34 results
Classic Digoxin-Associated Arrhythmias
 • Atrial fibrillation with an unusually slow ventricular response
 • Atrial Fibrillation with
fibrillation with ... unusually slow ventricular ... Fibrillation with ... Arrhythmias #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
STEMI, but becomes ventricular ... fibrillation (or ... polymorphic ventricular ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Atrial Fibrillation and WPW - Pre-Excitation AFib
In pre-excitation + a-fib with RVR:
 • All AV nodal
Atrial Fibrillation ... at bedside • Cardiology ... PreExcitation #clinical ... #ecg #ekg #electrocardiogram ... #cardiology
Flecainide Toxicity on ECG

70 year old patient with chronic atrial fibrillation on an antiarrhythmic presented with
Flecainide Toxicity on ECG ... patient with chronic atrial ... fibrillation on ... Flecainide #Toxicity #ECG ... #Cardiology #Clinical
Almost any type of cardiac arrhythmia is seen in digitalis toxic­ity. However, type II second-degree atrioventricular
heart block, sino-atrial ... fibrillation may ... Non-paroxysmal atrial ... The various ECG ... #Diagnosis #Cardiology
Osborn (J Wave)

Etiology 
• Hypothermia (below 320C / SOOF) 
• Normal variant 
• Hypercalcemia 
• Neurological
Medications • Ventricular ... fibrillation ... Clinical • Most ... #Differential #Cardiology ... #EKG #ECG #Hypothermia
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
#Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... disease, left ventricular ... thrombus • Digoxin ... TEE to exclude thrombus ... diagnosis #management #cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Absent a wave - Atrial ... fibrillation, sinus ... dissociation, ventricular ... septal defect ... #PhysicalExam #cardiology
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
, LAA Thrombus), ... non-culprit vessels • Atrial ... Fibrillation ... Scoring: • Definite ... scoring #criteria #cardiology