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

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
contraction and prevent tachycardia ... maintain sinus rhythm ... hypertension, pulmonary ... #Management #Cardiology ... #Treatment #HeartFailure
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Atrial Tachycardia ... dominant pacemaker focus ... #Rhythm #tachycardia ... wap #diagnosis #cardiology ... #ekg #ecg #electrocardiogram
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Heart Rate and Rhythm ... Valvular disease (e.g ... Pheochromocytoma • Pulmonary ... #Palpitations #Cardiology
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Decompensated HF ... Noncardiac: • Pulmonary ... Irregular wide-complex tachycardia ... : bundle branch ... diagnosis #management #cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... Hypokalemia • Bundle ... 300 = NSVT EKG ... capture of the atria ... more intensive treatment
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
overload, irregular rhythm ... murmur 3/6) - Pulmonary ... disease b) CHF ... indicated • EKG ... Obtain EKG if:
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g ... #treatment