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Bradycardia Diagnostic and Management Algorithm CONSIDER ETIOLOGY (not inclusive): - STRUCTURAL: sick sinus, AV block, ischemia,
sick sinus, AV block ... - TOX: beta-blockers ... calcium channel blockers ... LIFE THREATENING CAUSES ... - Drugs (beta-blockers
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
Causes of Palpitations ... FLUTTER • HEART BLOCK ... SODIUM CHANNEL BLOCKERS ... #Palpitations #Causes
Deep T Wave Inversions - Differential Normal variants A. Juvenile T wave pattern
bundle branch blocks ... bundle branch block ... Differential #Diagnosis #Causes
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
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 -
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
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
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
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
Faget Sign - Pulse-Temperature Dissociation Causes of Relative Bradycardia • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Dissociation Causes ... • Infectious Causes ... Non-Infectious Causes ... : Beta-blockers, ... differential #diagnosis #causes
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