12 results
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
Tachycardia - Differential ... Diagnosis and Management ... SarahFoohey #Tachycardia ... #cardiology #wide ... #narrow #algorithm
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Pediatric SVT - Management ... Algorithm Identify ... Signs of shock or ... supraventricular #tachycardia ... #Management #Algorithm
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Unexplained sinus tachycardia ... gallop • Abnormal ECG ... • Cardiogenic shock ... cardiac death Management ... #Cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... state) • Tachycardia ... telemetry, 12-Lead EKG ... #Diagnosis #Management ... #Summary #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... ) UOP > 0.5 cc/kg ... Differential #Diagnosis #criticalcare ... #algorithm #treatment ... #management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Narrow-Complex Tachycardia ... Control rate (e.g ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Stable Wide-Complex Tachycardia ... If ventricular tachycardia ... nodal agents (e.g ... #Treatment #management ... #cardiology #algorithm
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... • Mitral valve prolapse ... brain flow (VT/Vfib ... /Afib/WPW) • Loss ... #Palpitations #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... #Algorithm #DCSI ... #Initiative #Management ... #Cardiology
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
heart (Sepsis, Shock ... Now consider Tachycardia ... #diagnosis #algorithm ... #management #clinical ... #criticalcare #