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cardiology differential ekg management checklist clinical echocardiogram electrocardiogram neurology workup algorithm anesthesia anesthesiology digoxin endocarditis intraoperative ischemic pocus stroke ultrasound
Classic Digoxin-Associated Arrhythmias • Atrial fibrillation with an unusually slow ventricular response • Atrial Fibrillation with
Digoxin-Associated Arrhythmias ... • Atrial fibrillation ... with Complete Heart ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Almost any type of cardiac arrhythmia is seen in digitalis toxic­ity. However, type II second-degree atrioventricular
type of cardiac arrhythmia ... The arrhythmias ... Complete heart block ... fibrillation may ... #Diagnosis #Cardiology
Anatomical Differential Diagnosis for Arrhythmias • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS) • AV
Anatomical Differential Diagnosis ... (AFL), Atrial Fibrillation ... Fibrillation (V-Fib ... #Differential #Diagnosis ... #Causes #cardiology
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
Physical exam (complete ... Cardioembolic: • ECG ... +/- TEE (high Afib ... No major-risk embolic ... stroke #workup #diagnosis
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
evaluating for other causes ... finding) • Atrial Arrhythmia ... * (e.g., A-Fib also ... Incomplete or Complete ... #diagnosis #cardiology
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
Arrhythmias - Differential ... Diagnosis Algorithm ... • Premature ventricular ... interval) • AFib ... #Algorithm #causes
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
Cardiomyopathy • Inherited arrhythmia ... Differential Diagnosis ... tachycardia • Sinus arrhythmia ... • Atrial fibrillation ... #PVC #diagnosis
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... : • Atrial fibrillation ... supraventricular or ventricular ... tachycardia • Ventricular ... /Afib/WPW) • Loss
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Atrial Fibrillation ... Common Sustained Arrhythmia ... Irregular wide-complex ... disease, left ventricular ... #AFib #diagnosis
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Cause Injury By ... formation • Other vegetations ... ↑ ESR, CRP • EKG ... Treat underlying cause ... -mm left sided vegetations
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