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diagnosis cardiology ecg ekg algorithm arrhythmias atrial bradyarrhythmia bradycardia cardiomyopathy classification clinical complexes deep echocardiogram elevation emergency fibrillation management mimics
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
Syncope - Differential Diagnosis Algorithm Neurocardiogenic: • Vasovagal • Orthostatic Hypotension • Autonomic Neuropathy • Situational (micturition,
Syncope - Differential ... • AFib/AFlutter ... /3rd degree AV Block ... #Cardiology #Differential ... Diagnosis #Algorithm #causes
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
Causes of Palpitations ... FLUTTER • HEART BLOCK ... • PREMATURE VENTRICULAR ... TACHYCARDIA • VENTRICULAR ... #Causes #Differential
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
Shock - Differential ... • AV block ... Tachyarrhythmias • Ventricular ... #Differential # ... Classification #Table #Causes
Syncope - Differential Diagnosis Framework Reflex Syncope: • Vasovagal: Prolonged standing, Stress, Pain • Situational: Coughing, Sneezing, Micturition, Defecation,
Syncope - Differential ... bradycardia, Sinus pauses ... , AV block • Tachyarrhythmias ... : Ventricular • ... #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
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Symptoms: • Palpitations ... chest pain, near-syncope ... , syncope. ... bundle branch block ... (< 5% pts with afibb
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
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
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