJR͸7IENDB`n89 (3$0r: PNG  IHDROkgAMAPLTEٟ pHYsj IDATx흍z*E_z4B`m $=RJPԃD(jEyu"ON䉢։ay>7y~T *yȱtI/Xߊ)Il7x<?Eӽ7 %tSx /a iy[sSź/=A7wm9I<_ ,yzTHz^DBYDRm{T?{PHz^DBIgbm7u;.m3 &^X='$ k^sZ{y'_#.=Wmyj~y L+.[yڻx3o,:c'W<.Xpk^hdq1AsPdGAOx#_Q)9nlOeA₶syJN5W{*}>yB<o@sz3*4W vS*S~ ] UlҴAWtpeךI_$=p\\*,\SD9*xRujk] -q8HB`-h'xAQ?IOMcs'0{7ڝG EaR $ɪ RZ(Yk})$? ml02[aȓ 7IY%'[k1ցE\ċITyB))R]vݦSdS'9M"bfPm;ua&mObBVzjEax 7I.f !SaʜO1]<ɣKՉ]*mzy/}WQ¥w^46*d¬"zjOѷ T蚀v şOs9(gۺjhy*#3J']'?X~LEŬ1&ojɉ8Cr;|Rش.Oy C4sdZE ӂhJPpZS/I)3جGO[H殫ttڛ6z9[upގ%tB;؇ƫJ4tFR&5'߶DbBnikֵB-˓ݴbqiGmMd70$|f H' MV-Y*>O[OJcBtssqd-'x/m!׮U ׫ID5QL̘UUO ƋȈ7Bj!õZx UFm Ąnx;|ncʀ'\ ;x\B#ZN'`NS‹:9HwS|V2 O CsiGvr(Qf'= M𤷿vO~; ]|uIkrZ^6FTT% OQ8y $EmCYUa8e]E_ڕ$mM{T$rv7GZ#w(ksϓo"kORFxWWļ)k@衋FzWy+9U/ׄfȆ̼(-(U?P! C BoO)Dʲk|6ddgp0h333 OZ%GDRxcx g sp E|Sk<0RS|XE_xωjϓfIx*9zN>'Blv~`@#=i=' ISEr?R߂ ݵJω:;}\sJ{< s=CQ`rETsU$L3`.9~ǰzW KCNytB AC)7A4j } -œ1ۯ6%SyJmuBē7ү4h(+v+m/Q:Hز<ɸVSwc ',}B6m5O[Tuz<.KeF#-$[xnV"v" OEBUN=WhO85' M$ 9$LFObHrݩ<[%yA4IxSu:8]+ɓime! x<2n;0~\s>'U7<WxmUIuNV=kO-tu ꥸP,?yj<'yry 8EelhDoxiNi>A JZ UdW x gWQ'6Y\ɩhx淠WlND)jd⦓o~'2q YF*< GALEVȓOY >v2FxB̚77;x*C<9I'MD!C`1g3ގ0?*< O֐',fg *AItDZ#o49#{=cc<N3nv>S`roW T0fS'~<(܄? OcW&<]*OKY+xj`S?ED/؝?:zz#o( "ON䉢։w67Ģt"O-L7g򄦬>9y*;Z<!&:t7)-H5-_PsFI2ӗM—w퍂Ol<ώ$=rqm56Ƀ6:gZVп.CEOZ0ƫ#<%5r'xL* ٧6)<ÓlXܚRj FnǪj&5Tߩvђ'I'^)j$Ok'IMaDϓo p(:ihYmW'IҤRVh0(1Op!ڪ٥5#<OA (zpSxޥAp<7bI/1)^ I\UOQDI``EP:dpOU, x*(?l° Og) {<9'g9K3菻8iPp>56M9+ɷzKEOI\ӥA TyO"[TFPAN ,ASx OUIIyLÓt$ 08VhbmJs6@@zYo㪞bD4^={xB$xBQxRx躩6ZyZr1<5[] ;TTIDAT30ʓ 'Ó4O,/yj xa3'ozOmAe8PGiMC6Pt/dy4>{Ƅ;T'3ދȍU4@$ $,&N-h'ڟ[7i;c@W5cGRla'䩗g7Soz3џ4<3=N;a(]Bن(EdyJÅyꮗNR_)h=dR%6.O 2Ɠ@EĢMqo{ 4UEϗ橳;nOwuɜR'd!< hyرU0OM,Oޏ1 O\ O._wwУ.HZw=MU /t̆<Oڜ&˜ m1ؒo%5N,O1d6<.Z+$%'׬Suv=bj~ 򙢝GISE9AtkN)*$T}dB6/n-?+S#b/OU|&SаAxMz!xn]m#a#>o׶Bmb53{wjSi,Pe;1VRO 0) r'iBǓ uOCě)>yfɦz9+ʡU!$ h@GRUxy[CyRɦB8)H9u]'|XE<+4zɶpSVV aY&? i/ 婂ҩ<\B\';#'k-8O<ԤOZPAuanv"Cʅ⩺5TU 1i>O !O~_) }*W\wuF'l2u5 \ҌI3uy~zS0ۧtI[!{4ɿצ"Iy<=: >x29~p*?!O;Dr:' nL|'(œ~3Wy"NI-I5L:w?{K]ɢxBnaijMf}ɕ(D<f#̓>Vt^f1)˜^r<ӿ NI4QYDOAV8r< }.G4Ji4LSx ܘɵuy**y:ri]g4Op'Nv ufv:VwI4Sdwן"4{yHӐ1WklE{IQD(jEyu"ONTsFSlQމA٢<4%<͉Ey"OslQ>1CF٢\)q(O<٢<9q(OiN-ygD٢<9q(OiN-ygD٢<9q(O OLq(OiN,Q!OsdQӤ8Y#4)Nɳ<]ZiRS.Ƶ|j?[;.겒q? O O4OT5Sr\tYIM0 ލD&5rkO7IO&좵Fs~>$ϳfaׯ[8\iRS5Dn[iR4Xʈ?=a)4yr|Ij ½i~H&55Uxʾ‚\6%?1(RUxwMT:ȓRR#S~x0lz{J&r&)SSemnNE(jvwbi&yB64Yט-4G:F4#]`ȓd'O,h05jgzt]rx*N'}( 'j[o$O@ _IdJm}U<yjctu)5ēYBZs.ii`xn|]TnWOߗ~yrЊOїsgy`=O:O ?ӻǻXOզA/ I}^~xS=NK|x(\DLL p0S3z-SԾwOBthYxp[I?0}<w><혧'0ЄSP.bp` 6C]Ө:_E,e0$Nv~p'l5Omi Z+4aU|Yȓ7toS^ZX˓թwN9ҁ<=xJ6 m%OA39J('ZH EyItI#iFyF"Os*OA:΂E .ФAiUiƝ; Y?uB` /]]'ufLt;k!]#}%yL_sF*g:HDdA;vZj$AeuOtש$Qࡨton<鼽OK䉲o&*ݕ<7G%mS?}/;|ާԿwTz[Z hI6%u LAQ/}B%Ɠ~<5_aP62ƴ}!%|xGQ}Z܏v9?ؘx!)BA}'Qn?K`H #N=jB BD\f+:L_ u9OX۸֞eD ~nkE~kI?C \ۖq]s! h1ytj)J<AcTv] 4^lިKdt OebiyLARGTLC77%g#9EyCTď )SG_CULqJ=*SvIl~!mE^@2NxD>BI|0/MCߊj:C\+ӣIɄ'ciY:GZ&xr|!1_ P)&8dńڸ+x;JÅ2}Kok_%u_sVWV|m'2A=\'St~,n}Jݭ#,G=\%~k(Ӎ'S?Z%C|; &yRՍoUN!sLSWӦ1|}c/٨͏6U'$Jm!ĨLpƴϻK}8+&6ugqa}A{GrDP?vjlCQیDӋ*XAE}usm34Q]`\)'.nnGWZc*4UxLd} ~n(ipeОL5q)ߧ?ME5IvJ9p.iZ_ vYN;׼ $Sh75[u>=wF8J h\Uj߹.b o 4(>B-Bg v.+A|^-een>)J]}bS1NAۚhJZ St F&]4i2(fF^Q@H9C xW9ۅ׽dX^p-z().1: }' L̛.3ueY_Gtf@rٲm)GN72쾳 )z,'/SۙDnJ;nx8)l|^&.|P~eɡ[v\4Eo` ոqG˲N&?i"]Cd,[2-s~Gn*؉m|en+,dY d?Ej,]7tTM 4nk!pٲWhx%Ȅ?46t{dr-؟)kb!(zng嚃p6Q*_;>ѷ)n2d2i#m2y#BTX&;l&zgv% C+_}@B|"&;dBL{L(cPRJ?;8h eC'Ze3kG=_-/ ݜÙ K2鑈nԃF\ߒIHaer)( /?OÄa? xA2 ´"^ŎMx]13-kpr }"fZh8$^'2-V&;Th;O.?q]So=_k !ZY e쓩j7] _~Bb9%4bQ`}DS[IhG 25yLh{"A~Y12o~00=ZOv zgwL8l*eT c}7 ԭk`yň%e +dW&,D{"ICk)pwWvCJ_ +dB&\2]3^Qt@!Ѫ[鳞JE'p{tq/S F֌LPiggיg p?Ѳijoa2|雺꘎wXl1V^$ ez==[32f[ttȈ\6nj W L69LƟ۽ 69L/l rʤa[p`cP&$(!IP&BL$AI2e"$ DH$(!IP&BL$AI2e"$ DH$(!IP&BL$AI2e"$ DH$(!IP&BL$AIF%^{jBRm@]_+<ɫ U2eF 1w+"Tۼ"|yJIGM̔LL3߶y̤F(6u]f6&?~ui"ev,V&K_GN xHb:4e=ijЧ"2 !&g_#lO[VcyJ-~K[0uKӲyZp7imaj)ո?GT8αmrQgDA L$AI2e"$ DH!JŝE8K13 P&BcvwP&BL$AIC9 e"$&++Ei>eZH(|P'Cfx c.;*a8/ir0 χZ2M'H2Mαa& eB&gwA eq GzL%-_'PLnG eztezIU 2e^ʴrL|G^Wt[bJţ(?Nu{LYR&_<_Qt gdjE_14%kdy`=z6Q^2TLmf }Dw$[-~m.e~)SL^΢2@Q, w!8&DWwIT׳Dm*>9p1W<{D#Q62JXRCE=;NE)2&6FYwd [m?u49|)d{2\|SZ[ՒIϾ N So2NtaމG]RF\L Cꌹ.hL EEFی4`]zfZ%jxfp d{(LsB}!OA)gdVllл˜-/\"HC-mt`LA׏izP$`s򭟸k oXO5ŽfkWkςʀQe}ajoxk3nnTDO⡖so=Yim7(/+*:5J6`OK& g=ALj2\aF("l sTB$)D^7T}K i\bA].8~ٮ YW]]Ů]Ȭצ0~SXpX\f1=0#pUO+#Z*f VT4z9,Jk.A+HY M.cKc~%kq*5ĻڱChӿY`4GUN7HlyiE^@&Uʄ{$;S[_Md&77cÅ^jǩbU&[#,rc_ǀ rji~9 eڞ9W~,/Ιу w}6y)ѡLN2yPǁ!*6{AQA%q7E˘4A#ZA~R{A_LnwlmX]o$\3ph O:ſ`/d8l-ꖩxaQ44*gP=Wr2`k Ou$uL*`UYASw9Ӛff sz2 a-#Mci D>uM`⯮;GhpEG&NdJvIisuAe o[ܡUPpn$s˴UAԻL]:+q5S`.5b\:f&Z&n tEWz W`.+!wٷ!cMEݕNxZI9a͎4G(^RL/_њL\"w"3q =ӈ+խ :ᛏc^+;ؔ qpu-5:wY{s+|/Tr%3WrLETB׹> CB9LeWZO_a:r 5{2/ٙ+b}Pp\OɄ*܉ɴ"L)3,s}!vR.a4`##x1f`jyjY?~ɲufp]zs:_WɨT{h.ղK7q ΌuPkE.s$sR}29%෇ߣ!Ao>Y9+eWhL_9㡽 }{/헩/~> 7hfML6x7/8iSli5-toeJ VdtL"$O+':hUt Е2=ߒNҌ#H429$AI2e"$ DH$(!IP&BL$AI2e"$ DH$(!IP&BL$AIF1~ wGחhuQM%>>+P!pLU&hW}7ؒ~n>m"7rLWL1ɤ>/WdKz2;UE2KS&uuH4%Q&nnrbǶmk mOA/(3-JICͦz$Bsy JmľNm e"ᶭ=*zͫ $} ;eZ 9wxI%3EÄ\d*Z&n=ӖP&r/7ˤ6r+}B/AQM[qځ䔉!IquyDH"wT:d0e/{~2dRoNP&r7-^IS2sm-R"Y$߀*樂L?.["˽x;i+cS"n׺U dZֿ4.AX^Ɯ ^-+KBOB.^QP2ս^5ʤEVrmL>LP&}3_)7!mXjuMZ37Ku5Vy0$AI2e"$ DH$(!IP&BL$AO!֐w!) =!DH$(!IP&Brp$!B2e"$ ke"RDeg_G2e"$ DH$(!IP&Bs25UP&Bk2>&S="eO&<hN☯7e"~ Œ2q!觊y`c^2 4hPvԯToZ Xr3gphBnT.{߻J̍)S(`qVEɜh=銃1gP| Q5$=*VQ`ם:CE6$\j={ ooʶS%3Y@ACE8Bae&~PnhSFsH&,Xx,_Nm/je"Zq6e ݁pkpp~KՅ#Ru쐲"?U IafQ fK} l(6nF,؄TP-v ver)/b8l)*5\מjd~2XCuVtk.{~~]dbo[6:v-^~[En`uقs"A)yd+^60gخWg4*!DJYOv^UhomL߀oV-Y'bR](d\EF) [LJX3<@0l^⊋ӗJjd#Anc.r 7Ύ6btqYsD{\xO*c 08.c8= <&Mh* ݦ8#NZ5yE i]\X&L32P56e :hr9"..PLN=t_֎b րEW5hܚ.'mƛ\o'W%LblH`j(nu-V Uo~'j!Q}pLLn4^(Fqд{C'G&UqKfobJ5)'ScL~LEmpm+H&;![}u]V$/Kb>c=w)&ɭ(ؕdjN0Q0EX8H^p%?P͵_ )=XwCkc px3RL]t+S{?)a7F*kAtɨޥ낂nio?qpRjxL=uds m ⒂g؋ʉro}qvExߓjY9sw< pLyOp$2[)!IP&BL$AI2e"$ DH$(!IP&BL$AI2e"$ DH$(!IP&BL$AI2'O;Ah1 m C\U5Kq$X 29Ge*qqn52dZ.,?ɇDo/W-a iYP.P i)5|R ZڐY9VFjUWum#Ws+sʤʐe"4{Կ,uX.Ɋ(}G9Leپt/͞ R"kjCȊg:z.jhWx(smr؁F3L°}bV\_>A[bӖU*!]g*2IQ+׈C!l- 4sQLzsv(dm?Yt*U~}<i^(zP2\8LnIB*Ee"$ DH$(!IP&BL$AI2e"$ DH$(!IP&BL$AI2e"$ DHd#vIENDB`ni!zB'tJvUPNG  IHDR87ʃgAMAPLTEٟ pHYs.> IDATxb:=1]bzn-t Pfw 08@`q 08@`q 08@`q 08@`q 08@_q 8z@`q wy7 L8^_Nq8^! ',_q{i$vh&M 8k>ȯKR ފ_(M=w;*zuHP/8ibս(`\K ^_챚+[9Aޚā{sNݻ ܛYDa㜺w'@7 S}G1Խ;}F3JFeFqa3h+8gM ޝ3y8if6@Gw$N`R hykogѾE\{}'ηwKq*}_tSoe?.NvQ $T4vM0{I$텭_!y~/Ӓ KWHwH|\@}"ږ,&}L3;w4K&IǪV$&AVk"y ݆Iu7q:!kVwjOBZ۲^Dv6Ǔ#ΐV &Y޴*щ}87q߬g)lfz٧VM/  )Mt)iͭ8A'kQSD7}A_O_VJr¿/DT&Ќ ~I`b]-Uٍ7rk e LqE8A՘q׊f-jgYx6I/pqb Jl<( /7I0U"u}5Zɱ_$ʤ478ګDQ5nAoo)4[p +wZWLjcWSwgd */-i5sRH+vy="qZ듐=Z_[Ą%)KEvFvX hB/+ `&U68jx8t oZǹ`'8NX x/0~|-a[#RC[G-)h#8OԨ<9Vcgy8mwثqoٸ?hq` GG\^(apƁ/8@`q Kā/4/οsQݑ5yikN85@l | 1.]A`-2+@`8@W2+@MK@8@8pkyw-#Ǎ{ '1w⸙_w-#kq]v8!}9SGys8Խ*Wfq:[u0;?kgNj3$'d; qNv~=#ӛ"wU WWuC/qZOsޣ1ۃ;yyqN#/fs#8s%$s8 q 1uﺄ&+uuGcss.q1OM>"ЂW~đq{q>Qef7T:K82:A(%/ zP}JG=✑ 3x_ЃnIhKşQד NUSޝ6o?bP<yq:2[ xW{.5$h}K? 5]Tv6q{7mqt!cQZa)^V!TGe1}.r%}u܅uʶ͒=XaYk_gHaj<ԩJo$hB/A.N$ȣfCL-=^.zXEt$ ݰށ|Gn*kRj:U]leIdzTkAqL DdNp8dfqq1_/N%aW/UѕM ٖYB$E\#]&Uyi8XhOGӽB-ڮl(n]zc&ni'-usYT[Oc.KeCg o5į=0%؅Q&@0&[}8ΤK~qpwAܕ#qGKaL# ] 628'(*lj^y&XHwG-kqw8jv.GC{3ҐLw֕|eh Y qrq]u߁Y N oCTDZW'"~syǔ2)묟!e`uobk={Yw|?I^.?Xd6/n8xorXz'uףּ'cmNܔ~蘎ZG. q~<gqdq#@R}#q 0aG(MoA nq8|ACMq x1$@x>Uﯯ/ā;ā/8[#<-q o%8pN@OE"`85xm)#܁})@SA:|\@`q 08@`q 08@`q 08ځ;p[q }qKxܿpT8bzц1ā6@ɹMpW?#<{ā8@[i{pBhǙ4oZ_ Ǒg3p1Pr}牓&Fw0A< wL8@p8!yU@: S~g-[o N;;/3Ao/wzlānq DqF(\ N3#a8eWnC!Έőm ndXĩ<3iKg3#qKsG~{@Ko9,Z溰%yGzM}BAsU ;5N!?ȟ`b>Odjݞ s0qDv.=@/NUo2[CGtvT8@orl}jݘ ?;wܿPSVn^"zoqNӜ@!'[ yڒ$+-宯\S('ج,"H 8![֫!n-Ԯŭ}KV޹Z∬_ O6E7#jk ){EV%.A h/+2O'- ++?8Qh8qBu 8AZOC拓O6M^Aͮ^dTW xU?UNϻvGK:u',h8YĖo=9VZ8—;èK3X ۮJakQz4oZ8>ٷVx\hd8jhz.YdĩPB&osUv8{̀ߞ$z;t.~K농{񻀨L&vQt3ޑm&u϶4YgAK$N-5Yjw"[0*7nWW +*f;An꾚øCH9ec}s6vb K}tQXcqnxxZnKX#IUSO :u/,bz- *՞MB'AATټ!ya,j&("NK_wR**{),oXAC?%hBQڙs}]mmG46Mk'}G>nCpvM;qݤvh7ǟ ٠#;rjo0kChvhg%yP8YT}N[[3Yt''S*qڅ?n˛֗ GRӿtU]^m .=5IGowqD.u;S8{=ja}%mz,}Y3x>LZlGKD^؍YemWa3\ʮ!3',FGz*֎7zHZ_[S0A hW|k io8z* .j>nPqUV)Y"} gf~\ExŷS%_V7M^jqm{T<@hVv!uؑFۮ7đt);J^$߳3ftjq\lq/z2,7g܃M8ڝ+߮ۿ" nq|8yw8!>㌣q~/:zM v8.$Kت5l$qg'g"NTq8Nۉk=ƹ yrqhg_/N5x%ZOך/q8{8+sIqu$Ə[e8}8v`h's8̯s)m8{[-^oǛ|k% p?~rę·F[2_ ΂8cz@w{o?od5Ge8޺G m|q V@w"85 85 G35 q>GgVޏ% I7;|l%s@upKNpqUJmu8Sp G|/o?  쀳je8>6 ~q&7瓸/jH8cípq \dž[= dž{80y -q9'x+_d~o> xq |lq&ᾒ˵c}%3 gc}%3 >6w88p߉W#<Ĺ |l| |lqf'x;_d~#<#>)LdžNz>6w2.??q|m3|l3|md?Ax$s=_+>cys=_+Ax_ \JnPd~#;hOwU>Le-9lZ.q| neT{8ÿQkn|),EDL!t Wy~9ƒDOF#m\=ղhvu[o ³ozY:e IJZhįލ' <}iG$Q$ ˷u'ǶM^@5|4r,«#NgGي8 :r-wz12mށJ'Is57mɾo:[5h5_Qw:Pv&zxCri}$js?fjR$ćQ[6cM)c-vS2fԥ=چz* {-}NA5_[ V<->t>Ž%.,ie|ރQxļ%S4,as- j·h%A:Ui-՚wT\˂襈F袉rVv5!>>E {TKNz||4Մտt-[oGx+k3F}Q#+Ɲ 3ϒ'SWgGmapK}& @`q 08@`q 08@`q 08@`q 08@`0`IENDB`nsRn I)PNG  IHDRyugAMAPLTEٟ pHYs.