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diagnosis differential management causes palpitations treatment acutepe atrial cardiomyopathy ekg electrocardiogram embolism evaluation fibrillation narrowcomplex obgyn perioperative peripartum pheochromocytoma ppcm
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
Palpitations • ARRHYTHMiA ... • SINUS ARRYTHMIA ... NON-ARRHYTHMIC ... PHAEOCHROMOCYTOMA • PULMONARY ... Differential #Diagnosis #Cardiology
Wide Complex Tachycardia - Differential Diagnosis Algorithm Irregular • Polymorphic VT - Torsades
Differential Diagnosis Algorithm ... myocarditis • AFib ... Nonstructural Heart Disease ... Differential #Diagnosis #Algorithm ... #WCT #cardiology
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
Arrhythmias - Differential ... Diagnosis Algorithm ... interval) • AFib ... aberrancy #Arrhythmias ... tachyarrhythmias #Cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
or arrhythmia ... Pheochromocytoma • Pulmonary ... brain flow (VT/Vfib ... /Afib/WPW) • Loss ... #Palpitations #Cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
with caution in pulmonary ... disease or CHF) ... disease or CHF) ... 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
Noncardiac: • Pulmonary ... Common Sustained Arrhythmia ... Irregular wide-complex tachycardia ... (< 5% pts with afibb ... diagnosis #management #cardiology
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... Drive: • Sinus Tachycardia ... finding) • Atrial Arrhythmia ... * (e.g., A-Fib also ... AcutePE #diagnosis #cardiology
Pheochromocytoma - Diagnosis and Management Summary 10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
bilateral, malignant, pediatric ... sweating, and tachycardia ... may present with pulmonary ... , or arrhythmia) ... Treatment • Operable disease
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... event, follow ACC algorithm ... - Arrhythmia ... days before Pulmonary ... one post op Cardiology
Peripartum Cardiomyopathy (PPCM) What is PPCM? • A form of acute systolic heart failure that develops late in
preexisting heart disease ... Cardiogenic shock ⚠️ Arrhythmias ... cardiomyopathy • Tachycardia-induced ... Nonspecific: sinus tachycardia ... Cardiomyopathy #Cardiology
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