10 results
Classic Digoxin-Associated Arrhythmias
 • Atrial fibrillation with an unusually slow ventricular response
 • Atrial Fibrillation with
Complete Heart Block and ... Accelerated Escape Rhythm ... • Atrial Tachycardia ... with 2:1 AV Block ... #cardiology #ecg
Anatomical Differential Diagnosis for Arrhythmias
 • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS)
 • AV
Diagnosis for Arrhythmias ... blocks (1°, 3° and ... Type 1 2°) • ... Type II 2°) • ... Diagnosis #Causes #cardiology
Almost any type of cardiac arrhythmia is seen in digitalis toxic­ity. However, type II second-degree atrioventricular
The arrhythmias ... junctional rhythm ... tachycardia with ... #Diagnosis #Cardiology ... #EKG #ECG #Digoxin
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
atrial rhythm & ... tachycardia ECG ... Irregular P P, RR and ... not gradual in contrast ... #rhythm #tachycardia
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Atrial Tachycardia ... Arrhythmia (MAA ... , in sharp contrast ... #Rhythm #tachycardia ... #ekg #ecg #electrocardiogram
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Common Sustained Arrhythmia ... Irregular wide-complex tachycardia ... : bundle branch ... thrombus • Digoxin ... cardioversion 2.
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... to right shunt 2. ... echocardiogram #s4c ... #pocus #bubble
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
Hypokalemia • Bundle ... Substances • Digoxin ... capture of the atria ... • Sinus arrhythmia ... • Atrial fibrillation
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... = PFO 2. ... >LAP as atrial septum ... stretched PFO or ASD ... clinical #pocus #a4c
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
overload, irregular rhythm ... Obtain EKG if: ... CV disease - Arrhythmia ... one post op Cardiology ... CARP, DECREASE V trials