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diagnosis differential algorithm bradycardia causes electrocardiogram acutepe anatomical bradyarrhythmia criticalcare ecg embolism evaluation fibrillation irregular narrow palpitations perioperative preop preoperative
Anatomical Differential Diagnosis for Arrhythmias • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS) • AV
Diagnosis for Arrhythmias ... rhythm) Tachy-arrhythmias ... Fibrillation (V-Fib ... , VF) #Arrhythmias ... Diagnosis #Causes #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
abberancy - N B Afib ... DANGER (4) Vfib ... Irregular (1) A fib ... #EKG #diagnosis ... electrocardiogram #cardiology
Supraventricular Tachycardia (SVT) - Differential Diagnosis Framework and Management Regular SVT: Sinus Tachycardia, AVNRT, AVRT, Atrial Flutter,
Framework and Management ... , AVNRT, AVRT, Atrial ... Irregular SVT: Atrial ... w/ PACs, AFIb w ... #cardiology
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
Arrhythmias - Differential ... interval) • AFib ... Tachycardia - ... aberrancy #Arrhythmias ... tachyarrhythmias #Cardiology
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
Drive: • Sinus Tachycardia ... Arrhythmia* (e.g ... ., A-Fib also a ... result of atrial ... AcutePE #diagnosis #cardiology
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular Narrow - Regular: Use P
• Atrial Flutter ... If can't see Afib ... • AFib. ... • AFib + BBB. ... • AFib + Pre-excitation
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
Bradycardia - Differential Diagnosis Framework and Management Narrow Complex Bradycardia: • Regular: Sinus Bradycardia, AFib w/ AV
Sinus Bradycardia, AFib ... w/ AV Block, Atrial ... Irregular: Sinus Arrhythmia ... Sinus Arrest, AFib ... Slow Vent Rate, AFib
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 ... Common Sustained Arrhythmia ... control with early Afib ... #Fibrillation #AFib ... #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... CV disease - Arrhythmia ... one post op Cardiology ... medical and surgical management
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