15 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
different P wave ... • Hypoxia • Pulmonary ... #Tachycardia #MAT ... #Cardiology #Diagnosis ... #ECG #EKG #Management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
endocarditis w/ septic pulmonary ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... Nephrotoxins (e.g ... channel blocker (eg ... #CHF #Shock #Cardiogenic ... #HeartFailure #Cardiology
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
loose fitting & may ... tight-fitting mask (e.g ... sized to provide a different ... Devices #management #pulmonary ... #criticalcare
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... disease or CHF) ... atrial flutter or MAT ... Control rate (e.g ... Treatment #management #cardiology
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
QRS complexes at ... different rates ... VT #VTach #SVT #Comparison ... VentricularTachycardia #Versus #ecg ... #ekg #cardiology
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Arrhythmias on ECG ... atrial tachycardia ECG ... #tachycardia #cardiology ... #diagnosis #ekg ... electrocardiogram #clinical #comparison
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... cardiomyopathy • Pulmonary ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
used to treat pulmonary ... VA-ECMO OXYGEN DELIVERY ... Assess perfusion (eg ... • Bronchoscopy may ... #criticalcare
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
RV dysfunction. e.g ... RESISTANCE = [(MAP ... hydraulic energy delivered ... forward flow. e.g ... catheter #diagnosis #cardiology