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ECG Basics - Atrial Rhythms #Cardiology #MedStudent #EKG #Atrial #SVT #Comparison #Table #AFib #AFlutter #MAT #WAP
ECG Basics - Atrial ... Rhythms #Cardiology ... #MedStudent #EKG ... #Atrial #SVT #Comparison ... #MAT #WAP #WPW
Classic Digoxin-Associated Arrhythmias
 • Atrial fibrillation with an unusually slow ventricular response
 • Atrial Fibrillation with
Accelerated Escape Rhythm ... with 2:1 AV Block ... • Bidirectional ... Arrhythmias #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
abberancy - N B Afib ... arrest - escape rhythms ... 1 , 3:2, 4:3, etc ... #EKG #diagnosis ... electrocardiogram #cardiology
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
(< 5% pts with afibb ... Cardioversion 1. ... cardioversion 2. ... #Fibrillation #AFib ... diagnosis #management #cardiology
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
patient is in sinus rhythm ... ... 1. ... aneurysm idiopathic. 2. ... #atrium #a4c #Echocardiogram ... #clinical #cardiology
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... (e.g. ectopic atrial ... Waves/Fibrillary = afib ... @AmyChung #EKG ... Electrocardiogram #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Differential Diagnosis 1. ... Small secundum ASD ... or PFO with left ... to right shunt 2. ... Differential #Diagnosis #cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... >LAP as atrial septum ... shifts left ... clinical #pocus #a4c ... intrapulmonary #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
overload, irregular rhythm ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... CARP, DECREASE V trials
If the patient has a HEART Score of 0-3 and a negative initial troponin, have a
been lowered to < 1% ... choice to recommend 1- ... week follow-up was ... stratification is left ... #PatientInfo #Cardiology