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diagnosis management cardiology differential algorithm anesthesiology checklist intraoperative workup ekg clinical criticalcare foamed stable anaphylaxis bradyarrhythmia bradycardia cardiac cardiomyopathy cellulitis
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
Tachycardia (MAT ... • Oxygen • Treatment ... #Tachycardia #MAT ... #Cardiology #Diagnosis ... #ECG #EKG #Management
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Treat underlying cause ... flutter or MAT ... Treat underlying cause ... #cardiology #algorithm
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... (2) Atrial ... tachycardia (MAT ... 200ms from longer pause ... electrocardiogram #cardiology
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... Guidelines for Crises ... remember to tailor treatment ... obtain 12-lead ECG ... circulatory embolus, gas/fat
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
conscious, symptoms may ... CM5 continuous ECG ... Consider invasive arterial ... consultation with cardiology ... Anesthesiology #Anesthesia
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... arrest where other causes ... trolley, anaphylaxis treatment ... require prolonged treatment ... alternate vasopressor (e.g
Wolff–Parkinson–White syndrome (WPW) is one of several disorders of the electrical system of the heart that
WPW is caused by ... pathway between the atria ... bundle of Kent) may ... reciprocating tachycardia ... #MedStudent #EKG
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
capture of the atria ... may or may not ... arrhythmia • Atrial ... more intensive treatment ... #differential #cardiology
Treatment of Stable Wide-Complex Tachycardia Regular • If ventricular tachycardia or uncertain rhythm: -
Treatment of Stable ... if necessary to max ... nodal agents (e.g ... #Treatment #management ... #cardiology #algorithm
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... flutter, or atrial ... Valvular disease (e.g ... associated with anxiety may ... #Palpitations #Cardiology
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