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Algorithm for the management of atrial fibrillation with rapid ventricular response

- Dr. Tom Fadial @thame 

#Atrial
Algorithm for the ... fibrillation with ... rapid ventricular ... #AFib #RVR #Algorithm ... #Emergency #Cardiology
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
fibrillation (or ... polymorphic ventricular ... tachycardia) halfway ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Irregular wide-complex tachycardia ... control with early Afib ... (< 5% pts with afibb ... #management #cardiology
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Regular • If ventricular ... nodal agents (e.g ... If polymorphic ventricular ... #Treatment #management ... #cardiology #algorithm
Ventricular fibrillation (V-fib or VF) is when the heart quivers instead of pumps due to disorganized
Ventricular fibrillation ... (V-fib or VF) is ... Ventricular fibrillation ... #Clinical #MedStudent ... #Cardiology #EKG
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Arrhythmias: • Atrial fibrillation ... • Ventricular ... • Mitral valve prolapse ... /Afib/WPW) • Loss ... #Palpitations #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... Probable atrial fibrillation ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
Ventricular Fibrillation - Transesophageal echo
POC-TEE in cardiac arrest: Instant recognition of shockable rhythm during a pulse
Ventricular Fibrillation ... a pulse check (ECG ... VFib #Arrest #Transesophageal ... Echocardiogram #POCUS #Cardiology ... #Clinical
Ventricular tachycardia (V-tach or VT) is a type of regular and fast heart rate that arises
Ventricular tachycardia ... Ventricular tachycardia ... fibrillation. ... #Clinical #MedStudent ... #Cardiology #EKG
Inherited Arrhythmia Syndromes
Entity - Prevalence / Incidence - Diagnosis - Arrhythmic Presentation - Management
 • Long
Presentation - Management ... Tachycardia • ... Fibrillation ... Arrhythmia #Syndromes #clinical ... #cardiology #diagnosis