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differential checklist criticalcare electrocardiogram workup algorithm infectiousdiseases anesthesia anesthesiology endocarditis intraoperative summary bradycardia chf evaluation heartfailure lung myocarditis shock stable
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
• Hypoxia • Pulmonary ... • Oxygen • Treatment ... #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... Drive: • Sinus Tachycardia ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Algorithm for the Evaluation of Regular, Wide-Complex Tachycardia 1. aVR: Is the initial deflection in aVR positive?
, Wide-Complex Tachycardia ... dissociation (fusion or capture ... Interpretation #ECG ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
endocarditis w/ septic pulmonary ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... Unexplained sinus tachycardia ... gallop • Abnormal ECG ... cardiac death Management ... #Management #Cardiology
Treatment of Stable Wide-Complex Tachycardia Regular • If ventricular tachycardia or uncertain rhythm: -
Treatment of Stable ... Wide-Complex Tachycardia ... nodal agents (e.g ... #Treatment #management ... #cardiology #algorithm
Approach to ECGs - VT vs. SVT - Wide Tachycardias DDx = VT vs. SVT with BBB All
SVT - Wide Tachycardias ... different rates) - Capture ... VentricularTachycardia #Versus #ecg ... #ekg #cardiology ... #diagnosis #electrocardiogram
Medical Management of Acute RV Failure • Evaluate and Treat Etiology of RV Failure [e.g. Acute
Medical Management ... of RV Failure [e.g ... involving RV, Pulmonary ... rightventricular #cardiology ... #management #treatment
Algorithm for Management of Acute Exacerbation of COPD (AECOPD) Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... gram stain and culture ... doppler, CTA • ECG ... #Exacerbation #treatment ... #pulmonary
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