>CIDATx햳6 tiOȀn6ABM7lV0p@ 'Pp@ 'Pp@ 'Pp@ 'Pp@ 'Pp@ 'Pp@ 'Pp@ 'Pp@  UfFp7𸶫zxyf4J@'u/nꄳg;WI'P*|swn'8J@гy*Ou}RϢT!4x;'h0D x9w9l{@ z)'|]7He>R@M'Sq;Q ~|Љ s'oN'p&:jt?LP'*L'^ƻ܉#|YNNޑ5vz,W8a8/zQ̧r2`\#K1m]ӹ3ljг~%hC#DpA Zmnpa'0nz4>>z4eZjh<`1Q{=M=ޝ()ۉyGCpkeEEy03%$,2;ه3Nle)zpO- 'ȸQ9X!j⽂=vUٳe 1 IA{|:v-y R(JJOd1տ,* 7?Q?3:a ie'L͓PCƭn#~w|#W[RuGK-L$>Z\i}"D=Fw;V}Kph! x:Js+nYJ|(U\R FSAkͦIyh财KRO<hƚA%'Ks L.]bDɲg:l`0>nNͳSvut-4X:x! |i]9n4[:qvDoYt*Fg! N1-m&{Rph=}&F2- ;>^(G)oz.;4IJd޺QAd$5G"ds#硣VaUt17sW'uRJ[tCevDƉXXަr,ަn t]kT9tV{↭ky4]ݬY%J#TxQ蜾j#Vm BPz\(c3R_~+| z'-_"Ж1Ңz;uO^7l COhd/i愖( fx&e݄#롢fj$"(1׮cQ@9+5yE2,ԞyuGoy*+6j WJ1BQ(R1+g$y2L D@ L D@ L D@ L D@ L DW(5MyQ91|qV9BR6y % |tQ$j9RQez8At34ﵿZ|w LʿcfN*ҵR -XAtPJff+xd5 k<țzD1P-ZLSu A=G 1Bd"A&JVz=mϺ:pz7}*o=HX{'cN6ZBnR3xQ\(n16p",Tn37 e8ýԅ?8Kj˞Mr]Vq,KijävHyWM!4u%IrSuє'(B&:Lg$("}t(Q~ҩ YLv'GQe_/'u]?9 F3ťrxWEfJxu~/f)/)O}cc\`@Ը+[A)PyQj%"PO($;ҝ,aTLNi]9O g!\&7n1(vt:E(G~y7*aO@ ℼ͉̿c߱SHŎ<ݎ.Q#զ]ȥ%%T'A‡lAc#?b4fDꔌJy:)v^y'dtf"g,MI zRHyd$O7]uX Nt*\:z֑1FRJz_Ѻ2ᲂP>7)ɻ@?x JsR,|N%,8 dlLO1]DNb>L\Μ3c{bfmPJ'|5s{aRJ4+J ǵzX8s* STDUVTj<:LoV44+B46CpɎM-˕=uXO&b_](1%z(A;apT7=Vڛ~A RtWum|B6e;jWo3ù*4/C刼c,? QZiQ2HwM?g7y,cf-Zo'>ݜRYB, 桇aWX ~YJd@ɸkǃif8JtQ/j@ ӣ`-9$[ZAW!;!D@ L D@ L3xd\TO/..u8_w1O6g 3=  )<$U|ͳD'.J" (A7JZ"z]Cg&*(˥H^:V³mM=R"K҃G5DK%T?W@r ۝=wQ󬐕E" ;={Q{c:G)<-J٦#vACit0%G(KaàYсxG|+ H'/kLHa2P8ƨ_P+y; .DCڶ(J6U=[=7_T7nYE!;C%W~t܏ۭ?Qަ/eĭkosF%$!">)Jsx0(%:W]~feTxЎ irxӍ?IbtQʷCYgڅkqųA?o^V;.sIB~Zw?I(3gx5L}t<{]Rsn~GUryQ<_Y)_@Z;!.sEߥB]`GCW3߂ķ1  K:z4BņQŶ؞Ai6@1f~sl7tC$QC(/E?S3%HԱu΀Ҍ(iluJ/W8tl+wjY VՉ};n2PN=crfJ@i ?]1 ?򜮞c? hGNKr34ì-P3 #uP ҄i痩c7f΍ JPP軹(FJk-2u ߬doJ!J(A~k,[c ,wXn"tܡY S@y5͚: nA¬KfCi BPzo%t~k,[c ݬdϸEXB7PPzo%t~k,[c ,NjPzo%t3 ǘ~ xC`i_`%JdV*^%Y j5}%hO,W_` FS(-zoPZM-Vd(@ }Q¬q\큒q_DyxR?5_\T@(M;w yo(v`dHi @tubMנ0+Y9od+p{ JX9oyFI_0+qJsbS3o%$|pd1GIgj5P*JQN%,O~%Ql)"%KiS~qV=v{%Yn(%R>-:"U~"J0r/䮾9J~S\_B١Q(8>Sֲ%eKyl0Uã4e)GQR_t,QHשYm P&l)"o3YeMu~j1CQcf\6!?t-WMzKqTks^tv(WF3ٿbGG'JªK\=(S*, %>tgn`tIbT;>?:*4POPjBՐ5TvJMLUN.-͝f ε&@i>cF"p7|OϓpL1{f,Vϣ֍! CKϟq;q ח@l0HlQ*ډcJGiP)=!_XP>*tw(u17 GFIq2@q Gi= R8?7a(CٟKt]J|AIԱREX2쮭ӹ+27Jg}Iyz_ԣ7YIZ{#Y,Qj+^aCX8Y%ˋ>3^='@sx:{]vd9fdYVp|.S;4] lcN섟>vw wpB7d&*=\7A73O CEheG%C3GI9 ɲGGG9+||dz^QZ<+W9; ̉UFWߘ+P*gRŲp9;x+0c< -96JֹovJtȾdƕ4scQ?ظnfa{g(M (yöK$֛J/EnB GU-BP1Jv@J-ŬJ~rA@~I~Inf^ ^*'%yi*Pzfh楩@Ʌz;/KSBf ͼ4(kS@iͅd[h[:]= JKlT@(-%I, ̀h<@dSoJn@dSotgPF[eiTlSIe ۢP,6YIٹF[{$Pe#e?]JHod^^1+m+,7(]{ֽ-7|7t![~M=XbVJ7Yn"PJ#P2PrҔ?"6@in[`nggPJ:FSi@-7qŬdgzJ7Z{?8yV: X~%߲p=+mSBf(͙yrE;GI_P3Q @ɍP:^aVuJ1@ɯ ()USy@xZ J痶cMQ7(8\:];e7q_g R=(M$g6R](EJf/ +6bӛ͵Jv^wlJ=5.0P:ܚtr(): 8hJJlÎ_[ڡ$f҄c`J ZmgikK)f.Nu҂V_YZJJxJ^fxd*NK_[FQ f %luҨ5X/U 6RQؔMͷ&b2%L OHDi"OOfâB:(5r|NTBi#cJy6>+-YdēSS.ĊQ"kiO5M æ&0O1ccӀImDr8)K]z+=r#Px;Pyչ|}nj fQ*0fVٝFvj<Dgp5>O.;%A>toZV Zy' tn?ثܿJ1NFOtvKIMfuuC~o=W VgxWe*.pȜ|bE_UwB.}kGs9Ҟ14LúJE 4%4nVrӕ]'DH_81}B7O+:RmB\Aw 'eO5ҟΛMG tY7O+zާQ"p>PFPG *u;Vȯ0+Ak#n0JZȯ̀V>3 (Ak#n0JZȯ[|4(U>K<+i[%Ǭ-%/5TP-uJP%tPz|זn@ µv@J7szvJP%J7 (l*'ZP (lުOLVyNWol' ԑA(T~r! 2}tUN6_Ae-.Ɇ+ȿ҄P҄P҄P|dRJ>Jj;e (M%( (M%( (M%(7JjµD~IDAT%YsQ} %C7YJXA]JvQǤCoz ҫ.'(Yml ݀)tNEIP<ZQ/N%=\|S{ v~pJgAMˍU=|K()NjcRv.Pjt2=уʩ) ƭBrW=N']X}%h\e2|vULw&ʆɅ *Y^4k5Jk~V 뎠h,MizS(QlW sKBd.Njq__w>nPn]lMAudQhjW%)R![_jLg>e8{G4QܨB+ʞ*ʭQ(i%^\NU㭱sFGF\uhdUbyjYIJb׸1M`$6׳tS1 }eԦ={mn!DQ7s g%ي^oºĮ!y0;4v%E QʦFY-'`Yi3Ԟ[\̡M$B< %J}x JuQ||V{gz jfᇙKq%8{ނZkE1sOUmufʝ(6#f$^NIȧ>w:gRjg4~blMBj_}R?g"3ݻ3`hQJ6v܅AØ9J LG)ܻ֠(V(LSk.[ҔY<\ GثY(񎶿c'ZK=(qn@(8VloC|~6Hkc`>g6) !%E}[qɔKCtʅE(61sQQ&(l/ ~7K2IG]((Y-BirSV4yl9.f,&#z 0$y4?Eo~XO[V3d*0Q+3RK7g%m]҈߿R;fywzsP\lZsl> ȱ?lL=?Fg7H]ǥAYpZ-섺H.߆S}ޯ|ܯ27q?e+SEw[ęJZfɈ0ϯSP:chj,;~8>& 7w-ߛH}PRC^9~ W9*KvT*KvcJg@ɗ>KP*: B@iOWJo4w\1{o5P,Da~qJŞnmkN(_<IUȯ̬g%XxOW4ȏ| fJ7 (l*tPz| (Av@J7 (l*tPz$z3/-Jo[o楥@2O0S3n@ nJo[o楥@¬tPzvR)oQC;I7RX\NlʥANlJ+h+P( PNNlyKk0V}jV2F 9]}JV [vXATB T5J7*1+AKSwaJj΁Kv *(^TuPMQ¬=$Md@ zF:~gz (W.f\+F 0+]4+'Y(A}r1+'+^@ ']A.윣yF4?ҹPzP_=d@+?2Z's;L=ĵOhƿ@̷a -RfN?E(i'dشPϣEC*X"Rѓ 6꽑8x:lf(Ŭ&ZCbCl3O\aaLĆcX|sNDIc()(5IŦp|oj Y3;I;"#dcbQcRG4f\SiwT&0ɪMQ>X:q'w)bB;7a+^{]Fv!ߵ6#т]m*3֯O떖#aP:=+HF\'؅molAQl(ҽ?P^_5x=D{~Pc(HvADdj7 VKgO]_,]?osAM=)Jf .y!6u_;bOTzQg% ނCv/P-(9sO{G( (h nJf~cJQo .M:U.Odagj76t_` .M:U&O,LLN?' <JWc(NWϱSGd`gj (:%;S3n@(3GPr-msl@FKm?Ov>rJXJz/K (%(`Eg%JZnuhh-B)Ug"J <DZjIj= ȿ%PvsۊYxYY7DZ=f%3K4j[@ɻe0J!Ky%ۻT/@K ~%P( PZs밴tJ]~(͹`5[;x+Q[{OzV^ Ām7>7@:ҼYI}.?{)8:P4UŽQ$Nht y2eTBwIC6G$l@~P,tNzB7&?93LPBxό&NR]S7:U{.^!ޯ/U>{TN#!oo3p)SuX[`tZIwm@駱@H- Y/erdAqB62I^ey Re{3$3Qe9/:݁?VM,BNI 1r$ʼ=s[=y)[5I10tRE6.P4Uv g\Ϡr-Uz}`L9As'LM.pl6eRm5ӔޡS6c!Af.ss+<Գ{vؓLLnؾ>n<r+U&i(Պw) A&Jd"A&Jd"A&Jd"A&Jd"A&JxhhpNQ@ω6Z=Gtj~s(=zޣFy,,QmHRku="ߢgc /B.4<+ e1AІR=(A(A(A(A(A(A(AS`fIENDB`nOlɷK%8qPNG  IHDRstlgAMAPLTEٟ pHYs.> IDATx؉ ?ݝJ@\ *jrS;[yc\-5 GTm<7LWLj^ 3Zխɶ{~k+s H;oe~ sB218ũ S[ҋ轹fA17gef[~9)ki &`bۙi$6U73t+31Ir?AZ{1fHba֒A&Z4g [Š Ղʦ0og^ɼɕ,'0c057 =P:f2&j1.jd921hi-dY7fI[ۏ$3I9{̼ޣq O6u11uL~bJ02Mԙ) ٻ 'ԫLBC> uS~ִmĤ/H.is0O|F,̈́&VamfZ:Dmhϕ&p~<1 /KbIENDB`nm=%ka}PNG  IHDRC\NCgAMA0PLTEfff̙fff33333ffff3z` pHYs.> IDATx]v* ɇN*۽$ :N6;*$aԩ34t:u1KoPNNNNNNNNNNNNNNNNNNM)t ΨcgSPNQJpBC>Ɣ. u uh\PƎN4C:=AicGSPNQPNQPNObPE֎NLaPRc'SPNq^,#af_fast.html&%axis.html&&axis.html*'lvhlah.html$(lll.html,)lbbbimi.html$,lll.html,-lbbbimi.html$.lll.html(/infmi.html*0sbrady.html&1rbbb.html$2lll.html$3lll.html&Bl_qt.html*Cvtavd1.html,Dlbbbimi.html(Eaflut.html$Ftdp.html&Gl_qt.html(Hinfmi.html&Il_qt.htmlfJRhttp://www.sghms.ac.uk/cardiology/eurtop// 0DTimes New Romanbb(b0LbLb~0DSymbolew Romanbb(b0LbLb~0 DCourier Newmanbb(b0LbLb~01  @n?" dd@  @@`` @QF      !"#$%&'()*+,-./01 256789:;<=>?@ABCDEFGH/b$EL3zXu S?b$Lr9V&ƨ|q%?b$|!*C=K %|eb$9 H{tn:b~W%b$;4?nE@$b$Y*ΫC.bS\b$,Tڢ؜x8v\b$0&odb=1I b$eZzcXDN6q*b$҆R^#;,(2Eb$)Jz%]b$0>@MCĞRzb$US>C$*b$ · %pw[ʒ Nb$rt{ڲJ\U"Yb$Bg(wo^"b$G Om}b$֍Fl} T3b$ r7Ǎ &Rb$gW0C)Ȏs/xZc'yb$RldtX>#qb$zR.Eb$ASR#lc>b$ӬTZZ>Jdb$PwVpq7?+Q#b$<59NT.B b$^m<.~qs0?(:b$-ȩjF y,yb$ (3$0r: @9ςb$܉f%= t7'b$zB'tJvUq!b$sRn I)!b$ZG9YV\1 b$OlɷK%8q=c $@ g4NdNdXb~0Pb ppp@ g4ddddXb~0Pb  p@ pp<4BdBd\vb^P<4!d!d\vb^? %O == Normal ECG9A 55 year old man with 4 hours of "crushing" chest pain. (:9 >A 63 year old woman with 10 hours of chest pain and sweating. (?> 0A 60 year old woman with 3 hours of chest pain. (10 0A 53 year old man with Ischaemic Heart Disease. (1/  .A 79 year old man with 5 hours of chest pain. (/.)An 83 year old man with aortic stenosis. (*) IA 75 year old lady with loud first heart sound and mid-diastolic murmur. (JI ,A 59 year old lady with chronic bronchitis. (-, &An 84 year old lady with hypertension '' $A 73 year old woman with dizziness. %% -A 70 year old man with exercise intolerance. .. &An 82 year old lady with dizzy spells $'&9A 55 year old man with 4 hours of "crushing" chest pain. $:9"!A 90 year old lady with syncope. $"$ A 34 year old female with asthma! %A 60 year old male with HTN&!A48 year old man with palpitation"!'A 76 year old man with SOB(A 60 year old woman with HTN,5A 68 year old women on Digoxin complaining of fatigue65-%A 57 year old woman with palpitations&%NA 47 year old man with a long history of palpitations and, lately, blackouts. (ON.!A woman with Romano Ward Syndrome"! /QTcoNormal QTc Men < 0.43 borderline o.43-0.45 prolonged >0.45 Women < 0.43 borderline o.43-0.47 prolonged >0.47 T  %'%'e4/A 50 year old man with chest pain for 2-4 hours0/59A 45 year old women with palpitation and a history of CRF:98"A 69 year old man 2weeks post IWMI#"9A 60 year old man with IHD:-A 36 year old woman with recurrent blackouts.-;A 60 year old male with 2 hours of  crushing chest pain suddenly collapsesLK<,A 72 year old man with a permanent pacemaker-,=  >!Dual chamber pacer with an ICDD" E#Wolf-Parkinson-White syndrome"  /      !#)*+012367?@ABCFG  tl(  '_b$zB'tJvUq!_b$sRn I)!_b$ZG9YV\1 _b$OlɷK%8q=_b$=%ka}m0@_b$|ZHڭ_FSA,!F_b$0$Ћgr_b$ˌGG,?J _b$$ U| =$!_b$wh?\+&_b$!"3acUA_b$X  0A?l  C d*` P   H  0޽h ? ̙33  tl(  l  C *P  * X  0A? H  0޽h ? ̙33  tl(  l  C d*P  * X  0A?&P*H  0޽h ? ̙33  tl(  @ X  0A?l  C *P  * H  0޽h ? ̙33  tl (   X   0A?C l   C *P   H   0޽h ? ̙33  tl0((  (l ( C *P   X ( 0A ?y H ( 0޽h ? ̙33  tl@,( ^c ,X , 0A?l , C *  ) H , 0޽h ? ̙33  [SP0( |02X2 0l 0 C J*P  ) X 0 0A!? 0 0H* +A 25 year old man with bouts of tachycardia, 2, H 0 0޽h ? ̙33  jbp8(  8 8 0$`   short PR interval, less than 3 small squares (120 ms) slurred upstroke to the QRS indicating pre-excitation (delta wave) broad QRS secondary ST and T wave changes Localising the accessory pathway An accessory pathway, bundle of Kent, exists between atria and ventricles and causes early depolarisation of the ventricle. The location of the pathway may be deduced as follows:- LOCATION V1 V2 QRS axis left posteroseptal (type A) +ve +ve left right lateral (type B) -ve -ve left left lateral (type C) +ve +ve inferior (90 degrees) right posteroseptal -ve -ve left anteroseptal -ve -ve normal ```!```! s %%   l 8 C )P   X 8 0A"?0 H 8 0޽h ? ̙33 0 L(   R  3     *  C *  @  * ZfVentricular tachycardia A wide QRS tachycardia is VT until proven otherwise (1). Features suggesting VT include:- evidence of AV dissociation independent P waves capture or fusion beats beat to beat variability of the QRS morphology (shown here) very wide complexes (> 140 ms) the same morphology in tachycardia as in ventricular ectopics history of ischaemic heart disease absence of any rS, RS or Rs complexes in the chest leads (2) concordance (chest leads all positive or negative) 1) Griffith MJ, Garrat CJ, Mounsey P, Camm AJ. Ventricular tachycardia as the default diagnosis in broad complex tachycardia. Lancet. 