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diagnosis anesthesia anesthesiology checklist differential intraoperative treatment ekg bradycardia cardiomyopathy palpitations peripartum pulmonary tachycardia acute acutepe afib algorithm aorticdissection aorticregurgitation
Digoxin effect on Electrocardiogram (EKG) Digoxin is a cardiac glycoside from the foxglove leaf Mechanism - Inhibits Na-K
is a cardiac glycoside ... nodal conduction Uses ... and atrial flutter ... Digoxin effect on ECG ... #EKG #Cardiology
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... (3) Multifocal atrial ... 200ms from longer pause ... #electrocardiogram ... #cardiology #differential
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
Causes of Palpitations ... ARRHYTHMiA • SINUS ... FLUTTER • HEART ... SYPATHOMIMETICS • CARDIAC ... Differential #Diagnosis #Cardiology
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
evaluating for other causes ... of cardio-pulmonary ... Adrenergic Drive: • Sinus ... AcutePE #diagnosis #cardiology ... #electrocardiogram
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
flutter, ectopic ... Treat underlying cause ... Treat underlying cause ... Tachycardia #Treatment #management ... #cardiology #algorithm
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... flutter, or atrial ... muscle twitching CARDIAC ... Nonarrhythmic Cardiac ... #Palpitations #Cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... Consider invasive arterial ... consultation with cardiology ... Checklist #Diagnosis #Management ... #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
rate >100 bpm sinus ... 100 bpm and non-sinus ... consider: o Cardiac ... Checklist #Diagnosis #Management ... #Workup
Acute Atrial Fibrillation - Initial Options for Rate Control Diltiazem IV • Rapid onset and rapidly
Acute Atrial Fibrillation ... regimen is not as clear ... conversion to sinus ... #pharmacology #management ... #cardiology #AFib
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
manifestation of cardiac ... capture of the atria ... tachycardia • Sinus ... arrhythmia • Atrial ... #differential #cardiology
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