21 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
different P wave ... Secondary to chronic lung ... • Hypoxia • Pulmonary ... #Cardiology #Diagnosis ... #ECG #EKG #Management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
cultures (three sets at ... three different ... w/ septic pulmonary ... block (+/- daily EKG ... • Aggressive management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
disease or CHF) ... atrial flutter or MAT ... disease or CHF) ... Tachycardia #Treatment #management ... #cardiology #algorithm
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the lung ... in a supine or semi-erect ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... 1 — Treat the lungs ... #Checklist #CHF ... #HeartFailure #Cardiology ... #Management
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
AMS, SOB from CHF ... : 1 mA/kg). 5. ... (usually 5-10 mA ... bradycardia #diagnosis #differential ... #management #cardiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Decompensated CHF ... • Obstructive: Pulmonary ... ) UOP > 0.5 cc/kg ... algorithm #treatment #management
Pleural Manometry Summary
Measurement of Intrapleural Pressures and Pleural Elastance during therapeutic thoracentesis can be used to
such as trapped lung ... and entrapped lung ... intermittently (e.g ... Manometry #diagnosis #management ... #pulmonary #differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Cerebral > Splenic, pulmonary ... ↑ ESR, CRP • EKG ... #diagnosis #management ... #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
atrial tachycardia (MAT ... AV block 1º - long ... #EKG #diagnosis ... electrocardiogram #cardiology ... #differential