22 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
different P wave ... • 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 ... disease or CHF) ... flutter or MAT ... disease or CHF) ... #management #cardiology
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
relevant Maintain atrial ... sinus rhythm in atrial ... hypertension, pulmonary ... #Management #Cardiology ... #Treatment #HeartFailure
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Decompensated CHF ... • Obstructive: Pulmonary ... ) UOP > 0.5 cc/kg ... #Diagnosis #criticalcare
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
tachycardia (MAT ... ) - 3 different ... #EKG #diagnosis ... electrocardiogram #cardiology ... #differential
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
least 3 different ... #MAT #Multifocal ... #tachycardia #cardiology ... #diagnosis #ekg ... electrocardiogram #clinical #comparison
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... — Optimize the MAP ... Revascularization, treatment ... #Checklist #CHF ... #HeartFailure #Cardiology
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
includes both MAT ... least 3 different ... wap #diagnosis #cardiology ... #ekg #ecg #electrocardiogram ... #comparison
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
300 = NSVT EKG ... capture of the atria ... occur Differential ... more intensive treatment ... #cardiology
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
treatment Pathophysiology ... Prednisone 5mg/kg ... Imaging: CXR- pulmonary ... initiation • Differential ... sepsis), PE, DAH, CHF