32 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Tachycardia (MAT ... • Hypoxia • Pulmonary ... #Tachycardia #MAT ... #Cardiology #Diagnosis ... #ECG #EKG #Management
Atrial Flutter on EKG
 • Regularly-occurring atrial activity
 • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... EKG • Regularly-occurring ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Multifocal Atrial Tachycardia (MAT) on EKG
 • Heart rate > 100 bpm (usually 100-150 bpm)
 •
Tachycardia (MAT ... ) on EKG • Heart ... #Tachycardia #diagnosis ... #cardiology #EKG ... #ECG #Electrocardiogram
Narrow Complex Tachycardias (Simplified)

Irregular Narrow Complex Tachycardia:
 1. Atrial fibrillation
	- Usually the correct answer
 2. Multifocal
Tachycardia (MAT ... ) ≥ 3 different ... Atrial flutter ... #differential #diagnosis ... #causes #cardiology
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
Typical atrial ... At times, the direction ... appearance on ECG ... #Diagnosis #ECG ... #EKG #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
atrial tachycardia ... Control rate (e.g ... flutter or MAT ... Control rate (e.g ... #algorithm
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
"Sinus Tach" at ... cue to look for flutter ... #Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... tachycardia (MAT ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... Drive: • Sinus Tachycardia ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
Tachycardia - Differential ... Diagnosis and Management ... • Atrial Flutter ... #Management #cardiology ... #wide #narrow #algorithm