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diagnosis differential fibrillation syndrome cardiomyopathy ekg endocarditis hepatology infectiousdiseases mnemonic multifocal palpitations peripartum pirates abscess acutepe algorithm bronchiectasis capillary clarksons
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
Multifocal Atrial ... to chronic lung disease ... • Hypoxia • Pulmonary ... • Oxygen • Treatment ... #Cardiology #Diagnosis
Atrial Fibrillation - Diagnosis, Causes, Presentations Causes (PIRATES): - Pulmonary embolism - Ischemia (cardiac) -
(PIRATES): - Pulmonary ... - Repiratory disease ... myxoma - Thyroid disease ... #Fibrillation #AFib ... PIRATES #Emergency #Cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... disease or CHF) ... disease or CHF) ... #Treatment #management ... #cardiology #algorithm
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
Causes of Palpitations ... • ATRIAL TACHYCARDIA ... PHAEOCHROMOCYTOMA • PULMONARY ... #Palpitations #Causes ... Differential #Diagnosis #Cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
flutter, or atrial ... Pheochromocytoma • Pulmonary ... brain flow (VT/Vfib ... /Afib/WPW) • Loss ... #Palpitations #Cardiology
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Noncardiac: • Pulmonary ... Irregular wide-complex tachycardia ... (< 5% pts with afibb ... #diagnosis #management ... #cardiology
PIRATES Mnemonic for the Causes of Atrial Fibrillation P - Pulmonary Disease, PE I - Ischemic, Idiopathic R -
Mnemonic for the Causes ... P - Pulmonary ... Disease, PE I ... #Fibrillation #AFib ... Differential #Diagnosis #Cardiology
Heart Failure with Preserved Ejection Fraction: Management Principles General Therapeutic Principles: Reduce the congestive state - Caution
Ejection Fraction: Management ... contraction and prevent tachycardia ... hypertension, pulmonary ... #Cardiology #HFpEF ... dCHF #Diastolic #Treatment
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
evaluating for other causes ... Drive: • Sinus Tachycardia ... Arrhythmia* (e.g., A-Fib ... also a result of atrial ... AcutePE #diagnosis #cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
Causes: • Hypertension ... capture of the atria ... arrhythmia • Atrial ... more intensive treatment ... #differential #cardiology
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