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ECG Basics - Atrial Rhythms #Cardiology #MedStudent #EKG #Atrial #SVT #Comparison #Table #AFib #AFlutter #MAT #WAP
ECG Basics - Atrial ... Rhythms #Cardiology ... #MedStudent #EKG ... #Atrial #SVT #Comparison ... #Table #AFib #AFlutter
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
deflection not AVRT ... /AVNRT. ... If see flutter p ... • Atrial Flutter ... Diagnosis #Management #cardiology
Tachycardia - Differential Diagnosis Framework
Narrow-Complex:
 • Regular: Sinus Tachycardia, Junctional Tachycardia, Atrial Tachycardia, Atrial Flutter, AVRT
Flutter, AVRT ( ... WPW), AVnRT (ie ... Flutter (w/ variable ... Tachycardia, Antidromic AVRT ... Differential #Diagnosis #cardiology
Tachyarrhythmia Framework - Differential Diagnosis
 • Narrow QRS - Regular Rhythm: Sinus tachycardia, AVNRT, Orthodromic AVRT,
, Orthodromic AVRT ... , Atrial flutter ... flutter w/ variable ... block, Antidromic AVRT ... flutter with variable
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Tachycardia • Aflutter ... • AVNRT ... • AVRT (ie. ... interval) • AFib ... • AFIutter
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
/flutter - DANGER ... flutter (3) ... SVTs - atrial/junctional ... bradyarrhythmia #ECG ... #EKG #diagnosis
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... • Classic EKG ... , AVRT, atrial tachycardia ... #AVR #leadAVR #ecg ... electrocardiogram #diagnosis #ekg
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
vs SVT (AVNRT, ... OAVRT, AFIutter) ... > SVT+conduction ... > AFIutter + variable ... Irregular #causes #cardiology
Narrow Complex Tachycardias (Simplified)

Irregular Narrow Complex Tachycardia:
 1. Atrial fibrillation
	- Usually the correct answer
 2. Multifocal
Atrial flutter ... "PSVT" (atrioventricular ... retrograde) - AVNRT ... , AVRT, Junctional ... diagnosis #causes #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
or AVRT - Observe ... flutter, ectopic ... Control rate (e.g ... flutter or MAT ... Control rate (e.g