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diagnosis atrial differential management causes palpitations ecg ekg emergency mat mnemonic multifocal narrowcomplex pirates stable syncope treatment wct widecomplex
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
ARRYTHMIA • ATRIAL FIBRILLATION ... ACQUIRED VALVULAR DISEASE ... PHAEOCHROMOCYTOMA • PULMONARY ... DISEASE • HYPOXIA ... Differential #Diagnosis #Cardiology
Atrial Fibrillation - Diagnosis, Causes, Presentations Causes (PIRATES): - Pulmonary embolism - Ischemia (cardiac) -
Atrial Fibrillation ... (PIRATES): - Pulmonary ... - Repiratory disease ... #AFib #Diagnosis ... PIRATES #Emergency #Cardiology
Wide Complex Tachycardia - Differential Diagnosis Algorithm Irregular • Polymorphic VT - Torsades
Differential Diagnosis Algorithm ... myocarditis • AFib ... Nonstructural Heart Disease ... Differential #Diagnosis #Algorithm ... #WCT #cardiology
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
Multifocal Atrial Tachycardia ... to chronic lung disease ... (COPD) • Hypoxia ... • Pulmonary hypertension ... #MAT #Cardiology
Syncope - Differential Diagnosis Algorithm Neurocardiogenic: • Vasovagal • Orthostatic Hypotension • Autonomic Neuropathy • Situational (micturition,
Differential Diagnosis Algorithm ... Respiratory: • Pulmonary ... Embolism • Hypoxia ... • AFib/AFlutter ... Syndrome #Syncope #Cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
disease or CHF) ... Probable atrial fibrillation ... disease or CHF) ... Treatment #management #cardiology ... #algorithm
Atrial Fibrillation Overview Symptoms: Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. 1. Why? Cardiac: • Valvular heart disease •
Atrial Fibrillation ... Noncardiac: • Pulmonary ... Anticoagulation #Atrial #Fibrillation ... #Cardiology #Management ... #Algorithm
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Noncardiac: • Pulmonary ... Irregular wide-complex tachycardia ... control with early Afib ... (< 5% pts with afibb ... #management #cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Arrhythmias: • Atrial fibrillation ... Pheochromocytoma • Pulmonary ... brain flow (VT/Vfib ... /Afib/WPW) • Loss ... #Palpitations #Cardiology
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