1994;343:386- 2) Brugada P, Brugada J, Mont L, et al. A new approach to the differential diagnosis of a regular tachycardia with a wide QRS complex. Circulation. 1991;83:1649-1659 N.B. The computer-aided diagnosis can often be misleading. `Z`}`:`;``Z}:;(     f * D wH  0޽h ? ̙33D 0  (   R   3     *   C *  @  * Polymorphous ventricular tachycardia (Torsade de pointes). This is a form of VT where there is usually no difficulty in recognising its ventricular origin. wide QRS complexes with multiple morphologies changing R - R intervals the axis seems to twist about the isoelectric line it is important to recognise this pattern as there are a number of reversible causes heart block hypokalaemia or hypomagnesaemia drugs (e.g. tricyclic antidepressant overdose) congenital long QT syndromes other causes of long QT (e.g. IHD) This recording has been kindly donated by Dr G. Butrous of St George's Medical School London who is a cardiologist involved in EUROTOP. ;````;& ?   E UHI0J0H   0޽h ? ̙33| 0 <4(  R  3     *:  C D*  @  * Implantable cardioverter defibrillator Most of this 12-lead recording is polymorphic ventricular tachycardia but, in the rhythm strip, the large deflection (arrowed) is the defibrillator discharging. Following the defibrillation a dual chamber pacemaker can be seen. OK so I cheated a little with this one as the odds of catching this on a 12-lead ECG recording are very slim indeed. This is a reconstructed 12-lead recording from an electrophysiology study testing the device after placement. j'```'Z0  1.H  0޽h ? ̙33u 0 5-(  GX R  3     *3  C *  @  * OVentricular fibrillation bizarre, irregular, random waveform no clearly identifiable QRS complexes or P waves wandering baseline A 12 lead of Ventricular fibrillation should not usually be taken ... for obvious reasons. Instead of continuing to record the ECG you should check the patient's pulse and reach for the defibrillator! h`k``k[mH  0޽h ? ̙33 0 tl $( L~ P+ $R $ 3     r $ C d*  @   XVentricular pacemaker pacing spikes (best seen here in V4 - V6) will be seen - they may be subtle the paced QRS complexes are abnormally wide In this example the pacemaker starts when there is a long R - R interval following a blocked atrial premature beat (arrowed in figure below). Sinus rhythm takes over again later in the rhythm strip. j`z``9,NH $ 0޽h ? ̙33K" 0  `4( l 4R 4 3     )  4 C   @  ) Wolf-Parkinson-White syndrome short PR interval, less than 3 small squares (120 ms) slurred upstroke to the QRS indicating pre-excitation (delta wave) broad QRS secondary ST and T wave changes Localising the accessory pathway An accessory pathway, bundle of Kent, exists between atria and ventricles and causes early depolarisation of the ventricle. The location of the pathway may be deduced as follows:- LOCATION V1 V2 QRS axis left posteroseptal (type A) +ve +ve left right lateral (type B) -ve -ve left left lateral (type C) +ve +ve inferior (90 degrees) right posteroseptal -ve -ve left anteroseptal -ve -ve normal ```!`` `! q %%   H 4 0޽h ? ̙33# 0 x<(  <R < 3     )~ < C T  @  )  H < 0޽h ? ̙33rL8=O?ABDFKHSZ``ehJLlr#tG.(   L,#af_fast.html&%axis.html&&axis.=<+q@b~&8b-ȏezK/h*[X, 55ҎAEЖ xϵ2benj!1/Y .*Sb:NrհW#DY@sˬ{쒣nYRWq#O,W16[i=Hڟti>NsH.m~5pó +iI[%C1pW%MrW0ۿ!Q#52+6#t2-_yK6j`o&n`bcEC9E8x0Z^nD'"]~¶G/˅G RrSf xM-ÌOMjX×]j8+ӴBTc!O۩}bzd9KIFQ$ ;$"-3S;Ք3 /b`,㩻J E͙Uzw #jЁ'bGWsۅ}`f!5א((aj|#D8ߨDWToPIͶDYWl=xTԙ$φ=85\3AWJUu^XZ:8MnC[F#՜.+,D՜.+, P     On-screen Show -s'K+' /Times New RomanSymbol Courier NewBlank Presentation Normal ECG:A 55 year old man with 4 hours of "crushing" chest pain. ?A 63 year old woman with 10 hours of chest pain and sweating. 1A 60 year old woman with 3 hours of chest pain. 1A 53 year old man with Ischaemic Heart Disease. /A 79 year old man with 5 hours of chest pain. *An 83 year old man with aortic stenosis. KA 75 year old woman with loud first heart sound and mid-diastolic murmur. .A 59 year old woman with chronic bronchitis. (An 84 year old woman with hypertension %A 73 year old woman with dizziness. .A 70 year old man with exercise intolerance. 'An 82 year old lady with dizzy spells :A 55 year old man with 4 hours of "crushing" chest pain. "A 90 year old lady with syncope. A 34 year old woman with asthmaA 60 year old man with HTN"A48 year old man with palpitationA 76 year old man with SOBA 60 year old woman with HTN6A 68 year old women on Digoxin complaining of fatigue&A 57 year old woman with palpitations"A woman with Romano-Ward SyndromeQTc0A 50 year old man with chest pain for 2-4 hours:A 45 year old women with palpitation and a history of CRF#A 69 year old man 2weeks post IWMIA 60 year old man with IHD.A 36 year old woman with recurrent blackoutsLA 60 year old male with 2 hours of crushing chest pain suddenly collapses-A 72 year old man with a permanent pacemakerWhat is the rhythm?Dual chamber pacer with an ICD Slide 34Wolf-Parkinson-White syndromeGA 47 year old man with a long history of palpitations and blackouts. %A 23 year old male with palpitations*A 56 year old man with SOB and raises JVP$A 50 year old man with palpitations6A 49 year old woman with pleuritic chest pain and SOB9A 58 year old man on hemodialysis presents with weakness,A 28 year old woman with prolonged vomitingA 64 year old woman on digoxin  Fonts UsedDesign Template Slide Titles+ 8@ _PID_HLINKSA af_fast.html axis.html axis.html lvhlah.html lll.html lbbbimi.html lll.html lbbbimi.html lll.html infmi.html sbrady.html rbbb.html lll.html lll.html l_qt.html vtavd1.html lbbbimi.html aflut.html tdp.html l_qt.html infmi.html l_qt.html*http://www.sghms.ac.uk/cardiology/eurtop/ wpw.html lvhlah.htmll lvhlah.htmlB,LtdKT<29 Nep1Dkou`ldZZQ^]d碮((J?iz N[%]e'WwycQʗKbΑsL-0w@Trɡɺ!xlmn [yz9jK64/`(Gؽ*3wو!y]Ab(Ţ`ȕZX0pWL5,#it1D*%gǑǣ?JI'b-* z(5E]St} EgCsa}RG#YERۆ0Mx$%gR(E/{M}4)И~ydEFi1#sC6r+o C ɑyb `L4 ƙF$hbEZqqb럺o% N01 CȘstC<󬟕Ac !_EcZ4a{9MG͙?8y8#WՒzN1䬜zA,iĨs _YtT1T*-spn )f9c(KX3ԚЭ!DE!rEvIh%_Fap@i<吘DԸ h1;eójXln̐.5@V9m0c 1{w ku*c>(Y Mf_xzb J"H;u:Cli0s>L;'2Qb3:X!F`Ʃbh~h2S$w}9@_^R!lH|!¬Mle`t0r%|:4X+A.).J<?Jz4Y$BV1HrJ6! 52$by:$5b`G\EkÞD]L륏Mysα8fO^C6nZS~&!ّaH02?a`펔A -AeA:qUk4QWn>WNT1D-*=C4HKf+&۟>EgnM_0>#AuQ&Gb+ C(L9^ߝw:Pᬝ Bߏ3-/m!xWovL@y/Ǻa;df'&,H Q3:A nNSo1<0]f7IuIg1D"gbܕ, ?>C,j.Hܣ !/P4 /㤱&6// (etV/3bg4r'xqGCɰIgJLҖ@C3&Ng8mK s߁@1&Zbf{  ۷x x_l}B7u+~Eo$ڵc%^$aC*»Pc3Ix1cp&:olM.]Őv9]FLbSp!zZNmn!}y-tSu urh 92Ň4u5M oЏqЇLwn&Ȥŋ;w?%u :~%`Ѳ$=N^C<ǽ}]9tC/m_Jziw?b e~+N: }azCwtۂEC.n+K; r|iRk}n:ڊ2xCW}[1t CI.χh ! RCMr’Cr 4Jt uz7_'0ĉ>u uz7yo"0Qnaِx/1t uz7D"\i;:}2ECMϤCG|- r^tS'ow uz3osbύ9*b"Guw uz3y+)( j8hHPDbo°s+VC>&"+xCr`t?C: 1J?!>#Xλۯ8?\>;HNT mźz ·/hUg$_yrלh֟߃e!w\C bsc;Ԑ$L?|FinS)C _JDI*GC)D&vLahkm ^;m7`lSYӄNj~$K7j1UTS]COn]bh1)p|J}lq1ʡtrHj1 Ek'wF?Q "$r;e[^TY6/<KĒ!C)vCO]n9$#9=83q !sVѠjV97iC?.ܖ4 =DހRF0D [4n;2OCMGljfㆡ=Q v;ߐ{\P$ 5)LdjbE2"ڄlw0H995hę0W޿A. ㅈ `T тTCCƎ#:P8ÐzF!řGG>"Cu 01A/M\%+;CaHXQsS{U0tAY^lrhe|ݣ!$?Up>WIA_u;(9Hf{v5hk/^@Y0$N" 'M@bf𓚘c "1Dås c2SEP ůÐy+{CŤ5PdT$;ԣCǐOANÐTtxz@S ׁ} IDAT"lꋥ/WX141FϙWÐt`/ʡ`h.v0tQ"r\= %zVx_1YOܔf@89T~hM -U9ЁPV `HNKПPľ_4C#Ӌap2ZvwRu,_[YqfREm E  D{R9&KBRbhtWŝ[8_#RIqC5CYbcF [_@Q{y<X_:2FDVup*G1< )&C#hb(Rbyɵ8C^}vsNɯXף*P@t9}9t Cq`H\7){; Mfg91cm? a~8/e!CS}fr1d'PH\:г^oPx8̬ | FHqneon+W)`ʡ s =dE, mrCs= Hf=0if rhAoI4+ CK{9L Ex49 V#9ێd!fO"d;:bS_Đ[ƹ=d5}M I6¾yEA[n1 FЌܹJ1,ya۟,Z41I=b,im- 57)M!]H\$u∲[fPVQ9fR†Ȋmj >6d90Tz_1 mp!.W1$Yľ eda"5A0ԱtCC刓$60 U|` o&6rSm&(TVF2bl"+߭IRCKitd Crfa+xooC0R8yYWz`ȓ4%1y ZtmCե sqJEה-'*/V`D8Fe< -flEmkb ks\[ބ! `{sDWSFTx ^3b(~${R7[2vX1޻""b zn]_B8Cs\,o;ooFͨMq:j< ᴠ2എem%N5UFbZNna2)϶ȼFin%ZpБ.Al g59wi^e(;ޙ=mRZ Rqic@!Y|m_t< N*po'\Κc(AV@>S{G1 ۟d&hB4]b[CI^Bz?V^$I~tN0k9% <6n8PbM aIC eM Au4 Nhb AVq !f̄9϶EMfP7A\F0s[. "X;ֹ¹PȠ 6jtЁȩՃ*f1A^`h+ed}I0.PS-!t:#ǑCoEJ,FtbPL81Ce(PD̙)X2 {V{V9똭,ۿmUȕ&7HEHbtmҲ,A6|/ X,g^jz`VP֪Mp1oI 3=ז͆"biVZtaO6uGToF"&f[04R b=\:Pmť DB)YrTs3ٱb4X:#u6&ubenR P7aNelc@cCeT0֎[hEͬ-ΐr$} =$ޛ#îbH SjW "ԩ4}CyfP&yooFjڑA>CuJP0cQQ y!Ȣ3CL+DxM-؍kḴe &2k^Q: ܤuJ֬R #DUP&)Z$[KbNVIlt!/lDK̛Mrrc$C4|Cә#uԸLqFa?h]2ЯY#?(6$rEQI6wSWMQcϢP3c&͢ ;nK;ĩi9tVID^9d3 QҸ6]8%YE9ujYk QXQGg ڣlŪG²RBMoo0/8 @V98[&F |!Rj ;ւ!WF u s U9D: G1 >GzT< O3,W v$SdK WZu&VDNId@s ޫ:>L5D-o۞ }+#gR!Om3(Y ".[^Lm;@2 [jb{v@1mOjF'Y,KS3c#Ό˕C&N,;a͐9Êe%XA$,.E˾PmM/1d6a$Ōe? e[M6O$7B# Cw*8ظJ]-M5`ʿEw[&>v C㌲mT_]Ӻ|j7A@Dg2߀h "ka&̃K͛bhNӌEPgɒxZ6 3mt@&R aL b˃1XWj<ȝ^ E8@[OJ־^(9&M jx;d* *{!Y4uŐĒ#goPqCQ0Ēy#"̮w L,QiK8XX2OsC7ch = 9 AJB[kͯQ:Nۚroʹ4MD_^R[-€X֌ Cv vxb Ȏre  lr R"Bl o&ڽ=hw=u8P2 Ť]zQ8ZoXk!8839ҼPGSzr* bCPVȡrVm.lLmZ)9Y3wH4ǕUǽCr&:EYTHO5zڬ'=$u/LPXdQ)AE0d_RӖ!&.L) GBZ̿- JXhJH9LA-TN1G3 ߛP! 58߉_\٢$Pj%vӽMQ;)0axP}8skF=xoxC&@" x[[Pbۅ8Ћׇbty- $,/=$=l]Lдfq\i1I-Z?/ +AUd~3 $~FܻvfC|4ʫ΋Ac Rf?2M){UƐ8LwNd1`Ē,04;>mSps+g8K7IX  MXUCq RGq@ |9b0#kxE^cƻ汅a jsΛ]Tʕ0 j,7k"jf}Т$J3ʒqvkN ihCh5Kmkh_{ A(lU?