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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 ... #AFib #RVR #Algorithm ... #management #Rapid
Atrial Fibrillation Management Algorithm and Checklist - CAEP Best Practices
A. Assessment and Risk Stratification
B. Rate or
Atrial Fibrillation ... Management Algorithm ... and Checklist - ... #AFib #Management ... #Algorithm #Checklist
Classic Digoxin-Associated Arrhythmias
 • Atrial fibrillation with an unusually slow ventricular response
 • Atrial Fibrillation with
Arrhythmias • Atrial fibrillation ... unusually slow ventricular ... Bidirectional Ventricular ... #Arrhythmias #diagnosis ... #cardiology #ecg
Ventricular Fibrillation
• Completely disorganized 
• Immediate cessation of cardiac output, no associated pulse 
• No discernible
Ventricular Fibrillation ... with Life #Ventricular ... #Fibrillation # ... VFib #Diagnosis
Hypothermia on EKG
 • J (Osborn) waves
 • PR, QRS, and QT prolongation
 • Various bradyarrythmias
Hypothermia on EKG ... bradycardia, a fib ... with slow ventricular ... #ECG #electrocardiogram ... #cardiology #diagnosis
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... • Aggressive management ... #Endocarditis #checklist ... #criticalcare #diagnosis ... #management
Osborn (J Wave)

Etiology 
• Hypothermia (below 320C / SOOF) 
• Normal variant 
• Hypercalcemia 
• Neurological
Medications • Ventricular ... fibrillation ... Osborn #JWave #Diagnosis ... Differential #Cardiology #EKG ... #ECG #Hypothermia
Anatomical Differential Diagnosis for Arrhythmias
 • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS)
 • AV
Anatomical Differential Diagnosis ... • Ventricles: Ventricular ... (AFL), Atrial Fibrillation ... Fibrillation (V-Fib ... #Differential #Diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... abberancy - N B Afib ... Distal AV block - ventricular ... bradyarrhythmia #ECG ... #EKG #diagnosis
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Irregularly irregular ventricular ... disease, left ventricular ... #AFib #diagnosis ... #management #cardiology