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ECG Basics - Atrial Rhythms #Cardiology #MedStudent #EKG #Atrial #SVT #Comparison #Table #AFib #AFlutter #MAT #WAP
ECG Basics - Atrial ... #MedStudent #EKG ... #Atrial #SVT #Comparison ... #Table #AFib #AFlutter ... #ECGEducator
Tachyarrhythmia Framework - Differential Diagnosis
 • Narrow QRS - Regular Rhythm: Sinus tachycardia, AVNRT, Orthodromic AVRT,
, Orthodromic AVRT ... , Atrial flutter ... AV block, Multifocal ... block, Antidromic AVRT ... AV block & bundle
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
• SA Block • AV ... • AVRT (ie. ... interval) • AFib ... with Variable AV ... tachyarrhythmias #Cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
SVTs - atrial/junctional ... rhythms (5) AV ... block (lower AV ... bradyarrhythmia #ECG ... #EKG #diagnosis
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
deflection not AVRT ... /AVNRT. ... • SVT. 140-280 ... • Atrial Flutter ... Diagnosis #Management #cardiology
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
Anatomical Differential Diagnosis for Arrhythmias
 • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS)
 • AV
Syndrome (SSS) • AV ... Flutter (AFL), ... node: AV re-entrant ... tachycardia (AVRT ... ), AV nodal re-entrant
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
vs SVT (AVNRT, ... OAVRT, AFIutter) ... > SVT+conduction ... abnormality • Beware AV ... Irregular #causes #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable Narrow-Complex ... or AVRT - Observe ... Control rate with AV ... Control rate (e.g ... Control rate (e.g
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
Electrocardiogram (EKG ... - Decreases AV ... Digoxin effect on ECG ... Electrocardiogram #EKG ... #ECG