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diagnosis cardiology differential management tachycardia treatment anatomical anesthesia anesthesiology bradyarrhythmia bradycardia cardiac cardiomyopathy checklist clinical complexes cvp ecg echocardiogram electrocardiogram
Anatomical Differential Diagnosis for Arrhythmias • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS) • AV
Diagnosis for Arrhythmias ... Flutter (AFL), ... Tachycardia (MAT ... Differential #Diagnosis #Causes ... #cardiology
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
Arrhythmias - Differential ... Diagnosis Algorithm ... aberrancy #Arrhythmias ... tachyarrhythmias #Cardiology ... #causes
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) ... tachycardia (MAT ... 200ms from longer pause ... #EKG #diagnosis ... electrocardiogram #cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... flutter, or atrial ... /flutter • Bradycardia ... associated with anxiety may ... #Palpitations #Cardiology
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
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
Cardiomyopathy • Inherited arrhythmia ... heart disease Causes ... 300 = NSVT EKG ... capture of the atria ... • Atrial fibrillation
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... inversion • Arrhythmias ... conscious, symptoms may ... Consider invasive arterial ... consultation with cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Key Components: ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... CV disease - Arrhythmia
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... pregnancy • May ... shock and severe arrhythmias ... Serial TTE and close ... diagnosis #management #cardiology
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