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Morphological Criteria for Discriminating Ventricular Tachycardia from Supraventricular Tachycardia with Aberration

Source Article: Wide Complex Tachycardia –
Morphological Criteria ... Distinguishing #Criteria ... #Cardiology #ECG ... #EKG #Electrocardiogram ... #Differences #Comparison
#EKG taken on a patient with an acute pulmonary embolism with right heart strain showing tachycardia,
#EKG taken on a ... with an acute pulmonary ... strain showing tachycardia ... , new right bundle ... #criticalcare #cardiology
66 yo with syncope - Ventricular Tachycardia

This ECG shows a wide-complex tachycardia in a right bundle
- Ventricular Tachycardia ... in a right bundle ... the morphology criteria ... to the Brugada criteria ... VentricularTachycardia #Clinical #Cardiology
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial Tachycardia ... • Hypoxia • Pulmonary ... hypertension Management ... #MAT #Cardiology ... #EKG #Management
Wolff–Parkinson–White syndrome (WPW) is one of several disorders of the electrical system of the heart that
(known as the bundle ... reciprocating tachycardia ... Pathophysiology #Diagnosis #Cardiology ... #MedStudent #EKG ... DeltaWave #ShortPR #Criteria
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... with caution in pulmonary ... with caution in pulmonary ... #Treatment #management ... #cardiology #algorithm
Cardiac Findings in Sarcoidosis
Most Commonly Affected Sites:
 - LV free wall (esp. basal posterior wall)
 -
dysfunction or pulmonary ... - Effusion ECG ... arrythmias (V. tachycardia ... multifocal) - Right bundle ... #Sarcoidosis #Cardiology
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Multifocal atrial tachycardia ... because one of the bundle ... #cardiology #diagnosis ... #ekg #electrocardiogram ... #clinical #comparison
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Abnormalities • Left Bundle ... QRS complex Pulmonary ... block; and sinus tachycardia ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology