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ECG Basics - Atrial Rhythms #Cardiology #MedStudent #EKG #Atrial #SVT #Comparison #Table #AFib #AFlutter #MAT #WAP
ECG Basics - Atrial ... Rhythms #Cardiology ... #MedStudent #EKG ... #Table #AFib #AFlutter ... #MAT #WAP #WPW
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
tachycardia (MAT ... ) - 3 different ... arrest - escape rhythms ... #EKG #diagnosis ... electrocardiogram #cardiology
Supraventricular tachycardia (SVT) is an abnormally fast heart rhythm arising from improper electrical activity in upper
abnormally fast heart rhythm ... four main types: atrial ... Symptoms may include ... #Clinical #MedStudent ... #Cardiology #EKG
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... different P wave ... • Hypoxia • Pulmonary ... #Cardiology #Diagnosis ... #ECG #EKG #Management
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
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Tachycardia Regular Rhythm ... with caution in pulmonary ... cause Irregular Rhythm ... flutter or MAT ... Treatment #management #cardiology
Narrow Complex Tachycardias (Simplified)

Irregular Narrow Complex Tachycardia:
 1. Atrial fibrillation
	- Usually the correct answer
 2. Multifocal
Tachycardia (MAT ... ) ≥ 3 different ... A regular rhythm ... Atrial flutter ... diagnosis #causes #cardiology
Multifocal (or multiform) atrial tachycardia (MAT) is an abnormal heart rhythm, specifically a type of supraventricular
tachycardia (MAT ... chronic obstructive pulmonary ... rhythm). ... #Clinical #MedStudent ... #EKG #MAT #MultifocalAtrialTachycardia
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
Narrow & regular rhythm ... • May be no pattern ... P and QRS • Atrial ... summary #Diagnosis #EKG ... #cardiology
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Rhythm vs Wandering ... Rhythm / Multifocal ... least 3 different ... wap #diagnosis #cardiology ... #ekg #ecg #electrocardiogram