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diagnosis differential ekg electrocardiogram algorithm palpitations tachycardia acutepe anatomical bradyarrhythmia bradycardia complexes digitalis digoxin effect embolism management narrowcomplex premature pulmonary
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
Causes of Palpitations ... • ATRIAL FIBRILLATION ... • ATRIAL FLUTTER ... #Palpitations #Causes ... Differential #Diagnosis #Cardiology
Anatomical Differential Diagnosis for Arrhythmias • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS) • AV
Flutter (AFL), ... Atrial Fibrillation ... (V-Fib, VF) ... Differential #Diagnosis #Causes ... #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... /flutter - DANGER ... flutter (3) ... 200ms from longer pause ... electrocardiogram #cardiology
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
Arrhythmias - Differential ... interval) • AFib ... aberrancy #Arrhythmias ... tachyarrhythmias #Cardiology ... Diagnosis #Algorithm #causes
Digoxin effect on Electrocardiogram (EKG) Digoxin is a cardiac glycoside from the foxglove leaf Mechanism - Inhibits Na-K
nodal conduction Uses ... : - Atrial fibrillation ... and atrial flutter ... #Cardiology #Digitalis ... #ECG
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... flutter, or atrial ... : • Atrial fibrillation ... /Afib/WPW) • Loss ... #Palpitations #Cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
flutter, ectopic ... Treat underlying cause ... fibrillation or ... flutter or MAT ... Treatment #management #cardiology
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
evaluating for other causes ... Arrhythmia* (e.g ... ., A-Fib also a ... in relation to ECG ... AcutePE #diagnosis #cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
Cardiomyopathy • Inherited arrhythmia ... capture of the atria ... tachycardia • Sinus arrhythmia ... • Atrial fibrillation ... #differential #cardiology
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