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cardiology diagnosis ecg ekg electrocardiogram differential clinical echocardiogram management a4c arrhythmias bradycardia classification fibrillation interpretation pocus afib algorithm anatomical antiarrhythmics
Classic Digoxin-Associated Arrhythmias • Atrial fibrillation with an unusually slow ventricular response • Atrial Fibrillation with
Arrhythmias • Atrial ... ventricular response • Atrial ... Escape Rhythm • Atrial ... Tachycardia with 2: ... 1 AV Block • Bidirectional
Anatomical Differential Diagnosis for Arrhythmias • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS) • AV
1 2°) • His-purkinje ... tachycardia • Atria ... : Premature Atrial ... Flutter (AFL), Atrial ... FAT), Multifocal Atrial
Atrioventricular (AV) Blocks First Degree AV Block - "If your R is far from your P than
1 AV conduction ... Type 2 "If some ... a Mobitz Type 2" ... independently of the atria ... #heartblock #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Atrial flutter ... (3) SVTs - atrial ... (3) Multifocal atrial ... 1 , 3:2, 4:3, etc ... block (lower AV
Bradycardia - Differential Diagnosis Framework and Management Narrow Complex Bradycardia: • Regular: Sinus Bradycardia, AFib w/ AV
Block, Atrial Tachy ... AV Block, Mobitz ... II AV Block Wide ... Bradycardia Management: 1) ... 2) Prepare for transcutaneous
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Effect in Right Atrium ... Differential Diagnosis 1. ... to right shunt 2. ... Effect #Right #Atrium ... echocardiogram #s4c #pocus #bubble
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 Atrial Fibrillation Overview Symptoms: Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. 1. Why? Cardiac: • Valvular heart disease •
Atrial Fibrillation ... near-syncope, syncope. 1. ... Endocrinopathies 2. ... Rate Control • β-Blocker ... Anticoagulation #Atrial
Summary of Heart Blocks 1st Degree Heart Block: • Prolonged PR >200ms (5 small squares). • Narrow
relationship (2: ... 1 or 3:1 block) ... P and QRS • Atrial ... • Block in AV ... beyond AV node)
Antiarrhythmics Pharmacology Summary Cardiac Conduction Phases: Phase 0 - Ventricular Depolarization: • Na+ channels open leading to a
Phase 2 - Plateau ... • Atrial depolarization ... contraction of atrial ... Classification: CLASS 1 ... duration CLASS 2
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
origin within the atria ... (e.g. ectopic atrial ... Morphology = multifocal atrial ... • Saw-Tooth = Atrial ... • 2° Block Type
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