21 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial Tachycardia ... • Oxygen • Treatment ... #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Unexplained sinus tachycardia ... gallop • Abnormal ECG ... shock, sudden cardiac ... #Management #Cardiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... Distributive: Sepsis, Anaphylaxis ... Pneumothorax, Cardiac ... ) UOP > 0.5 cc/kg ... #management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... treatment pack ... arrest, start CPR ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... unless worrisome EKG ... with tetany or cardiac ... Syndrome #TLS #diagnosis ... #management #hematology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... #Myocarditis #diagnosis ... #management #cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... shock state) • Tachycardia ... telemetry, 12-Lead EKG ... #criticalcare #treatment
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Triggers: ATRA treatment ... Prednisone 5mg/kg ... common • Imaging: CXR ... PE, DAH, CHF, Anaphylaxis ... #management #hematology
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
remember to tailor treatment ... hypovolaemia; primary cardiac ... amniotic (→ 3-5); anaphylaxis ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
manifestation of cardiac ... 300 = NSVT EKG ... Differential Diagnosis ... more intensive treatment ... #differential #cardiology