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cardiology diagnosis ecg clinical acutepe anatomical avr bradyarrhythmia bradycardia causes comparison complexes contrast digoxin echocardiogram effect embolism fibrillation leadavr management
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 ... Escape Rhythm • Atrial ... 2:1 AV Block • ... #ekg #electrocardiogram
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
(2) Atrial ... (3) SVTs - atrial ... (3) Multifocal atrial ... #electrocardiogram ... #cardiology #differential
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
Drive: • Sinus Tachycardia ... common finding) • Atrial ... Arrhythmia* (e.g ... result of atrial ... diagnosis #cardiology #electrocardiogram
Multifocal Atrial Arrhythmias on ECG Multifocal atrial rhythm & Multifocal atrial tachycardia ECG Recognition: • Variable P wave
Multifocal Atrial ... atrial rhythm & ... Multifocal atrial ... tachycardia ECG ... MAT #Multifocal #atrial
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
failure, and death. 2. ... Subepicardial atrial ... • Predictor of arrhythmia ... : AVNRT, AVRT, atrial ... #electrocardiogram
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... Paroxysmal AF, atrial ... flutter, or atrial ... : • Atrial fibrillation ... • Multifocal atrial
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 ... right and left atria ... identify left atrial ... test for DM Atrial
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
Hypokalemia • Bundle ... 300 = NSVT EKG ... capture of the atria ... • Sinus arrhythmia ... • Atrial fibrillation
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Effect in Right Atrium ... Small secundum ASD ... to right shunt 2. ... Effect #Right #Atrium ... #pocus #bubble
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