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diagnosis cardiology differential ekg stroke a4c acutepe bradyarrhythmia bradycardia clinical cva ecg embolism fibrillation functional infectiousdiseases ischemic management neurology palpitations
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
abberancy - N B Afib ... DANGER (4) Vfib ... Irregular (1) A fib ... 200ms from longer pause ... EKG #diagnosis #electrocardiogram
Stroke Etiologies Hemorrhagic (IPH, SAH) Ischemic - Large Vessel Atherosclerosis - Cardioembolic: Atrial fib, prosthetic valves, LV aneurysm,
Cardioembolic: Atrial ... fib, prosthetic ... , LV aneurysm, Endocarditis ... embolism, Occult a-fib ... EricsMedicalLectures/ #Stroke #causes
Causes of Ischemic Stroke - Differential Diagnosis Framework Important to determine and treat the etiology behind because
Causes of Ischemic ... • Arrhythmias: Afib ... * • Valvular: Mitral ... Prosthetic valve • Endocarditis ... Non-atherosclerotic: Arterial
Atrial Fibrillation on POCUS Echocardiogram (A4C) 35yoF presents with acute onset atrial fibrillation. POCUS shows dilated
Atrial Fibrillation ... on POCUS Echocardiogram ... & poor mitral valve ... #Fibrillation #AFib ... #POCUS #Echocardiogram
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 Causes of mitral stenosis Rheumatic heart disease - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... chordae Severe mitral ... disease Infective endocarditis ... (vegetations)/tumor ... (left atrial myxoma
Causes of Primary and Functional Mitral Regurgitation (MR) Causes of primary mitral regurgitation - Rheumatic heart
Causes of Primary ... Regurgitation (MR) Causes ... Infective/marantic endocarditis ... Vegetations seen ... plane into left atrium
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Involves aortic and mitral ... Libman Sacks) • Atrial ... Septic Emboli Cause ... formation • Other vegetations ... -mm left sided vegetations
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
flutter, or atrial ... heart failure • Mitral ... stenosis) • Severe mitral ... 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 ... common finding) • Atrial ... Arrhythmia* (e.g., A-Fib ... also a result of atrial ... diagnosis #cardiology #electrocardiogram
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
involves aortic and mitral ... Libman Sacks) • Atrial ... Septic emboli cause ... formation • Other vegetations ... -mm left sided vegetations
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