ɼ2;W5 B)sI_G\(2mL1l6˝)PDvz#Gd*nPM`(BFC90%4 ah[JXf(c>Kn-)aGg&tv BOe8-ZkIWDY—Enl%[]if+7J"`hP q#n T3ֽng:,U{5nĐГý(Y0oyv-Cn+F)X($r|L` z&afB'j]g3jOXFdy Q5A,fnPV1;3;S֐xڴ<^Vjb(*zF&nwi/C^8*<7[J5t{G.$D|o% Sm&~wue\țaۺnrwҺvS Z\>$HS04U y0c(2C"< j>y?`iö twU"Dɱ-B_3-Zþ.G%)&CtsvaǐG߮=Ka)*jP'{$ܩ/~Wf 3"Ύ#ah9w 4—  V# Jd2%w-EUv. e FUSxgq h?PkO ɲGu 7ЬKڲ^cS=0ԶVǦ,rj!wv@aBw)Ӫ/?V莡Ϥ yY<P y.2rP9Sc3)ʜvɷ?c7NF⡁cp#?HCJf '1`3)ǎ%_ qrM|RuA/A!{0]t!plGcwйc觨cwC?ECNl C?GC>Ci۵5g31zw uz!`"h 8g1jU[2::9u u$)>lu uz7Cw\ėnn> ̼kGWcӻ 2 ֛9U:>Xxzlah?OE?]ⷒwK=N1^t } HO_Nw?PX7UunK[i=D%~$G|}CվC"ﯢq?X{۬?^j"ތ+fKÊLAyu2=eS[~1ap:!dxQ"z~$35В;Cr}ܮېj(kN]1L#t ҎOb~&Ï=3}z&7 L2笯d&2 %N"ܢP5kGҷ} C )=m2} -C]QKnS ;;4C h_7 f(u 5K&Jbn N)1B$o*bgg0Z(5?K"j *$nPeC?jj[lT.KƉĈ/ќ'R,CC#a("$RCB-9W C&a_&O#odnQ%J̐oV ݸ;Lc 0DJD B@ M  Bni=!ʐSi({10M$,Ԇ$FB2) ׹X={,x:<1 CDŐs@x%K/b+&41R{]b C u } [!0'+x&aUOJl4K:[s1et+= Ocuc(6 1d%b(9U~Xn #˽ڪ!..z=!P"V4ljdeM@Co?d!0`(('૜῁04T ԅxe8pp!eLC߸a Dv@㥝Y}τ!0eI{5_ch8<Os'EG1P閥C3\O `09*ʈt ]M4L 'xwЯCl(CQ)<"$&qҬ9Btq%YNe0C_q'Zabשehْt\Ku+0P" m\jS1s3gFC%JXqP.t`hjcFYB/Cl_-[W*fR:-Q^ŗcAf\NҎbK 6qbea(3ˡχǝs_H˟2Z a|0X%FrՍZT)xP~5^|٭x.Zμ|̿_}66J*J`Q7w9\[.ojj#c( h5][N`L3/Sۛ*sH746cx!bnb>C:Z0C1/)[ 8syx+ Y''Ty[T0(!V~fH5z}pЈ\;z}0 .!$nqiO62lݠJt<7PCK3dL^C[$ȶ)gBFP hF2򁥜S4ZR[\*ʨƒ$ḃ͢OU?Ouwy!bx6Yρ* ٖSrJ[sau5uS03c׏8mܯ7 m$[ 2f9Q#bdRSvτh?).)m\1DOHZ885(-(XVY{0˾S/[[T$FCNF'>bZȗ IDAT [o`(0CAb9`e"& T\m^ٰ|ar<谴@p EJ!fFxrPKK' Gf;q+\YF` F 3uV,˵Y40?GPԗ&PC2v%<Njvz%5vĐ$UsZMCnk%lȒckC#gLM\t I',Iah ,ϟ 8챓ЕJ|3@d5Rnw1 = \u@xQ:y?D\+X!a#ugk1DI/x@Iva͊`DA$ij9(㗺+;x9IZxOCѳ@─s[wiTS %cXJ]/HRƷˡI0c#YqD *RL LV6+$ O'IU] 3B!ڡ^4 zD(;bOWv] &Ik4x/QV+H~`$u&- #% h5Mp`l7 8@50-i.:k> 'z6: ݫy⢉.y!:fepp!/?CkbU0Ȫ3M=?'z ] Hޅě5؁HEbulY_rztl)XAƒpVmgʩ#ʲ`h.r4Dd?o สQ1c"p"_xPNhFxkg2Kk $L*AN\U몏/L%?>ef= ?3{mUR!acfʟzcy29Ra,am4] U!鄉TiNRkTDQtumɗމ{C*&2[uN3@kr|lUSP踉b O-o#Rre %>|ܑ.kK1W4Ȃ,C WʍQ-Gp6%[,Xkȅ'XebP O14QyN] 51ds'VJ'X5 QnА_gM9jYAbJ4 AV^De޺d &j>mȂݶ]8P(|R2mb Cc%:( b(w1'N3e8;e& '$طA~.Xeذ at*#kD|yJ3Q2j춖Zb#%g9rR'*ɇF1:/iNRv*mӞ: kk.YI"m6:Il+_AY)ݰ@dR *r+(Wu\.3 @u,'wD ;J31!x>I?#Վ$|(fb0aʾr92=f`X`:nJDϕ0B ^u`a(dv̟Gjpێa|h҂wM`XV.miHE8a嘧ilPAlN4o +rj/7Fy o )nf#e P+7ATHzCT440_!h kf{Mǘ0d=CL dC]e"ExorS~)>"sy,b^g̖4 5z "Ƅ-(ge%Kb4Iqy4dvʰwH8C KaYXf` ;툽ibh*iP]BC,3j' p+TKgN냍X1r(= HTgAy`)Ew3 _$c({PUt7"d<ɖUVK9(tʆZbK &f\J_jҀn]X_@'NNVzOv"Hma=.o܇|Crh1O d(G$HAg ;D[lFEbhA0×C3w:P?6ѡ1f%RPEo)U uӗfk]֏u0DƄ7b/vK{oWk$v0(c@_'?ٜ;`.CIfrYo2?*AHG~.Da2BMO\C 3Xذ[Y䆡j:{&HhtB&=8nJ`N#.7q ύo& fn/c=u1Gja} yyVlFB)L0!V;>!K S14NMln3uo! Er\i`O t"0F60^o+!>ꭉ!^?ǐ'dϨLͼb,De2ށ2*9u5[0n`(! c睫040 $u$C#U.[iYD|+G$'!S'F!=*تpDfU2 ن1DHt!4rX<*$9>b@dB_޻N:p/B:P8S5zÛ-pZN[P!Glbscp7ۑ ҉Vm_SDQ1m'-Lȁ/:2VF}=y;4ː WNȡX["жHmʁv6mbr<-=?.5SiyٸюncS!C$'Pd"r.~\dqw*SVm5:N # hB`}䦯3љG|W d[p_nN#V.q@ң|,|+]ic0?!0ٙ;9Ztl+ $M]صhkߠ ĬrG;]/g u9"DK29Pd1Ǒs8q Nm2`(8̓M ro.S]]UCu%aAtDBoa\0ئr d9N3=f]͆˅ĖBV8!:UB '87ּɡHYLH.XғcC_Vq0dlk {d\߾8㘮r0GLxC692GheY %.9ONP¯K|1f| )묙NV(]X(ءkCb2{ wCnao x /,@ GI""!t^L`%SFm.D [Xki?كXΜa?29ew?X@vZ Zwpn?F(M Y.]- E`Ȟ1& YZr0(Om EC"ъya,_0S4 }Fݖ򇥫lGe aΓ.*SƉ̒k ` "[RF1$d9t hPl *}K徐3 lh:>f Çz*ao9ܣ]}alfY c,M"Gnmf L1sr4H>Ʀ:Phc(ph.G!mΙGtĥùxk\Ơ=uGry_+[tt/\͘KP+1asz Y]N0%rq+ //Ð8&Ϟ9Ғ@mB;r1XaPP~,mY)oX^^2$aȍF]w`(8j]!

rW%C ;\"Őgr;*>#Ij "a]6yk-C Cb]PƓ*o!y3`=@ vcTИL,XPv5Fݕ{:'?w{1H^9|9xEDa6 cW0!ӭ.; Ia('qx/d;ϸ}t0"RWcW h~BcjχPSTYӑa&,\xV7:C8cN[eoXJC “~BPKc 3Nj8&bF5fnXdӋxAyr ;xFa 15X0FϺPk?EM 9W#)b!> 0( 2,1G$u|p­_VC@5CG 8pP˥!49FxPa !BP9&0-E NQ 9KI0Ԟ7=Q1b {!È C,%Os!q*YD㿠֠kw1 p9Pk9k+ QaOCw `A&t?LV\#DSSC|1bP2P[:!Pm8 C zdo6= 1SfË1tKt}ʯŐ\vr?Mm QO! [\aF_.`H$xC#!K71tgr\04>!Z%|tKw)MxV)"[4WBF)qضSC?_C=a/sNc>iLlהm9txC¢[:=ICܰkK8$bj  $R3 t M`NHv*ӫK?eE@>ND9kw C!?ulR_#9CbDcN)ZrhquYA.3 s?;y}!/Ƅ`H2"8y$wrc~ށ_OterTrk}rv~a(%tCOaah`hٙ+51 U2?Q7bH#z)N0$'ȁZLC/|צ/1rhx!gb6Ci*PbH%o@m L0u }*uIN^擐pq$3e F_!I=>Raz0r<_|vae"vN 1-Y_Om 9{S1L?:>N1J*xJCJ'7}xPrrDCJg[@ʎJCJ:*u }*o1a⿂Rc٫cS'at uz7JZJhBu uz7ʉa1 ]150:CfN0zr=wG+5G7ޥoY9{zm%,(UI [g?OCC/,֧Va \w'@3[ G1noQ?Cc-= ]¼ߊPoг߀!ŒskҵJùCo-Y6}CKk'нfa7`݃j.d( 5 \wx(N J-9wCQ:43d+XXS" S, {z^tO^Ix6l9Z/Ewbh@d[Y.1caNIl}>!,ǐ˕;obl4em^:l[u*0}1uC.z..AQ8lr}͛|p2ep% iCvCx}Q;i-.bpC\\v=G Kt9[ڂ dڭAV! ѥYݫ^@*]fК`y¼36Tg>!02L~ %9 ܓC~wLH%9zC>KzKU['`=jbިK:60LQ"WEŖ&`h18ARgT>Z*> 1Lt}Ә5*(_('K-T2W0VON| b#5@Z)<!>b(hcʜbaڻ%rHظm) 1G0ӘV{?ꕡ&ĜhuI G;"̓chG /qpFql`HwuS 5rrH1$+! 3iVU胱ؓbq\U!P"m71E-ru#T"܂)*sÑ8)GKS4Bb !N3q}4`h^OaXcAeG_3cHodcm b{a%""IXxSҽ#yb>*uV1g@*vmV+/ fj`(5eZ}3$)v#PMC(1rn'96kPUg2_&bPaiM\V=0v<< f|Pc[h]b 8ɿ/+Q6Nlani Hbukc A)Y p#wm/ر 028@ܙE$f/f.MA2U܆EVr@Zya`p8+S͵l7%d}wFcfmʉ9)|3C ­Yv8}Q Mfyj)qD|niD!NV7#r(-9,Ex< =,RlPWр̏5®[i m­j`?2HC{L|o7< ZT1\1$2:2ZvdacZEJ88F}b= ?IDATT1SZNX.c[ᕎ0dm]쐫?ۚpt)E;*3"剨}9!&#M+l :2QrlʋySP r{ ϧ4@L.TkPˤWLjf86|d ẞ ~s;[e CbQq US7k/2}0e5 fL|KKKvcdԘZAEs!L|"싽z2ḿ 6K{B;iF 6GM*ߔ31536`zm!qݐآ,;\lz[HG͟?V\$ƅSxDC{)ᲄ DJ DM;C&`_J5@RO&9PKL厛 sيΫV&pC ^-_9d1& 4 Mkk ~wDnvQlc-:@9X&v:1v<5C` ; &#r(jYv! ElZ:熏:.nb[n/`d.W1dKk;qb}iMг5:~w,0&k7X5xF?WX[L+4ki{c6 ҕ9!^)H[tH[R{4oWjUKfm4S|ER%ҀW04=)h?AZP~+}k&J$Mƴ$@Ylݬ3c:ŭQp5(s 6$lsr': 0XuTjL^kb_SI [ >{_̏%w69F-w<Qr!3+ꟙޙX;,۸`+۩8A~nvنC+K2 $$3pCM XRbFSxQJ)["db:ZIi;۸F[U).:`REn-Q( 6қp$ 8 ?@Pl3@Ӭn;j kf;g 00pW>QUXZHXA!'SYH:BhQrk0jh(hRDS|Gd _Z qd [sNmhS+@8$:wI?k<7`h˨ Ng뱱h:+"mK4B'0 %~c"M."5&Z߉қqa0q56 -='iyD)47a󆥰uZX[h0dw \u*5y cȻd`غ6h\a?bt"<:LIOIFUb\@YE\NlmrL̶%;ͿBɩ6BGzneڠ.G{dfhbz ^Wتfl"NM|R#ɖF|pqQxqn-PPϏ|c1Ċn_wM&82͒}I]\`ȕ ه";yuBZ2N- M$3M›n62ŧH |lQj e,W9äx #ۅ-4=*aA"M{M\w(%1@a,GerWFDsCrItw 8|"aqN#%ǔ0w]@G, ARt񼞌ı9=l5`Ie|;Eya!YM^A9+3~:x/vprI^-HϦ#vr`6Lg 2 :i`yBXv E->Tq P TfSP CzѶKԒY(4R`Id`R<9 ЅrC:Ph~eEl秇4IÊف`Hbb̴u QYPSp]NFO=4zn4-Py@K`涛W m3r#֚\ &fÙ9o*-: ?/ -ryyr C#hs*J0]&mH\jwcHDw1tC ~C̽1(љX6h[bY;4D+j, spx:Z 7忳D6ߜC9޾0s:|wb9c+9^fζ0Fn^ ::}"_1cS(ދϥNHe7K9;_¯YdWt6|8u uDZ2\NHyKC>{G(u uHC?~MA;_{TNNNNNNNNNNNNNNNNNNN39IENDB`n$!|ZHڭ_FSAPNG  IHDR+UbgAMAPLTEٟ pHYs.> IDATx흁( _z Az~{g1Oa( QXEDd0DV( Y(Ld0DV( Y(Ld0DV( Y(Ld0B_pKC¿􇮲‰_%J~=~4 tEJ)>tY+VQR qSXH6b&9e rn9d?XD!q) Y(Ld0DV( bVx(lO ~ {+O2)mtU8d|rh|j\kG4Q_'8RKG,%p6'-gc%=rM@jb GGdeQtٶvGV[t1fYv+HV;DVuGVޫ!+ԺOFl{w4ϊ"+#w +`d"+#w_bup5o=7MƬ~sVw#+\fWuwRp[Kodeɮ7#+c)<}O)pD lf0+&f$&h/E4+*{4ﲂ̝-+w'lKYFLP%+sVpw~YImX )!IǞjywV͕Ix) /n~ܬ ]j6Nܒ덬`Y'l G$^dJ\F|"ݎMŻx.'DO FPhXJ(֊Dž8%B7)IIhVANV q{*xuc+ 6$P諞e!^ /r]dSilc3&s;ͬ=HʽF\Z/o,س߮ysa2Ke˾rqc֛ 9v`ʈɽڮ+bW \{[`fşMsdt#+R='o[ŬҟZo`YJsVV3FV-75\{0괬Y1^Y:6=2ٳCYJd\1M֬h\بdCZ n +7yg>m\FV>$߹MV(?d#{0㿤nܲmqٳbu]!+ߒԝkV%wsmS[XQuK"+y#+}nGVr_ez)9msVl ?՛6YudzZWx< "+?,fBJyIoFkb]xXɊ۬dwVZ , eV7ף'=WY|<3.5ĭ`%2 &F Vu!@*Y%xMi9ώ|rĵwni0~w`Bgm;7XD1[ !yp]I5$%8*4;/cce'y, c w] sGtܱVNd$_ hШ^_.K6忈zIt Ntl{/Q,E*60Pyݫ9\joU]VRwl}tK穾S=Ib yoGISٴNUb*tx6SJZIDoԊ]ZRĄP@Aed~eJ%FaWb'QHtwŞ2@lb5\lT@+JV&RFQ~1=;ZHe$YG4q/To©rcjmB7o仌~%,#މBYپ'rF[fbML ArZӳ+H+-u,?u7ku mS`eu}( !4ٵy[%_rr 58tkȆ;ɩŕKFC1Ffb69 @.{3՝>ܷ +Н&ֽ7Z䓍dM*wōpyH=]3܎;XٲM-Yi|(=hvEd8N@M1+vJ u?4XjꝞnIln5pV3JWYw6kg$"łE&tGV^-5|ҷT,e ad[x)aSDj1-nBi{2]KVWۧLūX1 .S4XZlgYְʉ&X13i ^-d#+Zh>cLY9|KƹFQ9+=6O ^̖|6L(0͜ʔSP^d^W&+d YQn-c6 u_q+^pJ=&rca^+؊PC'EV]sP*r]'EV]u}˟Yvbn[m)_d0լ??~QdǞRd{BT8DV!+TDV!֕"+^V8 EV$JPEV( Y(Ld0DV( Y(LgX!??+kYLꚾgX)Oq}ϲul8O Lѝc_augbs+B2C3uklA׭Ɠwv]kTw5Zk+eWw l3nAV^"b8M:Zs!d]zɛVq9QɘƼ.ht~qs1ؙT;5]1g] ߍ!σ W( 烶mva}UPF+6+ej=baϟ%GӪ0ȦWBa ,ncw)'s'JSU8v!蓖)f4* rZʌlu^h $heK* 6/ȃQV3ŷrŋٕ倊y-D 5&XNG(J/)_ P1@+}ٳ9_ɼ!.\| EmSSdOsgO+Giv$.yE8=-dJFr^JږeU B^ 7Q&Y6S)X qAKAV^u0+7l e[ZӍ֬yqEV{#+ߒ5+pκftaHnW L ^Ŋ3dS7+?B,ueۑ7Bu]Y|4sK}@cΙtK}@c[r{OʝYFByXs&&ޟ3BYp{SʝȊ;R:Ȋ;RDV r'߹MV(?X:+MsP~d+q=zAސ!(Ld0ͰD懿?ͼ(ʹYi2ue!f>fd>ȯJ},PGk,Yqrlo=N"+kmROq׼@c^j6PV"+~ZoB}]ϸ=X&d!Yyܳ/'[/"N;+Ͷ^JdAW\rwɜKdAod"+z#+֧>PK_2i_^ëPwn:+݇)gYs=ث; GsP~;? W֓ʍʃʫEVtGV^-#+yOwnb7+mB5+#+Xy(rwl$+ԣ M٠Z"+=ˊO`G Vj.ZMA ?-+ ^.8ϑï,?] QkCncs=PP|Xc>ߪs>X gt0GoT9QFr"Y)l0+YGVNF09Ա \՛ Gk'gnw? nPZTGNzvul;ُVuR=,͛a^V tT&ED!2ӨE!M:]LOUJŅJV̩Rz<5ݕ׷6Gm pT@=Hnk:伴[.RYѪl.^RrJ&ҵCg)D@*H!+3*;p:9-\@bPz!LM6=J;WgzCMs|8;+XdɝyNaƹ :̊yCbI|s^Oa .f 3X7@d c+><+$Ί;|TnA++@V|6YYWX<+2Fg+ϰD_'@V cE|#zӻ68lY>5w]d]Ygq=X)XَM7yf\ϭ+V"+PNEVl<݇)_'>(֕W<(ޞr*ʫEV.d^BX\feYyʃxojgeivzxO>OsPn<ޯKsb;ݳ2V0!sdų_3g͹?Y+>ϊudgEV}7Y/suXd傖6lmV|<'dO*d,ìYq +7`Ԟܜd[:Ж$:zRXNhߪ"<7M6ѴpKr8#"\-q=Bjxhr-WFyo8 uAADojJlGQV bY3l 7Gp|$[g3twLi@o_)ʝ]oԡT+àFVG=(8 {Tw_O)z1 e@5Vp\@}@֬g,0~ @YEqHZW z޵6ҙ[TZj!X^':V;YQ?Ѡ!|𤟽SG|7T Bd0DV( !R DV( Y(Ld0DV( Y(Ld0DV( Y(Ld0>a[H>x(UqWj@VI8Eaa/>ÉP\VeWC@'X9"J>B>5} ="5ĺx*Vⷛ# aG(+'|FGV(!NVVNV2"6hhB Bpv pn( % w8lNj~Y7[.ՏFnd+uU A>0CT}[t#bR5Mr,{J;Q_+P7@bv%}U8IDAT++vLvԻef%wAF7YDw/W^!w:BJ';!RY(P/HHQ.DV( Y(Ld0DV( Y(Ld0DV( Y(Ld0DV( Y(Ld0"·eIENDB`n0$ЋgPNG  IHDR+GagAMAPLTEٟ pHYsodIDATx흍_zN AZbޙ. @6,F7 ++++++++O%q~\ \1L0+4 Mu[J_ #*`c_\0 ]/_+o"M&ٟ۵a8|F ^Ovkqe¿($@J \/l]Yb}VW RW~(3BX}P+Y>ۏ}eY%DWTkaO$-uY*(h?Y؎QQ])ܱp[AH'9$] }tmɇ'mW%poVuap@W4p@W4p@W4Ff;'W4p@3h h]1e*'W4p@c+93 _ph ȝ`c4 qW4~̕rCl+WھR}o+aiކ+p+Q/Wn(}W#` \mWc3c\O+73fF:+ƈۂ oW?\e{0ZLkx6\)|-sJ!=PwalÕBr%ck\ts ]wW m4+-sJW̮}eWe f_1;&^rK>Xukٕ+\46~}66WnϺw"r_-W 3XqGtи?V=kvEx"x}_1E P_k ە-ѯ>6$QiH+H[ȒV[+a2y$uA-*WzϾ +)NcL4s%mھ[ ='"Z}f㚒V{Ф_2ZY0npeϊp-!T±YnU:%\OܬA-8\RIז$:t+ņR @#teoUti>qJ)UUA͞:[LJ|\$սPM,T&3[jV6}?WnSqӭѾe]^aJMxQTt+8 $ ]k:/J58"q9{2lqxsz:Y6_wW:7ƮUY[aUrO$rީBOaЖG8r\նQ:͆/ _h30[Yt0U qmztvXWή%tvֻ5˕ؾuUJ~|]{DMHZǿ{(홚P+6ڢhRq${)\<ۻ[+Ui7Q~1~)1-phbƧ+c<3gv+[ve~0ou%wL)8 =)-Ve w4VWʾ]SJ\d?