12 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Tachycardia (MAT ... • Hypoxia • Pulmonary ... #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Multifocal Atrial Tachycardia (MAT) on EKG
 • Heart rate > 100 bpm (usually 100-150 bpm)
 •
Multifocal Atrial ... Tachycardia (MAT ... ) on EKG • Heart ... #Tachycardia #diagnosis ... #cardiology #EKG
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
atrial tachycardia ... least 3 different ... #MAT #Multifocal ... #cardiology #diagnosis ... #ekg #electrocardiogram
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Atrial Tachycardia ... criteria for the diagnosis ... both MAT (atrial ... least 3 different ... #cardiology #ekg
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
block (3) Multifocal ... (MAT) - 3 ... different P waves ... #EKG #diagnosis ... electrocardiogram #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
three different ... TEE) • Chest CT ... w/ septic pulmonary ... block (+/- daily EKG ... #criticalcare #diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... occlusion that may ... lead to infarction ... ↑ ESR, CRP • EKG ... #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Physical exam • 12-lead ... sinus syndrome) • Multifocal ... Pheochromocytoma • Pulmonary ... #Palpitations #Cardiology
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
Thyrotoxicosis - Wet ... atrial fibrillation at ... • Infective Endocarditis ... Infarction • Pulmonary ... Pathophysiology #causes #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

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