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diagnosis cardiology differential ekg ecg management palpitations syncope acutepe anatomical atrial bradyarrhythmia bradycardia cardiomyopathy clinical complexes digoxin echocardiogram elevation embolism
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
Causes of Palpitations ... FLUTTER • HEART BLOCK ... • PREMATURE VENTRICULAR ... • VENTRICULAR ... TACHYCARDIA NON-ARRHYTHMIC
Anatomical Differential Diagnosis for Arrhythmias • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS) • AV
Diagnosis for Arrhythmias ... rhythm) Tachy-arrhythmias ... Fibrillation (V-Fib ... , VF) #Arrhythmias ... Differential #Diagnosis #Causes
Classic Digoxin-Associated Arrhythmias • Atrial fibrillation with an unusually slow ventricular response • Atrial Fibrillation with
Digoxin-Associated Arrhythmias ... unusually slow ventricular ... Bidirectional Ventricular ... Tachycardia - ... cardiology #ecg #ekg #electrocardiogram
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
Arrhythmias - Differential ... Diagnosis Algorithm ... • Premature ventricular ... interval) • AFib ... #causes
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
abberancy - N B Afib ... (1) Sinus tachycardia ... 200ms from longer pause ... - ventricular pacemaker ... EKG #diagnosis #electrocardiogram
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
with variable block ... supraventricular or ventricular ... • Ventricular ... brain flow (VT/Vfib ... /Afib/WPW) • Loss
Algorithm for the Management of Ventricular Tachycardia Electrical Storm ES diagnosed (≥ 3 episodes of VT/ICD therapies
Algorithm for the ... Tachycardia Electrical ... not terminating arrhythmia ... of reversible causes ... #Tachycardia #Algorithm
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
Cardiomyopathy • Inherited arrhythmia ... heart disease Causes ... Bundle branch block ... tachycardia • ... • Sinus arrhythmia
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 ... Irregular wide-complex tachycardia ... bundle branch block ... control with early Afib ... (< 5% pts with afibb
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
evaluating for other causes ... Drive: • Sinus Tachycardia ... finding) • Atrial Arrhythmia ... * (e.g., A-Fib also ... diagnosis #cardiology #electrocardiogram
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