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diagnosis differential treatment ventricular acutepe atrial complexes electrocardiogram embolism fibrillation hyperkalemia k morphology narrowcomplex nephrology pheochromocytoma potassium premature pulmonary pvc
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 ... #Cardiology #Differential
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 ... AcutePE #diagnosis #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
Cardiomyopathy • Inherited arrhythmia ... the heartbeat • Palpitations ... 300 = NSVT EKG ... • Sinus arrhythmia ... #differential #cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Control rate (e.g ... Treat underlying cause ... Treat underlying cause ... #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
Symptoms: • Palpitations ... Common Sustained Arrhythmia ... Irregular wide-complex tachycardia ... #diagnosis #management ... #cardiology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
paresthesias, palpitations ... , bradycardia, arrhythmias ... only if no clear cause ... dose PRN (ongoing arrhythmia ... Monitor for tachycardia
Pheochromocytoma - Diagnosis and Management Summary 10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
malignant, pediatric cases ... sweating, and tachycardia ... symptomatic; forceful palpitations ... (hypertension, tachycardia ... , or arrhythmia)
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