-//?{VUgSbt+M0+[KWs;~?\VySt;S =|+4wĘE#}o+]Kv~WWfW{bWN-bqP ݆=Swӹ20sN?\2(WƧ+ct~&ԝc+s/ap4/5ʕo|w\}4/\ W@zaװ!`h h h h h h h h h h h h h h h h h h L-i+07q&W4peY9TySvy_7%|.u{2D5_knʋ8[>y)i&#]yl@.WONLYÿWJqbC 7jT1*hD7Mg peYpCYZ Qp!p1SEX/.IU]y|g؇%J| x}ϭut=9OIg)PeoT|ߝUq6K%glPjVVW!so.,\PUd>y_ɧi,')u!\K{'՝,ӛInôR.j',4.lura=^m /7S*;4CjQ^in[RGYm[WbOǧRr^gAgKK}6e) \)jvؘDKKJ,qS"XWc[$.MԢn_hKHk Q}~3$6Ǯ,Wʸ<HC5K{?f+eiIOEZ4f)ԌXz58wA7r&W%j:9ϔ~ԬJzCxI 迠[Т<,7q!r+=v;4z׬ws/Q-zoLpL\_T%ۍX5+_se=6С!oڎѷřDSlaν-ٞ?=jte}MN+ٞVR縎=yaܾpqDzW˲W/z{sؕC֕]7'Sovj4W>\Y~G[\1&g|~\y\y\y癸癸癸癸!ʯJw5<w5<w5<w5~GW<w53pa˸]w <]w <]w0Wu}̠ip0W&N\y`3s34/31\8a&g _}w `;W0s+w z+\}w `;W0sï `;_ԝ `W0u+~Ly_peSw/2;\ԝ `W0uǃ`W0u+n 6;\ԝw `λWF0u2ȕ 1}eSw-F0u݂+p\iW2m6kV5Lm_Q4S-Op#IàJe_08GN5WnvQ/4GΕa D\y&\Hq$w+cױVs [FI9u_(zT\XlD+.ǹ2"R-JV3N^$J=fX-?~Zc߷<9o 7L\v2ng¾RI+c;og0\"\2!oF>9 &p7ϻ2ˠOW8f_ӽuUM\1}WpSb+ }ɕQ5++op影\Iva[}+c~v{+텱<q_-W}_WZBݯnv~`z|+Y< +Iĸ|J[U77ʥ t|Q5}&}W*\}5,ۺzY턮[_,kc<<኱'ob׹bFX=tžeוqg0+= Wh\gt}EW ]Jm|nW+ d\KJGm+_=/tHǪFUW]%;\9X%8\n?seka̰űO~ojҝYlǕP`o`+xfhp%i{_kGJtړ7-DCh >d\كfa-#r[/`v>6a KjKEf-PUvg{QO劓d!Po!l4J|׫E,](לt.Ԃ/XsA۞Ի= c6[nrjA%+$'cUk -M/m\++Ikv#.[sd:oyҶm*C!qsbu Xt\=[Cl֤lD.Yy~rL}rm/`l/T1.k'919(/7ӫR}͖H RmyֆH:Jy9q%jAұd@ '|/ڷ|]ߋ֬+Mr}*C}? )FK;s^GaN/"m:Ɩj%mxNZ)כ[fY%_%'!yE&w%=v_rYqNkϴ}V|RE*d9|/Nk,dO5JC괏tmKkڙE-^!xV,$-iEn?z(Ֆv8Ӑ9}<#/IYSX@gh.J(x{p~W7EgɡY=8Wԯ].!c瓛эLůWꗆek~ouîO =?r-sg,qe[ݫƕԕov}%uDid.] 0cLw;/++NΖ7ͪG0Or|F/&d+?=s\1<<μ=w<μ=w<μ=w<μ=w0W]͕!zgWgƔ] Lu߰<] <] <]ͨZ8a&opq&:0qLu&p@W4p@W4p@W4p@W4p@W4p@W4p@W4p@W4p@W4p@W4p@W4p@W4p@W4p@W4p@W4p@W4p@W4p@W4p@W4p@W4p@W4p@W4p@W4p@W4p@W4p@W4p@W4p@W4WBƨFPf\8q{\ \ \ \ \ \ \ \ \ \ \tQ7;[o>#i\ܚ':Ў{b,Ӵ:.4kaR X=!Ri쒌ev7JZd&&/u&) gAB].} Үq,L[~j70+,-ϬRofaNו kcKxkV}KF:Ͻd1kǻ5y]}Yi~kcZ3ÚfWJ1vgOR֖k]>ߓڇ|+fUnreŕi `VDԳ%Y'i+Ē/re-K%u U?=ֲ4Xښ s qabMcQsZSٲ ݧ+ݱl$Wnٔcq*+UኋXP@WOovŪ%vPul >f_X\, ݕ)Q9;+""KS<\IJց+/ף+CWĕJzJSM>WfW\;<7f&>ݨE:|dKY<7! [:,>:|֒ǷMpq)vzs\tBgO쩃};mXnlXuXăǣv^{̀A˨]3|/}:S8{WpI/ͯ.oޡvH)ک;5Doa$n_S3t+tK}%^j|›6p?oagaʷNܒ2|Qۤۮ:Lֹsgxim uFQ8nwY:fg.~Tī.laS1J(&Mo;OCXA}Ţ)t`5:ǷݛV$rLvlŨ[ya>hFen݇NOYӞr]"C|;&Eq_S76^8!27ד:2Jm< Kӎ,;²HUzeP$-Sʽ8̶%l =L(Aݛ e8R 7?;+уŵI* DjK\p (vmǷV*ϕm6Wz8||Ŧ-f90S) R˧Uߚ\398:%]VIVұn}+WpkKs$XC70E|kQy{o3љTͨv̬jhmkW6ejղٷb[eg)[MiU e|m2T2-ۭݸQd_+[k[e[i*3;2_8:h{kYzT=;f[`֡JX=]s8J"!mcsExADz]+em`oul ~?)70M}},\2jet""9Ge&}uAguh5<_QyNWaㅮ+'Iy4Zk}mXn}uY=W/)*+87ӭASEj;:tQnaТ5lˤ+[~,ty}t{WMCۙ9aC;m![Or_a{Itx\D~x?aiOa zIֲ'oW :<t @@:t @@:t @@:t @@:t @@:t @@:t @@:t @@:t @@:>DMw@ӁC@DY WA:tXs+ṩ?6ǃ_c<z<Ǧ:|!M?sssջ% 幉72_I7l[Lbƻ_ne^aĿ&4tt8gcp1Z КaLMOѥdE+ty߯C;H5njȦgRj ΅bb~~VC:Gc~~t?ZᇥlI$'s|t&xXv?E/B@@:t @@:t @@:t @@:t @@:t @@:t @@:t @@:t @@:>::ӁC@:te't_K@@DEX#KeBUeJL>5̔ͰߒS:K4Fq/=ndrfena`:blgn" t+kN.#O#?z0&>,LS:D];OhGMA[9 4>: mh^:TCl[E;gr Nmʄqd^](hTh !gtS( (שG&s 0e:\<#-ax6DGW0+e[0q]7" ;i&\ *XW7ޣXt5wF]RW;]sqؗJVf""{y k6k-CG͠Y)XzTM&&٧ tT{fY<)3 k^|{%LyGFO:l]ȕ3ܽޢUwۤ*d}vQ/+Er'^i"U 弫Xš}F{W̳F׹1XB/#qc6ػR/xY*/;lU]6b~.`&YMSRqۻMWWE*fAVՌ+;zőErSk,9]0V}+NcHXʮL.6մ{ܕWuŚU&6fɺyڮ{EjЬGk2זȼ'Kl\lm蠔q=K]oԽo#4+wBO%)xmpՕcA&tO߅v\Z 1 ~>~V_O4`f~iJ[t~f~ظE1sINg =~>NMћ.`*3do6/q ? i+Vv+s4mӉF~bNi oG/\Z9֎OSjij??Gß0L L Rn2N:NR`N7ƦrMUN~oW\tv .ǖ(3N(CiϽ;4gi >o3Fi+7O0ݱtt^` <: ȝvd⅏7$FiǦ?cK_˄b4ki/εOvfT6NO^z^qSNb-g^'%'Xp;/:\Ij jb AQ8A7b™$gmdf´EHD;4m?~w,yW\e>ρ7c9'U r{@gl+,[((pY*|XzVtXeTp,j[-` yae'gs&pghKlOO~x+4 N2 y+8dMhS_H$N;&c-[ɵvQֵtϜ? _׫P=$8tH7őSU·9Ƽ|x OKݓ6`/۲m7Q3/,|qsǞfCM5>xvom~;dҌVIUҷo앙d%6ۓwڬgw7k130죪˚?9m9M{~|qRE:-0p@pNJ@}!{;t;W}5ǥqc`1 %9)SlQj>c[cW וLqXuՊ]H+~h~^y+cFuA4;ө/.٨mX:]+) 2hv0߳;36ZL.jV[ VKD>~E$?XtMkVsow8vs6myS/%#X.,$KG49sq]`-n0?w{"y/E<ػOi}hMLrz g~_Q~G[ʹU2{{DOWa*o_SYv"ޭ~3ې>G ?θE/ST`~}RF| O$/I$eIi$ ? /'_zxɏ8 ~驢g?+9nf~'/uhٱ"0:ko" ~ق_zx۶ ~FOJK7YL ~iY ~I*%e%e%e%e%e%e%M  1YO=fC{:Bot q>_7SMꟶ~ {Auáw͔M9/\ʺY¬u1۪uOpO9_sM<v&K”?o#qS]0!I7h_ !jposK5hU FF7: ]y2 t0&d_zLQ ~ -.vmsIR6ԃhy?x<>i']k~޿N{|7f~v]bj]R~|}? }?8tv V/,m> ~OuS=Մ=ٓ4}B~Hg~c ~8tvfq@y8C;LV=I]b`oN~~Î^Ls Og~NOʩK W!#>DLuC=~~lƋOg:XVoϳ?>hVUowŽ΍_)L6,"8:R4kg@בBNt ~TvEv w9Md qpy~ƕS}0~kPZ+5fK-~jz[>lss?{=( hV?Ch6jel|hlkcfL~7kv{.F6L 񾐼qٓ>^T/>l-,vQԞ6W?RY|Zn[hnVt3&-B(lF,|v_oKgş2E( (L )7fx~, ?n"n3AxNG>ɷ@9 _YJ_lLtsnO82|`nmIwFs[71jgS6PM9ݚ"AH#&?"ykF/ޔÑᓙ.񁡕Z#VA qEy\6{B[Ds/sgcwg8mtrڶ#KJ8i+6~?dvIz4wko͉l|~c̔K(/_8|K ={tG-9)Heej .ːjō(mOGyH>f x0i9Oj?×y8aytP)sDzz On4SpRygu>9ڪ0~*: R?[vkI" gUK0bgyR婡vxhV湴H9uy`qM{eV5vݱU<@=hmmIFL=')u _Sz6w*1u䄷疜PoNćo>u=N/Olc?9i[NP] v2|u ~0̒Sp5:}f+S{$)tS[~zܜM|%xW{H> P9ǖ/O}eY%hBy;%_-+CO^vG*Sџ?-+87$آEs_7GyR9:?= ~.z ݉ΝQN͛ԝ/4wM$#XKk C\̋KLP6oPutOXu"`jq3 ?3"/E۸Eߨt.ܬ⼃^(zMI)yA4MK+Vj᧗=Rgt3_G&;E 7o,I]5_3tO5KwtO_g}\K7JK#$%OҁݼI>0?i=ܙrm,z=LӾE+Of٧Λ_'B(D'I?FS|SI=˞- d4GG3%O֣'+Ǖ> ќh+g2E?|s:F'BS}\fm?!ᜇμ.F-EwPlw;%W_>HO% e%e%e%e%u=سqTItj-o?:.Q i_=p7pv$O=E tx66C %'/~dL>4d;_~?#߮NSS3 ePI1$/NTBwz*ԕJ&}`>߂a@ɶ_ʙp9 W"Gq!r/<ӇdfPbuI>ߋw1ަ0w`fh9qT?@{Y3 ?]QrO`K#cojAy3?́Hߊ~Gb]-9e}Y?7քZJ+=V#/ĩާhOQ4~ǭI<筒WNjtzwd7H9wZoecQ]=/g&NgN~'~ȹ/w$灿Q{ٴYnTy2>v?i_~f~L ?7ݫ"ciB/`~@ßfU!j7_1I;䚿 ۫AP>Kvsw=xuḽؗXfŧM7^JZv`[ڬOf`wpl߱iٳ*Tmyp_:oٍiq85T6=p}z\^9g[x(!dcgin9<wքK4JTR<<V(0NirB4$и46PN+@Kݜ*cNLY;hCbeWf*@I͞D4-3f-CHS{dG'+mt`}Y ?ulWCy+ -G d/6}[{)fatEޖRե;8d Z[󱒗V$`j'ĥ  !{`٫ pCt450Aiy?9l7.!['(z:fnr)>glGhKYAխ0rSY(*)gdV 2J[?1كgZi 5#};lsf. Ǿ-]1oC˭9iI 僪FT6c?n$z+,HΎb/7≫"of$.GՔ<$N  V@E204QrW?3ͰVsڽwطvF㉢LO>egl:' 'mgt2$#rg#R(TFfh^Z62"[sDq[yΆN _OM]GX=hϜv= tv[_7J2?-/ÇW <,rO мu nkϞ(g~ocOVE87u]0 'ӗxq ۻ֕|:R]m䂿W2[Kf0׼.==di#g!a?CDy (zLV[r-R">/)._I; 0oR`o  #ݢ+M ? #uӷ]I Ӵ7h4蕕\&Rd|/RtXyZM.Y0[1yg䍄 ~> ZMs4 ~F {ZM.6Q"Ub߄VKߣwjr] /ƙ蝵\_wjrSkOԳgVkn=wbZM+dC4zif/W?O?]`c|~^GEDjW"yt'VoT ԁ!yWҍo1}|C$#+P&;Ng,f^el+?8 u?YOE嫼[v_YR_݆Izm{6m1[?FYrh,dsvKR;f7Y5K_7%{'sRnK2٢$)<̓4_[W,!{XC[rt}*8{7|}|REQ-6Nz2{3׽%^I\n#|)PO1d(?W_ru,{~-$Y ~ӝsR?Q_uQ,O4D!0_u}cQ)t"1OI{?P;k|:u=|g&+%e%e%e%e%e%e%e%e%e%e%e%e%e%e%e%e%e%e%e%e%Ud}k$^_ZV_ZV_ZU7J%e%e+b79(6ۖ݉ޣg]o}:XlE;tυmn`E: 8|BFPxߣLP7߰)y2؍cG72*~"_~'#<ᄧ8-^Nrv=[ɦ$m^*[^̞eO= LK=-mȞ 2ZݿEL|qt[FCn+IDAT{zmY=ӳgkϧQfMv6*;.N p>zٞ/C/dö= $!뫸=+={g=fs?*a: mU"yA29x0=ßSϢ +6fދ=ˑ`'$|$q`ZѿtN*DvC),{֤O=N*z+Nx;ƏOH%y[ps5>m\NNqwtQc t0ٴ)v$q@{R_MCcx 6N>4ۥmA-7Q}tT\ oh{lWJ|qU̩_Jg`mG7kV%#{2c[F/4鸱2:  S3K'k:l0>Og}$ gS3%A}i Wgas&t./IKKJKJKJKJKJK./-+/-+/-+/-+/-+/-+/-+/-+/-+/-+/-+/-+/-+/-+/-+/-+/-+/-+/-+/-+/PGTI!{Zd&/M'+~^0_K!Z,rU-,qOl<4$Xs?w` 0R:lp)I ~ ှOB)~>l܊}EZ[% P 7_'.z(R(- PC{o&ق_ghf$ Ҥd qrV=MKmx;R!jdd}s +IzzrG:%B)BkǢ=Q<@ uE&ߩ)eJt#$Im"XKJKJKJKJKJKJKJKJKJKJKJK3*IENDB`nwh?\+PNG  IHDRh1>kgAMAPLTEٟ pHYs.>IDATx흋v8zwb FRsft$3YV2_ Dh @@4  Dh @@4  Dh @@4  Dh @@4/crNOY@=  Dh ̈́=43U=hh?A]TyD H iΆMX^>XҩmM/h؏$37 Z~);RQV-ߖ#ZF);v9EY<VDz9{wfZlD=eG:6"M ձ,.xF{-U:D+=eGV3bA9U=[Bc[² mcsM2rjh/v flgF~ú{Zķ=S?h5l zcYDD+ړE lTߞNZњķ>S{.Vy3xEwpSN?'8jN٦U˺o*m _Fvxr`N͢M/9-p%ws1:+1 WɦcܣG>HxmE"&ls4Yu/to S&jڸ>񂢹5ה߹a%g/xc}J|Ua/.kj"7zfa9/yx?3~(zm9su_pv h7,9&QQ~=w35 8ޞx-X_F|<;6{ʘd` p]{?rix׊V,ʼ$Z2:&hOC_ۊ ,xwA55?4mL#Ɲ:65|S26hD>VA#A̯ d~mЈ|<%kFh)_hDVA#A̯漿Dkua\4xKhݖ"Z8vпԶh?|l뇇rm @@4  Dh @@4  Dh @@4  Dh @@4  Dh @@4  Dh ,?:~t0 Dhڊfgک^AEGݱQ%o}Ƣ&NsMXCGð%h>[YhmTOf&=ôhCm&Qvn<Ck:2ec2*4`py蔍h }Z;S6"i>tY,?mo'ں><VmQwkm59c6-ʃ1]9b_ff Z%4ah}Ѳ"8SΧ1_ Dh @@4 @4 k4 p  @@4 @"ڄz’Ͱ@4fOݛ슶\(ݽGM!,Dh x;@g @x5Z8J;H!L 2 `bsx7D>XG0x n3ч I.*D{h:>-؞G/etnZgrKh"Zq7ַkWVA┈VA!"ڊh_@pZD[zK̊h@/e Z0+*aX4 jfV uhm Zq{4hEZ;yA܈*1+mi.YrD fE4DsBm!Z8v,aOp^* դ^tH|Du96C"5Ё(1h==!G"ECZ^sŲdo1YZL2Ϭݿ~79mI„lZwI5A4P0)ҁZmRVϥ`PKuc唔yVΩIwg{7ܰvEmu?!\ks4HP6Rk^C5'ޣ9$VQ4*z4x% =E?}m4yM"Ezx  滿ǠM{VY:c|#Z]ۨ^rgulܯ!Z Ƈ4p'5q0~2 אt(> s0>Ęh26=E9iZ9bhm<1%UW̊69҇Zڅ!Ez>ro<.)$Ym![ =eEѺCCmhƠ6A4cP 1hM4&f jD3 5Jg:]Q:G":jD5 قlAGQD5 قlAGSDk5 قlAGhFA4[Q -Qt(f :jD5 قlAGWnZjD-5JO=(f ZjD-5 قlAK p@4  DhG/񛣆q Dh @@[&Fʄ^'@3bw٨Z3n6m ^lT9/^|~8DS})Byb ˢDnE۾,S[좍.hTm/-rkѷS&vzx4s|8E[ܰhۅٶ xh &*qyhfj߼|!Z:bg51iR Ux!Z3b\P~{Rחp;wAO`-?vE}bjEsB!Z}hm1sc/5+H˺һU,o4mVaDžmU;~d~J| ?Ou4{sio(w,v޹*Aamhmb? T}#I6IDkTE0>m}]B8/g!ZwZh)gstz;gZh)-ϴáhj1#8h)li|6=mN|7T8h)'-~O_IUF{JT1 yh&'崢&FD+aCѺ] uhS6m˽ J,Ҵ"to%vAff ׯL-h/@~/bG=4n Z{h(APh͡pϚCG Dh @@4  Dh @@4  Dh @@4  Dh @ ѶB/#a{rѲ:,W/>5~a,c vW>ǮhEuno@h|-><X`2uXі>Zx^]DMsD0 Ѣ%vMy Sҁi X5ol7;ReD|`L%HG<] 3|yN,Vo?h g(͓eD[U,7C΋h9<~hkqqc.#zYΗ[mqvc81ZOS]E=s̵h8 2Z5zܹp7^]}M !Y -@Zb}Z~&*Dh @@4  Dh @@4  Dh @D4,, m\~,t Dh @@4ЅLhMY1d ̊&7w+&iz0+E{ zhqzy(j)4uMy4Pz_; Ih N"Eݱ ͒Ѳ]ެZcA D%e%8=Yvǂ6KDIyh6CW-ƧxE-Ƨ )讈)m+RmX5<_iu ZfDKh:%m:>ӃE㲯{)-7N4u e&xh˅˻a֕{_͉ۤD D mJH0rRD49@)SdnY` ] []x3TZZy:/<|:dz.},#Zmck1FqlERr;@1 Ə͠k̜,y\6b|6Lp}="E{? ʽ=<=77A`G _=} [ti,>ȉ{l^,ޫ\;TGy\saq˱ z\vsl gpd\'[:{;{^ 2QD}7I,g AzgPjD &Qd1~yD^"! P h @@4  D0 @4  Dh @@4  Dh @@4  Dh @@4  Dh @@4  DhLGEpIENDB`n!"3acPNG  IHDRy[gAMAPLTEٟ pHYs.>IDATxڍr `xh.zݙ[`s:o,Ӏ̎Lj:Ž.T)(gOVD\3 `+{r`G`vfG`vfG`vf >Ozpxu}}}}RW͉0LKnAl܋E6 T (x]pebr8ޡmO\\nljoV.F28qqfn<]O? ` >Z48EMF |7nnSzQ+;iQlf?^,.n\gX* 7Paּg~ʩ)n[<9vu|Tp.4x[41icJ8Gi{ xR*pM3@ x04 s`vf/5#0;#0;#0;#0;#0;mPD\IENDB`n2톈2j N8t PNG  IHDR gAMAPLTEٟ pHYsj)IDATx흍*@_='*ֽi  KΜ6M HW'p/P@ P%(@ J(P@ H)͵4~A?GTu?O/a'a ==\FJY/iÜZCMc|%Jܑe_> CMcv[J$5KN`JL*1TʚOO`qJ,@Fa.Y8̇SnE@ J(P@ P%$&U&Jxy͕^nanB7Bzzۅ--HNܽԶ9T _FX4bҏ<ծYݑ*hsdGyY]}x2_q2ZX۩1,l;u6ʇTsiMէ$}glkig*newV\jTQkk>C]Jldko{T65\>zJQRfh֫VsmdD)#_mh|$r2#.MԎ/uR/qܒcP΅YfŻUl-F֊7wddV`g]Ye?DbKAꐕrQ;m8}+i~_[| ֧g^( 𤙼nD.LSQEhٺSi/AGo{KB- _PN7ub\ʕw}mѵ'1 x(8{nɼGJr\WBCվH1OZ%R\v%b7(hv(vp2ϸ'XdpKR5fqDH!,%M"JWuH W`?D`Jt.V'俖E^Y+C3D%u|nVc+ F۲CSL%5Xu͟۰Kg1`zc>1FBd>$J܄5^<}C5)gWrop9 %(@ J(P@ P!