32 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• At least 3 different ... • Hypoxia • Pulmonary ... • Oxygen • Treatment ... Tachycardia #MAT #Cardiology ... #EKG #Management
#EKG taken on a patient with an acute pulmonary embolism with right heart strain showing tachycardia,
#EKG taken on a ... with an acute pulmonary ... pulmonaryembolism #AcutePE #criticalcare ... #cardiology #ECG
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... with caution in pulmonary ... disease or CHF) ... disease or CHF) ... #management #cardiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... • Obstructive: Pulmonary ... ) UOP > 0.5 cc/kg ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Iron Deficiency in Congestive Heart Failure (CHF)

Iron deficiency (ID) in heart failure is a common comorbidity
Heart Failure (CHF ... [body weight (kg ... depot iron] Treatment ... Heart #Failure #CHF ... pathophysiology #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
sets at three different ... endocarditis w/ septic pulmonary ... if suspected (e.g ... block (+/- daily EKG ... Endocarditis #checklist #criticalcare
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
- May mimic HF ... hypertension, pulmonary ... #Management #Cardiology ... #HFpEF #dCHF #Diastolic ... #Treatment #HeartFailure
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... Revascularization, treatment ... Nephrotoxins (e.g ... #Checklist #CHF ... #HeartFailure #Cardiology
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... Treatment Systemic ... Low dose 0.5 mg/kg ... #Embolism #Treatment ... AcutePE #Management #CriticalCare
Medical Management of Acute RV Failure
 • Evaluate and Treat Etiology of RV Failure [e.g. Acute
of RV Failure [e.g ... involving RV, Pulmonary ... rightventricular #cardiology ... #management #treatment