10 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
different P wave ... • Hypoxia • Pulmonary ... hypertension Management ... #Cardiology #Diagnosis ... #ECG #EKG #Management
Multifocal (or multiform) atrial tachycardia (MAT) is an abnormal heart rhythm, specifically a type of supraventricular
atrial tachycardia (MAT ... abnormal heart rhythm ... chronic obstructive pulmonary ... #Clinical #MedStudent ... #EKG #MAT #MultifocalAtrialTachycardia
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... : electrocardiogram ... mitral inflow, MA ... #Diagnosis #Cardiology ... Classification #Grades #Criteria
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Tachycardia Regular Rhythm ... cause Irregular Rhythm ... atrial flutter or MAT ... Tachycardia #Treatment #management ... #cardiology #algorithm
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
electrocardiographic criteria ... includes both MAT ... least 3 different ... wap #diagnosis #cardiology ... #ekg #ecg #electrocardiogram
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Multifocal atrial rhythm ... least 3 different ... #MAT #Multifocal ... #tachycardia #cardiology ... #electrocardiogram
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
Narrow & regular rhythm ... Brady Management ... summary #Diagnosis #EKG ... #electrocardiogram ... #ecg #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
atrial tachycardia (MAT ... arrest - escape rhythms ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
overload, irregular rhythm ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... medical and surgical management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology