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diagnosis differential treatment anesthesia anesthesiology checklist intraoperative stable ventricular workup acutepe atrial barre cardiac cardiomyopathy electrocardiogram embolism fibrillation guillain guillainbarre
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
Arrhythmias - Differential ... Diagnosis Algorithm ... interval) • AFib ... tachyarrhythmias #Cardiology ... #causes
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
evaluating for other causes ... Drive: • Sinus Tachycardia ... finding) • Atrial Arrhythmia ... * (e.g., A-Fib also ... Incomplete or Complete
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... brain flow (VT/Vfib ... /Afib/WPW) • Loss ... #Palpitations #Cardiology
Algorithm for the Management of Ventricular Tachycardia Electrical Storm ES diagnosed (≥ 3 episodes of VT/ICD therapies
Algorithm for the ... not terminating arrhythmia ... of reversible causes ... #Algorithm #Management ... #morphology #cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
Premature Ventricular Complexes ... Cardiomyopathy • Inherited arrhythmia ... 300 = NSVT EKG ... • Sinus arrhythmia ... #differential #cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Stable Narrow-Complex ... Treat underlying cause ... Treat underlying cause ... #Treatment #management ... #cardiology #algorithm
Treatment of Stable Wide-Complex Tachycardia Regular • If ventricular tachycardia or uncertain rhythm: -
of Stable Wide-Complex ... nodal agents (e.g ... Follow narrow-complex ... #Treatment #management ... #cardiology #algorithm
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Common Sustained Arrhythmia ... Irregular wide-complex ... tachycardia: bundle ... #diagnosis #management ... #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... inversion • Arrhythmias ... Stop or rapidly complete ... consultation with cardiology ... Checklist #Diagnosis #Management
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... • If narrow complex ... obtain 12-lead ECG ... primary cardiac arrhythmia ... Checklist #Diagnosis #Management
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