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Algorithm for the management of atrial fibrillation with rapid ventricular response

- Dr. Tom Fadial @thame 

#Atrial
fibrillation with rapid ventricular ... #fibrillation #AFib
This is ATRIAL FIBRILLATION. Fibrillating right atria and rapid ventricular response.
Pulmonary vein isolation was performed and
atria and rapid ventricular ... AtrialFibrillation #AFib
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 • Regular: Sinus Bradycardia, AFib w/ AV
Sinus Bradycardia, AFib ... Sinus Arrest, AFib ... Slow Vent Rate, AFib ... SVT WI Wide QRS, Ventricular
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Irregularly irregular ventricular ... control with early Afib ... (< 5% pts with afibb ... disease, left ventricular ... assess peak right ventricular
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Escape Rhythm • Ventricular ... • Premature ventricular ... interval) • AFib
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
abberancy - N B Afib ... DANGER (4) Vfib ... Irregular (1) A fib ... Distal AV block - ventricular
Atrial Fibrillation on Cardiac Catheterization

Elderly patient taken up for primary PCI. See the way the proximal
shows movement of ventricular ... Fibrillation #CathLab #AFib
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
Waves/Fibrillary = afib ... aVF) • Right ventricular ... Arrhythmogenic right ventricular
ECG Basics - Ventricular Rhythms #Cardiology #MedStudent #EKG #Ventricular #VentricularRhythms #Comparison #Table #VTach #VFib #ECGEducator
ECG Basics - Ventricular ... MedStudent #EKG #Ventricular ... #Table #VTach #VFib
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
supraventricular or ventricular ... tachycardia • Ventricular ... brain flow (VT/Vfib ... /Afib/WPW) • Loss