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cardiology diagnosis differential tachycardia narrow management wide arrhythmias atrial bradyarrhythmia bradycardia clinical ecg echocardiogram ekg electrocardiogram palpitations plax stable syncope
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular Narrow - Regular: Use P
If see flutter p ... • Atrial Flutter ... see P, either Flutter ... If not Flutter P ... #wide #narrow #algorithm
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
Narrow Complex Tachycardias (Simplified) Irregular Narrow Complex Tachycardia: 1. Atrial fibrillation - Usually the correct answer 2. Multifocal
Simplified) Irregular ... A regular rhythm ... 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
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Possible atrial flutter ... Irregular Rhythm ... possible atrial flutter ... #Stable #NarrowComplex ... management #cardiology #algorithm
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular Regular Rhythm - Narrow Complex
(AVNRT, OAVRT, AFIutter ... Tachycardia: • AFib > AFIutter ... whether AF is cause ... Tx: Underlying cause ... #causes #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
DANGER (4) Vfib/flutter ... (2) Atrial flutter ... node Narrow - Irregular ... absent P (2) A flutter ... 200ms from longer pause
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
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 Syncope - Differential Diagnosis Algorithm Neurocardiogenic: • Vasovagal • Orthostatic Hypotension • Autonomic Neuropathy • Situational (micturition,
Differential Diagnosis Algorithm ... VFib • AFib/AFlutter ... Differential #Diagnosis #Algorithm ... #causes
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
• Rapid and regular ... • Rapid and irregular ... Paroxysmal AF, atrial flutter ... Atrial fibrillation/flutter ... • Bradycardia caused
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