9 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... different P wave ... • Hypoxia • Pulmonary ... #MAT #Cardiology ... #EKG #Management
Multifocal (or multiform) atrial tachycardia (MAT) is an abnormal heart rhythm, specifically a type of supraventricular
(MAT) is an abnormal ... chronic obstructive pulmonary ... atrial rhythm). ... #Clinical #MedStudent ... #EKG #MAT #MultifocalAtrialTachycardia
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Multifocal Atrial ... Rhythm / Multifocal ... electrocardiographic criteria ... #Atrial #Rhythm ... #ekg #ecg #electrocardiogram
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Multifocal Atrial ... Multifocal atrial ... rhythm & Multifocal ... #MAT #Multifocal ... #atrial #rhythm
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
block (3) Multifocal ... (MAT) - 3 ... arrest - escape rhythms ... #EKG #diagnosis ... electrocardiogram #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Tachycardia Regular Rhythm ... cause Irregular Rhythm ... flutter or MAT ... Tachycardia #Treatment #management ... #cardiology #algorithm
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Heart Rate and Rhythm ... sinus syndrome) • Multifocal ... Pheochromocytoma • Pulmonary ... associated with anxiety may ... #Palpitations #Cardiology
Endocarditis Summary

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