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diagnosis differential algorithm bradycardia arrhythmias bradyarrhythmia causes criticalcare ecg electrocardiogram evaluation fibrillation narrowcomplex palpitations perioperative preop preoperative risk stable stratification
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular Narrow - Regular: Use P
Narrow - Irregular ... If can't see Afib ... • AFib. ... • AFib + BBB. ... • AFib + Pre-excitation
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
abberancy - N B Afib ... DANGER (4) Vfib ... - Irregular ... (1) A fib -absent ... electrocardiogram #cardiology
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
(>100 bpm) - Narrow ... WPW) - Narrow ... interval) • AFib ... Tachycardia - ... tachyarrhythmias #Cardiology
Bradycardia - Differential Diagnosis Framework and Management Narrow Complex Bradycardia: • Regular: Sinus Bradycardia, AFib w/ AV
Narrow Complex ... Sinus Bradycardia, AFib ... w/ AV Block, Atrial ... Sinus Arrest, AFib ... Slow Vent Rate, AFib
Supraventricular Tachycardia (SVT) - Differential Diagnosis Framework and Management Regular SVT: Sinus Tachycardia, AVNRT, AVRT, Atrial Flutter,
Regular SVT: ... , AVNRT, AVRT, Atrial ... Junctional Irregular ... w/ PACs, AFIb w ... #cardiology
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
(A-Fib) Summary ... wide-complex tachycardia ... control with early Afib ... #Fibrillation #AFib ... #cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable Narrow-Complex ... Tachycardia Regular ... underlying cause Irregular ... #Treatment #management ... #cardiology #algorithm
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... • Rapid and irregular ... brain flow (VT/Vfib ... /Afib/WPW) • Loss ... #Palpitations #Cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
fluid overload, irregular ... Obtain EKG if: ... Anticoagulation ... one post op Cardiology ... medical and surgical management
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