\u#WL npP'J(P@<]ѯFJ5D"Z(P"~*(r(D%oU HJܛ9% ~% ECLRx-yG?8,-&?Ys}*+% p{gm~,p$JwRCy@ΰ3وk)۠:8w͉P"v %qMQ-8%^&v=7 U":/T@'4-ǮF"pѥŮ;CFJJΟĒN>?o>W"bR=%.]JٯĞ""5W^)W eω;QH.߈o}+w}֍(+؂vTncIWEY42~,Hj}Sm5)6CSvi^PbI}J8"/۲ݜWxHr;2uHIfug7J/{{e[q+aw@"-'.cbYW*M4kcZ,BCqrߜLjf8nk[g%枧lIt^T8-[[)!Ǵ^t7YC.^7F͹V:mՅsqf="o G{%9yVnLC=z #Qn2 g^bc}Ȳm @6]j4FDEtGe{M-NyTSqJC~odR)rh5D3ͲHtvSisyk J|Bz^*!%<޶6E =OSNY>A%]yFu;Aɪkg[kQ"\m;IqJ}+/X6^|L@^*Jw(ўeL O`?P%ؽFAy ^Dh*% _ZJ%QJxoTZ%*x/PzJDqfRz ?W"j'J=)*wEz %J%n%ʈXĎQD,~Dxx7:*qbG8%s8{d}Jx/kbrῳțp Awvdy]~eNَC wWA%OeK3J=A JMw`PGl?e1[aqFm'`(@ J(P@ P%(@ J(P bƟ3X>tпwM{? Z3tvxu)e˃f0uY~' bVIYyOa8e:_ْUR \yXյd;T'+1X҂/rG+qu:!SR<%ǩ.EW@0,/Jy}R(g2'JQ^J(P@qGiDG(grA Pkk*@ I?ZA x(jGeJo@ řJF )P`?U"\J(JdȡDctKE*OUwC p(g0)DR[Pow_%FJC PbTnU7N#z%vJܗqyZBhH(1*y&/gԘ-Js 8ُtw?ˇ'S"b@%&sIتL jExǽUQ\%nͧZw/ơM6R PR#UeVFh2*!R$1\%TN)u2""z@<]byY'o߻Wz(dg[L1/f.fed/^L@T% \ʵZa&Tqu& ~$nL7?iF-\<:9Ŵ>kfֹO19j6JCcMtn5-u&`_}ͦ㕳+ Tf%V,]--Vk͈,n˳v:"tk2vD@|\ ́ͳ)f wNjM8;Q'EXFwYeד{-jI/> |jiJ뫈hW SgjmdzOYyJ,3i#_,׼5ʷ'tukΰ/nq*v*1 i;22G|qtڥ$3˓A|u0"7turfs-7PD74Ӭ79:%ot]qplbmz\ZR‘f<_l]gR"t&qCsshpQs:@~%ppG\/*h:JxowuR{C"vN6>宅l PP'L ޡv'6PcPUg3ƻ9JB RÇ\V. *w/8q+) \*gVݠD=7qJ ;WgxdGJ܊Lvy6"a^5ٛU˔1jC?U+p?wvds!tyӯO/Sͷ<2;`/{{ Z }rokvr0ө^U%][NYp5}@dU>_Xl$H]J|- *o]wRE{z;.jԮVVLMz& /<9]4IVנH.yjpPdO?m lNGO<{6ͧ074R5Me:HO]k\vM̺(Vh<A^u2yux밸w*f>@s%56U[^e.^K}¬8mc㶰9^whuϓX|ya)c5s'P¾X7s*qI"n=an(VF }{(wh9~qJ PV~˺i6ߥD' ߧM@V[ꖭ8OVv+ 9`(6{9{sw7]6>'X@Z9LvV1݄ßz?{ vo{k3zjliEpUu}5J|d%\hdp@dAp b%~J(P@ J(P@ P%(@ J(P@ P%(@ J(P@ P%(@ J ?/DZNG=g2 㚺A -(@ J(P@q~^]^u ^7Yq@=Rv8-*7ړio_+|ߕ ,SX_Qx)1}چY69RM_6S\s\m}wsNMR=IU~`X\SJfm\NMbajuIJ%گ_>4 'm_Ło Nhij:c\doz*.H1ҴCmk)SڔN Hź^Ž>%گCOG%āR(f4GdnKt_AJ"hWBu.'X4mJ nPB,aU )ؘLE7׃g.,REY&YJ|ZZW}JYvXO4)_b0̕H]aN%ʍIUb.sst)?@ABCDEFGHJKLMNOPQRSTUVW8b$EL3zXu S?b$Lr9V&ƨ|q%?b$|!*C=K %|eb$9 H{tn:b~W%b$;4?nE@$b$Y*ΫC.bS\b$,Tڢ؜x8v\b$0&odb=1I b$eZzcXDN6q*b$҆R^#;,(2Eb$)Jz%]b$0>@MCĞRzb$US>C$*b$ · %pw[ʒ Nb$rt{ڲJ\U"Yb$Bg(wo^"b$G Om}b$֍Fl} T3b$ r7Ǎ &Rb$gW0C)Ȏs/xZc'yb$RldtX>#qb$zR.Eb$ASR#lc>b$ӬTZZ>Jdb$PwVpq7?+Q#b$<59NT.B b$^m<.~qs0?(:b$-ȩjF y,yb$ (3$0r: @9ςb$܉f%= t7'b$zB'tJvUq!b$sRn I)!b$ZG9YV\1 b$OlɷK%8q=b$=%ka}m0@b$|ZHڭ_FSA,!Fb$0$Ћgrb$ˌGG,?J b$$ U| =$!b$wh?\+&b$!"3acUAb$2톈2j N8t Cc $@ g4NdNdXb~0Pb ppp@ g4ddddXb~0Pb  p@ pp<4BdBd\vb^l<4!d!d\vb^? %O =# Normal ECG9A 55 year old man with 4 hours of "crushing" chest pain. (:9 >A 63 year old woman with 10 hours of chest pain and sweating. (?> 0A 60 year old woman with 3 hours of chest pain. (10 0A 53 year old man with Ischaemic Heart Disease. (1/  .A 79 year old man with 5 hours of chest pain. (/.)An 83 year old man with aortic stenosis. (*) IA 75 year old lady with loud first heart sound and mid-diastolic murmur. (JI ,A 59 year old lady with chronic bronchitis. (-, &An 84 year old lady with hypertension '' $A 73 year old woman with dizziness. %% -A 70 year old man with exercise intolerance. .. &An 82 year old lady with dizzy spells $'&9A 55 year old man with 4 hours of "crushing" chest pain. $:9"!A 90 year old lady with syncope. $"$ A 34 year old female with asthma! %A 60 year old male with HTN&!A48 year old man with palpitation"!'A 76 year old man with SOB(A 60 year old woman with HTN,5A 68 year old women on Digoxin complaining of fatigue65-%A 57 year old woman with palpitations&%.!A woman with Romano Ward Syndrome"! /QTcoNormal QTc Men < 0.43 borderline o.43-0.45 prolonged >0.45 Women < 0.43 borderline o.43-0.47 prolonged >0.47 T  %'%'e4/A 50 year old man with chest pain for 2-4 hours0/59A 45 year old women with palpitation and a history of CRF:98"A 69 year old man 2weeks post IWMI#"9A 60 year old man with IHD:-A 36 year old woman with recurrent blackouts.-;A 60 year old male with 2 hours of  crushing chest pain suddenly collapsesLK<,A 72 year old man with a permanent pacemaker-,=  >!Dual chamber pacer with an ICDD" E#Wolf-Parkinson-White syndrome"  NA 47 year old man with a long history of palpitations and, lately, blackouts. (ONH$$A 23 year old male with palpitations%$I%)A 56 year old man with SOB and raises JVP*)J&#A 50 year old man with palpitations$#K'5A 49 year old woman with pleuritic chest pain and SOB65 L(8A 58 year old man on hemodialysis presents with weakness98 M)+A 28 year old woman with prolonged vomiting,+T*A 64 year old woman on digoxin/D      !#)*+012367?@ABCFGN O!P"Q#R$S%U&  tlD(   Dl D C )P  ) X D 0A#?H D 0޽h ? ̙33 ! tlL( w Ll L C )P   X L 0A$?H L 0޽h ? ̙33 " tlT(  Tl T C D)P   X T 0A%?2H T 0޽h ? ̙33 # tl\(  8K! \l \ C )P   X \ 0A&?y,H \ 0޽h ? ̙33 $ tl d(  ! dl d C )P   X d 0A'?PH d 0޽h ? ̙33$ % @ld(  lX l 0A(?`l l C ) @   ) X l 0A)? fH l 0޽h ? ̙33 & tl`t(   tl t C )P   X t 0A*?H t 0޽h ? ̙33*$ 0 Hz(   HR H 3     ) H C Ŀ)  @   Wolf-Parkinson-White syndrome with atrial fibrillation irregularly irregular, wide complex tachycardia impulses from the atria are conducted to the ventricles via either both the AV node and accessory pathway producing a broad fusion complex or just the AV node producing a narrow complex (without a delta wave) or just the accessory pathway producing a very broad 'pure' delta wave people who develop this rhythm and have very short R - R intervals are at higher risk of VF V7```7,"1 }H H 0޽h ? ̙33%% 0 Pu(  PR P 3     * P C $)  @  * Pericardial effusion with electrical alternans The QRS axis alternates between beats. In this example it is best seen in the chest leads where the QRS points in different directions! This is rarely seen and is due to the heart moving in the effusion. H/``/$ H P 0޽h ? ̙33& 0 X(   XR X 3      X C )  @  v +Lown Ganong Levine Syndrome short PR interval, less than 3 small squares (120 ms) no delta wave In this ECG there is also non-specific inferolateral ST-T changes and voltage criteria for left ventricular hypertrophy. `F`{`: H1DD (1K0V`L0H X 0޽h ? ̙33' 0 A9`(  `R ` 3     ? ` C )  @   3Acute pulmonary embolus The following, often transient, changes may be seen in a large pulmonary embolus. an S1Q3T3 pattern a prominent S wave in lead I a Q wave and inverted T wave in lead III sinus tachycardia T wave inversion in leads V1 - V3 Right Bundle Branch Block low amplitude deflections n`R```R ^H ` 0޽h ? ̙33( 0 d\0h(  hR h 3     b h C )  @   This man's serum potassium was 9.6 mmol/L. Hyperkalaemia The following changes may be seen in hyperkalaemia small or absent P waves atrial fibrillation wide QRS shortened or absent ST segment wide, tall and tented T waves ventricular fibrillation ,``3```+3P"%uH h 0޽h ? ̙33) 0 H@Pp( hUx!k !# pR p 3     )F p C D)  @  ) This lady's serum potassium was 1.8 mmol/L. Hypokalaemia The following changes may be seen in hypokalaemia. small or absent T waves prominent U waves (see diagram) first or second degree AV block slight depression of the ST segment -` ``3``, 3>#& H p 0޽h ? ̙33* 0 nfpx(  xR x 3     *l x C *  @   0Digitalis effect shortened QT interval characteristic down-sloping ST depression, reverse tick appearence, (shown here in leads V5 and V6) dysrhythmias ventricular / atrial premature beats paroxysmal atrial tachycardia with variable AV block ventricular tachycardia and fibrillation many others V```b_ !$ #H x 0޽h ? ̙33rD,uHףo;Ӭ˰*4*uzU$/(   e,#af_fast.html&%axis.html&&axis.html*'lvhlah.html$Root EntrydO)24@Pictures^Current User/SummaryInformation(?,Uq}     " !#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz|}~{!     K"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJcLMNOPQRSTUVWXYZ[\]^_`adefghijklmnopqrstuvwxyz{|}~i b      !"#$%&'()*+,-./0123456789:;<=>@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefgh`jklmnoprstuwx{|~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_abcdefghijklmnopqrstuvwxybuʚ;2Nʚ;<4ddddbЁ 0bb:2___PPT9/ 0? %O = Normal ECG 9A 55 year old man with 4 hours of "crushing" chest pain. (:9 >A 63 year old woman with 10 hours of chest pain and sweating. (?> 0A 60 year old woman with 3 hours of chest pain. (10 0A 53 year old man with Ischaemic Heart Disease. (1/  .A 79 year old man with 5 hours of chest pain. (/.)An 83 year old man with aortic stenosis. (*)JA 75 year old woman with loud first heart sound and mid-diastolic murmur. (KJ -A 59 year old woman with chronic bronchitis. (.- 'An 84 year old woman with hypertension (( $A 73 year old woman with dizziness. %% -A 70 year old man with exercise intolerance. &.+ &An 82 year old lady with dizzy spells $'&9A 55 year old man with 4 hours of "crushing" chest pain. $:9"!A 90 year old lady with syncope. $"$ A 34 year old female with asthma! %A 60 year old male with HTN&!A48 year old man with palpitation"!'A 76 year old man with SOB(A 60 year old woman with HTN,5A 68 year old women on Digoxin complaining of fatigue65-%A 57 year old woman with palpitations&%.!A woman with Romano Ward Syndrome"!