12 results
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Possible atrial flutter ... Treat underlying cause ... possible atrial flutter ... #Stable #NarrowComplex ... management #cardiology #algorithm
Narrow Complex Tachycardias (Simplified)

Irregular Narrow Complex Tachycardia:
 1. Atrial fibrillation
	- Usually the correct answer
 2. Multifocal
Atrial flutter ... tachycardia #NarrowComplex ... differential #diagnosis #causes
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Differential Diagnosis Algorithm ... Tachycardia • Aflutter ... • AFib • AFIutter ... Differential #Diagnosis #Algorithm ... #causes
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
Causes of Tachycardia ... Differential Diagnosis Algorithm ... tachycardia • Atrial flutter ... tachycardia • Atrial flutter ... #Causes #cardiology
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
Electrocardiogram (EKG ... nodal conduction Uses ... fibrillation and atrial flutter ... Digoxin effect on ECG ... Electrocardiogram #EKG
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
DANGER (4) Vfib/flutter ... (2) Atrial flutter ... absent P (2) A flutter ... 200ms from longer pause ... #EKG #diagnosis
Atrial Flutter on Echocardiogram (PLAX)

Another case of atrial flutter on echo. No wonder the patient almost
Atrial Flutter on ... PLAX) Another case ... of atrial flutter ... Ivan_Echocardio #Atrial #Flutter ... clinical #cardiology #pocus
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Differential Diagnosis Algorithm ... VFib • AFib/AFlutter ... Differential #Diagnosis #Algorithm ... #causes
Undifferentiated shock - Algorithm for the Evaluation of Hypotension. This process for the evaluation of hypotension
Undifferentiated shock - Algorithm ... In the case above ... expertly-designed algorithm ... Hypotension #Evaluation #POCUS ... #EKG #Algorithm
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Paroxysmal AF, atrial flutter ... Atrial fibrillation/flutter ... • Bradycardia caused ... Valvular disease (e.g