13 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... • At least 3 different ... • Hypoxia • Pulmonary ... #Cardiology #Diagnosis ... #ECG #EKG #Management
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
) - 3 different ... P waves in lead ... - ventricular pacemaker ... #EKG #diagnosis ... electrocardiogram #cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
MI in LBBB or Pacemaker ... Capture: Narrow, different ... Criteria - Suspect STEMI ... Diagnosis #Checklist #EKG ... #cardiology #lbbb
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Tachycardia: Belong ... of at least 3 different ... #Rhythm #tachycardia ... wap #diagnosis #cardiology ... #ekg #ecg #electrocardiogram
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... with caution in pulmonary ... with caution in pulmonary ... #Treatment #management ... #cardiology #algorithm
Pacemaker Operating Modes
1 - Chamber paced
     A (atrium), V (ventricle), D (dual/both)
2
lead will be ignored ... tachycardia) Additional ... The voltage a lead ... Pacing #settings #cardiology ... #management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... DCSI #Initiative #Management ... #Cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Physical exam • 12-lead ... ECG • Limited ... valve prolapse • Pacemaker-mediated ... Pheochromocytoma • Pulmonary ... #Palpitations #Cardiology
Pacemaker Timing Settings
 • Lower rate limit (50-60 bpm) - The lowest rate at which the
Pacemaker Timing ... lead will be ignored ... tachycardia) ... Timing #Pacing #cardiology ... #management #settings
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... QRS complex Pulmonary ... block; and sinus tachycardia ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram