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cardiology diagnosis differential ekg electrocardiogram endocarditis management palpitations a4c acutepe afib anatomical anomaly clinical complexes digoxin ebstein ecg echocardiogram embolism
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
Causes of Palpitations ... • ATRIAL FIBRILLATION ... • ATRIAL FLUTTER ... • ATRIAL TACHYCARDIA ... • CONGENITAL
Anatomical Differential Diagnosis for Arrhythmias • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS) • AV
• Atria: Premature ... Atrial Contractions ... (PACs), Atrial ... (PST), Focal Atrial ... ), Multifocal Atrial
Classic Digoxin-Associated Arrhythmias • Atrial fibrillation with an unusually slow ventricular response • Atrial Fibrillation with
• Atrial fibrillation ... ventricular response • Atrial ... Complete Heart Block and ... Escape Rhythm • Atrial ... :1 AV Block • Bidirectional
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Paroxysmal AF, atrial ... flutter, or atrial ... : • Atrial fibrillation ... • Multifocal atrial ... heart failure • Mitral
Causes of mitral stenosis Rheumatic heart disease - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... kidney disease Congenital ... papillary muscle), congenitally ... vegetations)/tumor (left atrial ... #differential #cardiology
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Atrial Fibrillation ... risk factors Atrial ... left atria, the ... identify left atrial ... test for DM Atrial
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
Cardiomyopathy • Inherited arrhythmia ... capture of the atria ... • Sinus arrhythmia ... • Atrial fibrillation ... #differential #cardiology
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
evaluating for other causes ... Drive: • Sinus Tachycardia ... common finding) • Atrial ... Arrhythmia* (e.g ... also a result of atrial
Causes of Primary and Functional Mitral Regurgitation (MR) Causes of primary mitral regurgitation - Rheumatic heart
Causes of Primary ... tumors: Most common cause ... plane into left atrium ... inferior wall - Congenital ... Differential #Diagnosis #Cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Prosthetic valve • Congenital ... mitral regurgitation ... Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... Treat underlying cause
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