12 results
Causes of Palpitations
 • ARRHYTHMiA 
 • SINUS ARRYTHMIA 
 • ATRIAL FIBRILLATION 
 • ATRIAL
Causes of Palpitations ... FLUTTER • HEART BLOCK ... • PREMATURE VENTRICULAR ... TACHYCARDIA • VENTRICULAR ... #Causes #Differential
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 • Regular: Sinus Bradycardia, AFib w/ AV
Bradycardia - Differential ... Framework and Management ... Sinus Arrest, AFib ... SVT WI Wide QRS, Ventricular ... #Bradycardia #Differential
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
abberancy - N B Afib ... 200ms from longer pause ... - ventricular pacemaker ... EKG #diagnosis #electrocardiogram ... #cardiology #differential
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 ... #Cardiology #Differential
Deep T Wave Inversions - Differential
Normal variants 
  A. Juvenile T wave pattern
Wave Inversions - Differential ... Left or right ventricular ... bundle branch block ... #Diagnosis #Causes ... Cardiology #ECG #EKG #Electrocardiogram
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
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Symptoms: • Palpitations ... bundle branch block ... control with early Afib ... #Fibrillation #AFib ... #diagnosis #management
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
heart disease Causes ... Bundle branch block ... the heartbeat • Palpitations ... may not occur Differential ... PVC #diagnosis #differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Septic Emboli Cause ... Marantic (NTBE) Differential ... Treat underlying cause ... -mm left sided vegetations ... Endocarditis #diagnosis #management
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Elevation - Differential ... V5-6 • Left Ventricular ... voltage Other Causes ... cardiology #ecg #ekg #electrocardiogram