23 results
Algorithm for the management of atrial fibrillation with rapid ventricular response

- Dr. Tom Fadial @thame 

#Atrial
Algorithm for the management ... of atrial fibrillation ... with rapid ventricular ... #fibrillation #AFib ... Rapid #Emergency #Cardiology
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... • Oxygen • Treatment ... #Multifocal #Atrial ... Tachycardia #MAT #Cardiology ... #EKG #Management
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
abberancy - N B Afib ... (3) SVTs - atrial ... Distal AV block - ventricular ... #EKG #diagnosis ... electrocardiogram #cardiology
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 • Regular: Sinus Bradycardia, AFib w/ AV
Framework and Management ... w/ AV Block, Atrial ... SVT WI Wide QRS, Ventricular ... epinephrine 4) Page Cardiology ... #cardiology #criticalcare
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
control with early Afib ... disease, left ventricular ... #Fibrillation #AFib ... #diagnosis #management ... #cardiology
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
Brady Management ... P and QRS • Atrial ... rate > Ventricular ... summary #Diagnosis #EKG ... #cardiology
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... (e.g. ectopic atrial ... Waves/Fibrillary = afib ... @AmyChung #EKG ... Electrocardiogram #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #Tachycardia #Treatment ... #management #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
supraventricular or ventricular ... tachycardia • Ventricular ... • Mitral valve prolapse ... /Afib/WPW) • Loss ... #Palpitations #Cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
300 = NSVT EKG ... capture of the atria ... arrhythmia • Atrial ... more intensive treatment ... #differential #cardiology