17 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... different P wave ... • Hypoxia • Pulmonary ... #Cardiology #Diagnosis ... #ECG #EKG #Management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
cultures (three sets at ... three different ... w/ septic pulmonary ... block (+/- daily EKG ... #criticalcare #diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
(3) SVTs - atrial ... tachycardia (MAT ... ) - 3 different ... #EKG #diagnosis ... electrocardiogram #cardiology
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... mitral inflow, MA ... progression, LA: left atrium ... , PASP: pulmonary ... #Diagnosis #Cardiology
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
criteria for the diagnosis ... both MAT (atrial ... least 3 different ... dominant pacemaker focus ... #cardiology #ekg
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
of developing atrial ... mmHg developed atrial ... fibrillation at ... • Infective Endocarditis ... Pathophysiology #causes #cardiology
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
morphology of at ... least 3 different ... #MAT #Multifocal ... #tachycardia #cardiology ... #diagnosis #ekg
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... occlusion that may ... ↑ ESR, CRP • EKG ... #cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... EKG of the same ... are enough to diagnose ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
Coronary Ostium Obstruction by Aortic Intimal Flap on Echocardiogram
Aortic intimal flap may alternately obstruct right and
Aortic intimal flap may ... ECG leads Ivan ... dissection #a4c #plax ... Echocardiogram #clinical #cardiology ... #pocus