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diagnosis cardiology differential management tachycardia anesthesia anesthesiology cardiac checklist ecg electrocardiogram intraoperative arrest arrhythmias bradyarrhythmia bradycardia cheatsheet chest clinical cooling
Causes of Tachycardia - Differential Diagnosis Algorithm Narrow Complex - Regular: • Sinus tachycardia • Atrial flutter
Causes of Tachycardia ... Differential Diagnosis Algorithm ... flutter • AV ... flutter with variable ... #Causes #cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
flutter, ectopic ... Treat underlying cause ... flutter or MAT ... Treat underlying cause ... #algorithm
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
flutter (3) ... (3) Multifocal atrial ... 200ms from longer pause ... #EKG #diagnosis ... electrocardiogram #cardiology
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
Differential Diagnosis Algorithm ... • Premature atrial ... tachyarrhythmias #Cardiology ... Differential #Diagnosis #Algorithm ... #causes
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
Algorithm History ... life-threatening causes ... : • EKG • Bedside ... , PT. aPTT • Serial ... Pain #Diagnosis #Algorithm
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
EKG Interpretation ... (e.g. ectopic atrial ... Flutter PR Interval ... @AmyChung #EKG ... #Interpretation
RA/CVP Waveform Interpretation Central venous pressure (CVP) or right atrial pressure (RAP) waveform tracings can often times
RA/CVP Waveform Interpretation ... fibrillation/flutter ... “cannon waves” caused ... CVP #Waveform #Interpretation ... #Diagnosis #Cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... flutter, or atrial ... fibrillation/flutter ... Valvular disease (e.g ... #Palpitations #Cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... CM5 continuous ECG ... Consider invasive arterial ... consultation with cardiology ... Diagnosis #Management #Workup
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Key Components: ... physical exam - Key components ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if:
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