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Algorithm for the management of atrial fibrillation with rapid ventricular response

- Dr. Tom Fadial @thame 

#Atrial
Algorithm for the ... management of atrial ... fibrillation with rapid ventricular ... #fibrillation #AFib ... Rapid #Emergency #Cardiology
Anatomical Differential Diagnosis for Arrhythmias
 • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS)
 • AV
Anatomical Differential ... • Ventricles: Ventricular ... Fibrillation (V-Fib ... Arrhythmias #Anatomical #Differential ... Diagnosis #Causes #cardiology
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Arrhythmias - Differential ... Diagnosis Algorithm ... interval) • AFib ... tachyarrhythmias #Cardiology ... #Differential #
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
Tachycardia - Differential ... Diagnosis Algorithm ... #Tachycardia #Differential ... #Diagnosis #Algorithm ... #Causes #cardiology
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... Diagnosis Algorithm ... • AFib/AFlutter ... Syndrome #Syncope #Cardiology ... #Differential #
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 • Regular: Sinus Bradycardia, AFib w/ AV
Bradycardia - Differential ... w/ AV Block, Atrial ... SVT WI Wide QRS, Ventricular ... epinephrine 4) Page Cardiology ... Diagnosis #Management #cardiology
Causes of Palpitations
 • ARRHYTHMiA 
 • SINUS ARRYTHMIA 
 • ATRIAL FIBRILLATION 
 • ATRIAL
• PREMATURE VENTRICULAR ... TACHYCARDIA • VENTRICULAR ... SYPATHOMIMETICS • CARDIAC ... Palpitations #Causes #Differential ... #Diagnosis #Cardiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Cardiac: • Valvular ... Irregularly irregular ventricular ... disease, left ventricular ... assess peak right ventricular ... diagnosis #management #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
abberancy - N B Afib ... (3) SVTs - atrial ... Distal AV block - ventricular ... electrocardiogram #cardiology ... #differential
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Pressure Waveforms - Differential ... dissociation, ventricular ... Absent y descent - Cardiac ... Waveforms #JVP #Differential ... #PhysicalExam #cardiology