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Bradycardia Diagnostic and Management Algorithm CONSIDER ETIOLOGY (not inclusive): - STRUCTURAL: sick sinus, AV block, ischemia,
- TOX: beta-blockers ... calcium channel blockers ... LIFE THREATENING CAUSES ... - Drugs (beta-blockers ... calcium channel blockers
Drugs causing hyperkalemia • Impaired release of renin: NSAIDs, Beta blockers, Cyclosporine, tacrolimus, Diabetes, Elderly •
: NSAIDs, Beta blockers ... Angiotensin receptor blockers ... Sodium Channel Blockers ... Aldosterone Receptor Blockers ... #medications #causes
Non-lschemic Causes of Cardiogenic Shock: Beta-Blockers, Calcium Channel Blockers, Digoxin Myocarditis Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, hemochromatosis) Valvular
Non-lschemic Causes ... Shock: Beta-Blockers ... Calcium Channel Blockers ... #Nonlschemic #Causes
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
diltiazem or B-blockers ... diltiazem or B-blockers ... , use B-blockers ... diltiazem or B-blockers ... , use B-blockers
Causes of HyperKalemia - Differential Diagnosis Increased extracellular K+: • Tissue injury • Hemolysis • Rhabdomyolysis •
Causes of HyperKalemia ... • Aldosterone blockers ... • Aldosterone blockers ... Differential #Diagnosis #Causes
One Pill Kills - Those that can be fatal even after just ingesting a small amount 1)
CALCIUM CHANNEL BLOCKERS ... Cause delayed ... They can also block ... ANTIDEPRESSANTS Block ... production. 6) BETA BLOCKERS
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
Causes of Palpitations ... FLUTTER • HEART BLOCK ... SODIUM CHANNEL BLOCKERS ... #Palpitations #Causes
Common sodium channel blockers which cause QRS widening. Anticonvulsants: - Carbamazepine Antidysrhythmics: - Group
sodium channel blockers ... which cause QRS ... Amantadine Beta Blockers ... Differential #Drugs #Classes
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular Regular Rhythm - Narrow Complex
AFIutter + variable block ... whether AF is cause ... Tx: Underlying cause ... Beware AV nodal blockers ... Narrow #Irregular #causes
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
surgery • Heart block ... Medications: • Beta blockers ... Calcium channel blockers ... Spondylarthropathies Other causes ... differential #diagnosis #causes
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