19 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... • Hypoxia • Pulmonary ... • Oxygen • Treatment ... #Diagnosis #ECG ... #EKG #Management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... disease or CHF) ... Control rate (e.g ... #management #cardiology
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Heart Failure with ... Ejection Fraction: Management ... hypertension, pulmonary ... #Cardiology #HFpEF ... #Treatment #HeartFailure
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... Revascularization, treatment ... Nephrotoxins (e.g ... channel blocker (eg ... #Checklist #CHF
Medical Management of Acute RV Failure
 • Evaluate and Treat Etiology of RV Failure [e.g. Acute
Medical Management ... [e.g. ... involving RV, Pulmonary ... rightventricular #cardiology ... #management #treatment
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver Failure ... Decompensated CHF ... • Obstructive: Pulmonary ... ) UOP > 0.5 cc/kg ... #management
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... 300 = NSVT EKG ... beats) • Heart failure ... more intensive treatment ... #cardiology
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Imaging: CXR- pulmonary ... initiation • Differential ... sepsis), PE, DAH, CHF ... Anaphylaxis, Acute Renal Failure ... APML #diagnosis #management
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
(DAH) & renal failure ... recent DAN) • EMG ... blood retum in serial ... #diagnosis #management ... #treatment
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... Valvular disease (e.g ... Pheochromocytoma • Pulmonary ... #Differential #