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Approach to the Hypotensive Patient - Differential Diagnosis Framework for Hypotension

Blood Pressure = Heart Rate x
Patient - Differential ... Resistance Bradycardia ... output): • Sinus bradycardia ... #hypotensive #differential ... #diagnosis #causes
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... • Orthostatic Hypotension ... • AFib/AFlutter ... #Cardiology #Differential ... Diagnosis #Algorithm #causes
Syncope - Differential Diagnosis Framework
Reflex Syncope:
• Vasovagal: Prolonged standing, Stress, Pain
• Situational: Coughing, Sneezing, Micturition, Defecation,
Syncope - Differential ... Bradyarrhythmias: Sinus bradycardia ... , Sinus pauses, ... Tachyarrhythmias: Ventricular ... #Differential #
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... Bradyarrhythmias • Sinus bradycardia ... Tachyarrhythmias • Ventricular ... #Differential # ... Classification #Table #Causes
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
60 (1) Sinus bradycardia ... 200ms from longer pause ... Distal AV block - ventricular ... EKG #diagnosis #electrocardiogram ... #cardiology #differential
Anatomical Differential Diagnosis for Arrhythmias
 • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS)
 • AV
Anatomical Differential ... SA node: Sinus bradycardia ... Fibrillation (V-Fib ... Arrhythmias #Anatomical #Differential ... #Diagnosis #Causes
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Arrhythmias - Differential ... bpm) • Sinus Bradycardia ... • Premature ventricular ... interval) • AFib ... Diagnosis #Algorithm #causes
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... supraventricular or ventricular ... tachycardia • Ventricular ... /Afib/WPW) • Loss ... consciousness • Near-syncope
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
assessing an ECG (electrocardiogram ... ) in cases of syncope ... evaluate potential causes ... • L: Left Ventricular ... #cardiology #differential