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cardiology diagnosis differential bradycardia ekg algorithm bradyarrhythmia cardiomyopathy criticalcare ecg embolism endocarditis fibrillation obgyn palpitations peripartum ppcm pulmonary tachyarrhythmia tachyarrhythmias
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
Arrhythmias - Differential ... Escape Rhythm • Ventricular ... • Premature ventricular ... interval) • AFib ... Diagnosis #Algorithm #causes
Bradycardia - Differential Diagnosis Framework and Management Narrow Complex Bradycardia: • Regular: Sinus Bradycardia, AFib w/ AV
Framework and Management ... w/ AV Block, Atrial ... Irregular: Sinus Arrhythmia ... Sinus Arrest, AFib ... SVT WI Wide QRS, Ventricular
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
abberancy - N B Afib ... (3) SVTs - atrial ... 200ms from longer pause ... - ventricular pacemaker ... EKG #diagnosis #electrocardiogram
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Common Sustained Arrhythmia ... bundle branch block ... (< 5% pts with afibb ... #Fibrillation #AFib ... #diagnosis #management
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
with variable block ... supraventricular or ventricular ... tachycardia • Ventricular ... brain flow (VT/Vfib ... /Afib/WPW) • Loss
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
evaluating for other causes ... Arrhythmia* (e.g ... ., A-Fib also a ... result of atrial ... diagnosis #cardiology #electrocardiogram
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... Culture (+): Acute ... Septic Emboli Cause ... -mm left sided vegetations ... Endocarditis #diagnosis #management
Peripartum Cardiomyopathy (PPCM) What is PPCM? • A form of acute systolic heart failure that develops late in
• A form of acute ... Characterized by left ventricular ... Cardiogenic shock ⚠️ Arrhythmias ... tachycardia on the electrocardiogram ... recognition and management
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