11 results
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
AVNRT on Neck Physical ... shown , what’s the diagnosis ... in AVNRT - EMdoc ... #AVNRT #Neck #PhysicalExam ... #JVP #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
the atria and ventricles ... are enough to diagnose ... #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Atrial Flutter on Neck Examination

If you can dx this rhythm, you are born before 1960. 
Early
Atrial Flutter on ... you can dx this rhythm ... AVNRT would show ... #PhysicalExam #JVP ... Clinical #Video #Cardiology
Narrow Complex Tachycardias (Simplified)

Irregular Narrow Complex Tachycardia:
 1. Atrial fibrillation
	- Usually the correct answer
 2. Multifocal
P wave morphologies ... A regular rhythm ... retrograde) - AVNRT ... #differential #diagnosis ... #causes #cardiology
Cannon A Waves
 • Caused by atrial contracting against a closed tricuspid valve
 • Atrioventricular dissociation
• Caused by atrial ... activation from SVT (e.g ... ., junctional rhythm ... #diagnosis #cardiology ... #CVP
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
rhythm & Multifocal ... ECG Recognition ... of at least 3 different ... #rhythm #tachycardia ... #cardiology #diagnosis
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
IJ vein seen on POCUS ... between sinus rhythm ... Regurgitation #PhysicalExam ... #Cardiology #Neck ... #Jugular #JVP
Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
you can dx the rhythm ... #Fibrillation #Neck ... #JVP #Clinical ... #Video #AFib #PhysicalExam ... #Cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
MAT) - 3 different ... P waves in lead ... arrest - escape rhythms ... #EKG #diagnosis ... electrocardiogram #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... in the chest or neck ... exam • 12-lead ECG ... maneuvers: SVT-AVNRT ... #Palpitations #Cardiology