/QTcoNormal QTc Men < 0.43 borderline o.43-0.45 prolonged >0.45 Women < 0.43 borderline o.43-0.47 prolonged >0.47 d  %' %' e4/A 50 year old man with chest pain for 2-4 hours0/59A 45 year old women with palpitation and a history of CRF:98"A 69 year old man 2weeks post IWMI#"9A 60 year old man with IHD:-A 36 year old woman with recurrent blackouts.-;A 60 year old male with 2 hours of  crushing chest pain suddenly collapsesLK<,A 72 year old man with a permanent pacemaker-,=  >!Dual chamber pacer with an ICDD" E#Wolf-Parkinson-White syndrome NA 47 year old man with a long history of palpitations and, lately, blackouts. (ONH$$A 23 year old male with palpitations%$I%)A 56 year old man with SOB and raises JVP*)J&#A 50 year old man with palpitations$#K'5A 49 year old woman with pleuritic chest pain and SOB65 L(8A 58 year old man on hemodialysis presents with weakness98 M)+A 28 year old woman with prolonged vomiting,+T*A 64 year old woman on digoxin/D      !#)*+012367?@ABCFGN O!P"Q#R$S%U&  tl0(  X  0A? l  C UP  U H  0޽h ? ̙33  tlh( h hl h C <)P  ) X h 0A ?2 H h 0޽h ? ̙33  tlp( Ow@ pl p C UP  ) X p 0A ?2H p 0޽h ? ̙33  tlx(  xX x 0A ?l x C xC)P  ) H x 0޽h ? ̙33  tl( C  l  C  G)P  ) X  0A ? P H  0޽h ? ̙33  tl(  l  C J)P  ) X  0A ?7kH  0޽h ? ̙33r,@zF U&/(   e,#af_fast.html&%axis.html&&axis.html*'lvhlah.html$(lll.html,)lbbbimi.html$,lll.html,-lbbbimi.html$.lll.html(/infmi.html*0sbrady.html&1rbbb.html$2lll.html$3lll.html&Bl_qt.html*Cvtavd1.html,Dlbbbimi.html(Eaflut.html$Ftdp.html&Gl_qt.html(Hinfmi.html&Il_qt.htmlfJRhttp://www.sghms.ac.uk/cardiology/eurtop/$Kwpw.html*Llvhlah.html/ 0DTimes New RomanHbb0bWo 0/DSymbolew RomanHbb0bWo 0/ DCourier NewmanHbb0bWo 0/1 ` .  @n?" dd@  @@``   _T(/1  3 4 68:; 5=>?@AB CDEF G!H"I#J$%&K'L)N*O+P,Q-R.ST8b$EL3zXu S?_b$Lr9V&ƨ|q%?_b$|!*C=K %|e_b$9 H{tn:b~W%_b$;4?nE@$_b$Y*ΫC.bS\_b$,Tڢ؜x8v\_b$0&odb=1I _b$eZzcXDN6q*_b$҆R^#;,(2E_b$)Jz%]_b$0>@MCĞRz_b$US>C$*_b$ · %pw[ʒ N_b$rt{ڲJ\U"Y_b$Bg(wo^"_b$G Om}_b$֍Fl} T3_b$ r7Ǎ &R_b$gW0C)Ȏs/xZc'y_b$RldtX>#q_b$zR.E_b$ASR#lc>_b$ӬTZZ>Jd_b$PwVpq7?+Q#_b$<59NT.B _b$^m<.~qs0?(:_b$-ȩjF y,y_b$ (3$0r: @9ς_b$܉f%= t7'_b$zB'tJvUq!_b$sRn I)!_b$ZG9YV\1 _b$OlɷK%8q=_b$=%ka}m0@_b$|ZHڭ_FSA,!F_b$0$Ћgr_b$ˌGG,?J _b$$ U| =$!_b$wh?\+&_b$!"3acUA_b$2톈2j N8t C_c $@, g4CdCd0bppp@ g4dddd0b p@ pp<4BdBd 0b_OacisOacisckT    On-screen Show -s\$ 1 (Times New RomanSymbol Courier NewBlank Presentation Normal ECG:A 55 year old m4b<4!d!d 0b4buʚ;2Nʚ;<4ddddbЁ 0bb:2___PPT9/ 0? %O = Normal ECG 9A 55 year old man with 4 hours of "crushing" chest pain. (:9 >A 63 year old woman with 10 hours of chest pain and sweating. (?> 0A 60 year old woman with 3 hours of chest pain. (10 0A 53 year old man with Ischaemic Heart Disease. (1/  .A 79 year old man with 5 hours of chest pain. (/.)An 83 year old man with aortic stenosis. (*)JA 75 year old woman with loud first heart sound and mid-diastolic murmur. (KJ -A 59 year old woman with chronic bronchitis. (.- 'An 84 year old woman with hypertension (( $A 73 year old woman with dizziness. %% -A 70 year old man with exercise intolerance. &.+ &An 82 year old lady with dizzy spells ''9A 55 year old man with 4 hours of "crushing" chest pain. 4:8"!A 90 year old lady with syncope. &" $A 34 year old woman with asthma %A 60 year old man with HTN &!A48 year old man with palpitation"!'A 76 year old man with SOB(A 60 year old woman with HTN,5A 68 year old women on Digoxin complaining of fatigue65-%A 57 year old woman with palpitations&%.!A woman with Romano-Ward Syndrome"!/QTcoNormal QTc Men < 0.43 borderline o.43-0.45 prolonged >0.45 Women < 0.43 borderline o.43-0.47 prolonged >0.47 d  %' %' e4/A 50 year old man with chest pain for 2-4 hours0/59A 45 year old women with palpitation and a history of CRF:98"A 69 year old man 2weeks post IWMI#"9A 60 year old man with IHD:-A 36 year old woman with recurrent blackouts.-;A 60 year old male with 2 hours of  crushing chest pain suddenly collapsesLK<,A 72 year old man with a permanent pacemaker-,=  >!Dual chamber pacer with an ICDD" E#Wolf-Parkinson-White syndrome FA 47 year old man with a long history of palpitations and blackouts. (GFH$$A 23 year old male with palpitations%$I%)A 56 year old man with SOB and raises JVP*)J&#A 50 year old man with palpitations$#K'5A 49 year old woman with pleuritic chest pain and SOB65 L(8A 58 year old man on hemodialysis presents with weakness98 M)+A 28 year old woman with prolonged vomiting,+T*A 64 year old woman on digoxin/D      !#)*+012367?@ABCFGN O!P"Q#R$S%U&  tl(  X  0A ?7kl  C J)P  ) H  0޽h ? ̙33  tl(  l  C N)P  ) X  0A?&H  0޽h ? ̙33  tl ( z& l  C R)P  ) X  0A?2H  0޽h ? ̙33  tl0(  X  0A?z l  C V)P  ) H  0޽h ? ̙33  tl@( w X  0A?l  C Z)  ) H  0޽h ? ̙33  tlP(  X  0A?Fl  C H^)P  ) H  0޽h ? ̙33  tl( 1 X  0A?:l  C ?@AB CDEF G!H"I#J$%&K'L)N*O+P,Q-R.ST8b$EL3zXu S?_b$Lr9V&ƨ|q%?_b$|!*C=K %|e_b$9 H{tn:b~W%_b$;4?nE@$_b$Y*ΫC.bS\_b$,Tڢ؜x8v\_b$0&odb=1I _b$eZzcXDN6q*_b$҆R^#;,(2E_b$)Jz%]_b$0>@MCĞRz_b$US>C$*_b$ · %pw[ʒ N_b$rt{ڲJ\U"Y_b$Bg(wo^"_b$G Om}_b$֍Fl} T3_b$ r7Ǎ &R_b$gW0C)Ȏs/xZc'y_b$RldtX>#q_b$zR.E_b$ASR#lc>_b$ӬTZZ>Jd_b$PwVpq7?+Q#_b$<59NT.B _b$^m<.~qs0?(:_b$-ȩjF y,y_b$ (3$0r: @9ς_b$܉f%= t7'_b$zB'tJvUq!_b$sRn I)!_b$ZG9YV\1 _b$OlɷK%8q=_b$=%ka}m0@_b$|ZHڭ_FSA,!F_b$0$Ћgr_b$ˌGG,?J _b$$ U| =$!_b$wh?\+&_b$!"3acUA_b$2톈2j N8t C_c $@, g4CdCd0bppp@ g4dddd0b p@ pp<4BdBd 0b4b<4!d!d 0b4buʚ;2Nʚ;<4ddddbЁ 0bb:2___PPT9/ 0? %O = Normal ECG 9A 55 year old man with 4 hours of "crushing" chest pain. (:9 >A 63 year old woman with 10 hours of chest pain and sweating. (?> 0A 60 year old woman with 3 hours of chest pain. (10 0A 53 year old man with Ischaemic Heart Disease. (1/  .A 79 year old man with 5 hours of chest pain. (/.)An 83 year old man with aortic stenosis. (*)JA 75 year old woman with loud first heart sound and mid-diastolic murmur. (KJ -A 59 year old woman with chronic bronchitis. (.- 'An 84 year old woman with hypertension (( $A 73 year old woman with dizziness. %% -A 70 year old man with exercise intolerance. &.+ &An 82 year old lady with dizzy spells ''9A 55 year old man with 4 hours of "crushing" chest pain. 4:8"!A 90 year old lady with syncope. &" $A 34 year old woman with asthma %A 60 year old man with HTN &!A48 year old man with palpitation"!'A 76 year old man with SOB(A 60 year old woman with HTN,5A 68 year old women on Digoxin complaining of fatigue65-%A 57 year old woman with palpitations&%.!A woman with Romano-Ward Syndrome"!/QTcoNormal QTc Men < 0.43 borderline o.43-0.45 prolonged >0.45 Women < 0.43 borderline o.43-0.47 prolonged >0.47 d  %' %' e4/A 50 year old man with chest pain for 2-4 hours0/59A 45 year old women with palpitation and a history of CRF:98"A 69 year old man 2weeks post IWMI#"9A 60 year old man with IHD:-A 36 year old woman with recurrent blackouts.-;A 60 year old male with 2 hours of  crushing chest pain suddenly collapsesLK<,A 72 year old man with a permanent pacemaker-,=  >!Dual chamber pacer with an ICDD" E#Wolf-Parkinson-White syndrome FA 47 year old man with a long history of palpitations and blackouts. (GFH$$A 23 year old male with palpitations%$I%)A 56 year old man with SOB and raises JVP*)J&#A 50 year old man with palpitations$#K'5A 49 year old woman with pleuritic chest pain and SOB65 L(8A 58 year old man on hemodialysis presents with weakness98 M)+A 28 year old woman with prolonged vomiting,+T*A 64 year old woman on digoxin/D      !#)*+012367?@ABCFGN O!P"Q#R$S%U&X % l(  lX l 0A(?`l l C ) @   )  l 0A)? f,$D 0H l 0޽h ? ̙33rFM6u)EwU /(   ~,#af_fast.html&%axis.html&&axis.html*'lvhlah.html$(lll.html,)lbbbimi.html$,lll.html,-lbbbimi.html$.lll.html(/infmi.html*0sbrady.html&1rbbb.html$2lll.html$3lll.html&Bl_qt.html*Cvtavd1.html,Dlbbbimi.html(Eaflut.html$Ftdp.html&Gl_qt.html(Hinfmi.html&Il_qt.htmlfJRhttp://www.sghms.ac.uk/cardiology/eurtop/$Kwpw.html*Llvhlah.html/ 0DTimes New Roman4bb0bWo 0DSymbolew Roman4bb0bWo 0/ DCourier Newman4bb0bWo 0/1 ` .  @n?" dd@  @@``   _. $./-,1+%*3)4(#'6"%8$!#:"! >@B F HI K     O QST8b$EL3zXu S?_b$Lr9V&ƨ|q%?_b$|!*C=K %|e_b$9 H{tn:b~W%_b$;4?nE@$_b$Y*ΫC.bS\_b$,Tڢ؜x8v\_b$0&odb=1I _b$eZzcXDN6q*_b$҆R^#;,(2E_b$)Jz%]_b$0>@MCĞRz_b$US>C$*_b$ · %pw[ʒ N_b$rt{ڲJ\U"Y_b$Bg(wo^"_b$G Om}_b$֍Fl} T3_b$ r7Ǎ &R_b$gW0C)Ȏs/xZc'y_b$RldtX>#q_b$zR.E_b$ASR#lc>_b$ӬTZZ>Jd_b$PwVpq7?+Q#_b$<59NT.B _b$^m<.~qs0?(:_b$-ȩjF y,y_b$ (3$0r: @9ς_b$܉f%= t7'_b$zB'tJvUq!_b$sRn I)!_b$ZG9YV\1 _b$OlɷK%8q=_b$=%ka}m0@_b$|ZHڭ_FSA,!F_b$0$Ћgr_b$ˌGG,?J _b$$ U| =$!_b$wh?\+&_b$!"3acUA_b$2톈2j N8t C_c $@, g4CdCd0bppp@ g4dddd0b p@ pp<4BdBd 0b b<4!d!d 0b buʚ;2Nʚ;<4ddddbЁ 0bb:2___PPT9/ 0? %O = Normal ECG 9A 55 year old man with 4 hours of "crushing" chest pain. (:9 >A 63 year old woman with 10 hours of chest pain and sweating. (?> 0A 60 year old woman with 3 hours of chest pain. (10 0A 53 year old man with Ischaemic Heart Disease. (1/ .A 79 year old man with 5 hours of chest pain. (/.)An 83 year old man with aortic stenosis. (*)JA 75 year old woman with loud first heart sound and mid-diastolic murmur. (KJ -A 59 year old woman with chronic bronchitis. (.- 'An 84 year old woman with hypertension (( $A 73 year old woman with dizziness. %% -A 70 year old man with exercise intolerance. &.+ &An 82 year old lady with dizzy spells ''9A 55 year old man with 4 hours of "crushing" chest pain. 4:8"!A 90 year old lady with syncope. &" $A 34 year old woman with asthma %A 60 year old man with HTN &!A48 year old man with palpitation"!'A 76 year old man with SOB(A 60 year old woman with HTN,5A 68 year old women on Digoxin complaining of fatigue65-%A 57 year old woman with palpitations&%.!A woman with Romano-Ward Syndrome"!/QTcoNormal QTc Men < 0.43 borderline o.43-0.45 prolonged >0.45 Women < 0.43 borderline o.43-0.47 prolonged >0.47 d  %' %' e4/A 50 year old man with chest pain for 2-4 hours0/59A 45 year old women with palpitation and a history of CRF:98"A 69 year old man 2weeks post IWMI#"9A 60 year old man with IHD:-A 36 year old woman with recurrent blackouts.-;A 60 year old male with 2 hours of  crushing chest pain suddenly collapsesLK<,A 72 year old man with a permanent pacemaker-,= What is the rhythm?>!Dual chamber pacer with an ICDD" E#Wolf-Parkinson-White syndrome FA 47 year old man with a long history of palpitations and blackouts. (GFH$$A 23 year old male with palpitations%$I%)A 56 year old man with SOB and raises JVP*)J&#A 50 year old man with palpitations$#K'5A 49 year old woman with pleuritic chest pain and SOB65 L(8A 58 year old man on hemodialysis presents with weakness98 M)+A 28 year old woman with prolonged vomiting,+T*A 64 year old woman on digoxin/D      !#)*+012367?@ABCFGN O!P"Q#R$S%U&  tl((  (l ( C `%P  % X ( 0A ?: H ( 0޽h ? ̙33rw=!wU2(   L#af_fast.htmlaf_fast.html@%axis.htmlaxis.html@&axis.htmlaxis.htmlH'lvhlah.htmllvhlah.html<(lll.htmllll.htmlL)lbbbimi.htmllbbbimi.html<,lll.htmllll.htmlL-lbbbimi.htmllbbbimi.html<.lll.htmllll.htmlD/infmi.htmlinfmi.htmlH0sbrady.htmlsbrady.html@1rbbb.htmlrbbb.html<2lll.htmllll.html<3lll.htmllll.html@Bl_qt.htmll_qt.htmlHCvtavd1.htmlvtavd1.htmlLDlbbbimi.htmllbbbimi.htmlDEaflut.htmlaflut.html<Ftdp.htmltdp.html@Gl_qt.htmll_qt.htmlDHinfmi.htmlinfmi.html@Il_qt.htmll_qt.htmlJRhttp://www.sghms.ac.uk/cardiology/eurtop/Rhttp://www.sghms.ac.uk/cardiology/eurtop/<Kwpw.htmlwpw.htmlHLlvhlah.htmllvhlah.html/ 0DTimes New Roman 0 0DSymbolew Roman 0 0/ DCourier Newman 0 0/1@ .  @n?" dd@  @@``   _TeZ % e  []X_`\a"\b%&af)`+,-_0c X5]7[b:\ a>`@_BXD[F  J  M QdSW8b$EL3zXu S?b$Lr9V&ƨ|q%?b$|!*C=K %|eb$9 H{tn:b~W%b$;4?nE@$b$Y*ΫC.bS\b$,Tڢ؜x8v\b$0&odb=1I b$eZzcXDN6q*b$҆R^#;,(2Eb$)Jz%]b$0>@MCĞRzb$US>C$*b$ · %pw[ʒ Nb$rt{ڲJ\U"Yb$Bg(wo^"b$G Om}b$֍Fl} T3b$ r7Ǎ &Rb$gW0C)Ȏs/xZc'yb$RldtX>#qb$zR.Eb$ASR#lc>b$ӬTZZ>Jdb$PwVpq7?+Q#b$<59NT.B b$^m<.~qs0?(:b$-ȩjF y,yb$ (3$0r: @9ςb$܉f%= t7'b$zB'tJvUq!b$sRn I)!b$ZG9YV\1 b$OlɷK%8q=b$=%ka}m0@b$|ZHڭ_FSA,!Fb$0$Ћgrb$ˌGG,?J b$$ U| =$!b$wh?\+&b$!"3acUAb$2톈2j N8t Cc $@d g4BdBd  0ppp@ g4dddd  0 p@ pp<4BdBdLqt 0,<4!d!dLqt 0,uʚ;2Nʚ;<4ddddL@v 08r0___PPT10 2___PPT9/ 0? %O = Normal ECG 9A 55 year old man with 4 hours of "crushing" chest pain. (:9 >A 63 year old woman with 10 hours of chest pain and sweating. (?> 0A 60 year old woman with 3 hours of chest pain. (10 0A 53 year old man with Ischaemic Heart Disease. (1/ .A 79 year old man with 5 hours of chest pain. (/.)An 83 year old man with aortic stenosis. (*)JA 75 year old woman with loud first heart sound and mid-diastolic murmur. (KJ -A 59 year old woman with chronic bronchitis. (.- 'An 84 year old woman with hypertension (( $A 73 year old woman with dizziness. %% -A 70 year old man with exercise intolerance. &.+ &An 82 year old lady with dizzy spells ''9A 55 year old man with 4 hours of "crushing" chest pain. 4:8"!A 90 year old lady with syncope. &" $A 34 year old woman with asthma %A 60 year old man with HTN &!A48 year old man with palpitation"!'A 76 year old man with SOB(A 60 year old woman with HTN,5A 68 year old women on Digoxin complaining of fatigue65-%A 57 year old woman with palpitations&%.!A woman with Romano-Ward Syndrome"!/QTcoNormal QTc Men < 0.43 borderline o.43-0.45 prolonged >0.45 Women < 0.43 borderline o.43-0.47 prolonged >0.47 d  %' %' f4/A 50 year old man with chest pain for 2-4 hours0/59A 45 year old women with palpitation and a history of CRF:98"A 69 year old man 2weeks post IWMI#"9A 60 year old man with IHD:-A 36 year old woman with recurrent blackouts.-;A 60 year old male with 2 hours of  crushing chest pain suddenly collapsesLK<,A 72 year old man with a permanent pacemaker-,= What is the rhythm?>!Dual chamber pacer with an ICDD"E#Wolf-Parkinson-White syndrome FA 47 year old man with a long history of palpitations and blackouts. (GFH$$A 23 year old male with palpitations%$I%)A 56 year old man with SOB and raises JVP*)J&#A 50 year old man with palpitations$#K'5A 49 year old woman with pleuritic chest pain and SOB65 L(8A 58 year old man on hemodialysis presents with weakness98 M)+A 28 year old woman with prolonged vomiting,+T*A 64 year old woman on digoxin/D      !#)*+012367?@ABCFGN O!P"Q#R$S%U&z  P01( |02X2 0l 0 C 8P   X 0 0A!? 0 09 ]+A 25 year old man with bouts of tachycardia, 2,` 0 s *"``H 0 0޽h ? ̙33y___PPT10Y+D=' = @B +rD" ˨U2(   L#af_fast.htmlaf_fast.html@%axis.htmlaxis.html@&axis.htmlaxis.htmlH'lvhlah.htmllvhlah.html<(lll.htmllll.htmlL)lbbbimi.htmllbbbimi.html<,lll.htmllll.htmlL-lbbbimi.htmllbbbimi.html<.lll.htmllll.htmlD/infmi.htmlinfmi.htmlH0sbrady.htmlsbrady.html@1rbbb.htmlrbbb.html<2lll.htmllll.html<3lll.htmllll.html@Bl_qt.htmll_qt.htmlHCvtavd1.htmlvtavd1.htmlLDlbbbimi.htmllbbbimi.htmlDEaflut.htmlaflut.html<Ftdp.htmltdp.html@Gl_qt.htmll_qt.htmlDHinfmi.htmlinfmi.html@Il_qt.htmll_qt.htmlJRhttp://www.sghms.ac.uk/cardiology/eurtop/Rhttp://www.sghms.ac.uk/cardiology/eurtop/<Kwpw.htmlwpw.htmlHLlvhlah.htmllvhlah.html/ 0DTimes New Roman 0 0DSymbolew Roman 0 0/ DCourier Newman 0 0/1@ .  @n?" dd@  @@``   _TeZ % e  []X_`\a"\b%&af)`+,-_0c X5]7[b:\ a>`@_BXD[F  J  M QdSW8b$EL3zXu S?b$Lr9V&ƨ|q%?b$|!*C=K %|eb$9 H{tn:b~W%b$;4?nE@$b$Y*ΫC.bS\b$,Tڢ؜x8v\b$0&odb=1I b$eZzcXDN6q*b$҆R^#;,(2Eb$)Jz%]b$0>@MCĞRzb$US>C$*b$ · %pw[ʒ Nb$rt{ڲJ\U"Yb$Bg(wo^"b$G Om}b$֍Fl} T3b$ r7Ǎ &Rb$gW0C)Ȏs/xZc'yb$RldtX>#qb$zR.Eb$ASR#lc>b$ӬTZZ>Jdb$PwVpq7?+Q#b$<59NT.B b$^m<.~qs0?(:b$-ȩjF y,yb$ (3$0r: @9ςb$܉f%= t7'b$zB'tJvUq!b$sRn I)!b$ZG9YV\1 b$OlɷK%8q=b$=%ka}m0@b$|ZHڭ_FSA,!Fb$0$Ћgrb$ˌGG,?J b$$ U| =$!b$wh?\+&b$!"3acUAb$2톈2j N8t Cc $@d g4BdBd  0ppp@ g4dddd  0 p@ pp<4BdBdLqt 0,<4!d!dLqt 0,uʚ;2Nʚ;<4ddddL@v 08r0___PPT10 2___PPT9/ 0? %O = Normal ECG 9A 55 year old man with 4 hours of "crushing" chest pain. (:9 >A 63 year old woman with 10 hours of chest pain and sweating. (?> 0A 60 year old woman with 3 hours of chest pain. (10 0A 53 year old man with Ischaemic Heart Disease. (1/ .A 79 year old man with 5 hours of chest pain. (/.)An 83 year old man with aortic stenosis. (*)JA 75 year old woman with loud first heart sound and mid-diastolic murmur. (KJ -A 59 year old woman with chronic bronchitis. (.- 'An 84 year old woman with hypertension (( $A 73 year old woman with dizziness. %% -A 70 year old man with exercise intolerance. &.+ &An 82 year old lady with dizzy spells ''9A 55 year old man with 4 hours of "crushing" chest pain. 4:8"!A 90 year old lady with syncope. &" $A 34 year old woman with asthma %A 60 year old man with HTN &!A48 year old man with palpitation"!'A 76 year old man with SOB(A 60 year old woman with HTN,5A 68 year old women on Digoxin complaining of fatigue65-%A 57 year old woman with palpitations&%.!A woman with Romano-Ward Syndrome"!/QTcoNormal QTc Men < 0.43 borderline o.43-0.45 prolonged >0.45 Women < 0.43 borderline o.43-0.47 prolonged >0.47 d  %' %' f4/A 50 year old man with chest pain for 2-4 hours0/59A 45 year old women with palpitation and a history of CRF:98"A 69 year old man 2weeks post IWMI#"9A 60 year old man with IHD:-A 36 year old woman with recurrent blackouts.-;A 60 year old male with 2 hours of  crushing chest pain suddenly collapsesLK<,A 72 year old man with a permanent pacemaker-,= What is the rhythm?>!Dual chamber pacer with an ICDD"E#Wolf-Parkinson-White syndrome FA 47 year old man with a long history of palpitations and blackouts. (GFH$$A 23 year old male with palpitations%$I%)A 56 year old man with SOB and raises JVP*)J&#A 50 year old man with palpitations$#K'5A 49 year old woman with pleuritic chest pain and SOB65 L(8A 58 year old man on hemodialysis presents with weakness98 M)+A 28 year old woman with prolonged vomiting,+T*A 64 year old woman on digoxin/D      !#)*+012367?@ABCFGN O!P"Q#R$S%U&r" U