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Pacemaker Placement Indications Class I: • Third degree block • Advanced 2nd degree block • Symptomatic Mobitz
• Third degree block ... Advanced 2nd degree block ... or 3rd degree block ... • Reversible causes ... of AV block -
Deep T Wave Inversions - Differential Normal variants A. Juvenile T wave pattern
bundle branch blocks ... bundle branch block ... Differential #Diagnosis #Causes
Fever vs Hyperthermia Fever: • Regulated in the hypothalamic thermoregulatory center • "Set point" raised by prostaglandin
• Antipyretics block ... antipyretics to block ... rapidly fatal • Causes ... Identify underlying cause ... Cooling blankets can cause
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular Regular Rhythm - Narrow Complex
AFIutter + variable block ... whether AF is cause ... Tx: Underlying cause ... Narrow #Irregular #causes
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
Causes of Palpitations ... FLUTTER • HEART BLOCK ... #Palpitations #Causes
WOBBLER for ECG assessment in Syncope W - Wolff Parkinson White O - Obstructed AV
- Bifascicular block ... or 3rd degree block ... B bifascicular block ... syncope, can be caused ... characteristically cause
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
Syndrome • SA Block ... • AV Block (ISt ... Diagnosis #Algorithm #causes
Bradycardia Diagnostic and Management Algorithm CONSIDER ETIOLOGY (not inclusive): - STRUCTURAL: sick sinus, AV block, ischemia,
sick sinus, AV block ... LIFE THREATENING CAUSES
Syncope - Differential Diagnosis The percentage of syncopal events secondary to arrhythmias or structural disease is generally
Sick sinus, AV block ... differential #diagnosis #causes
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Treat underlying cause ... : • Causes can ... administered • Can cause ... antagonists: • Blocks
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