11 results
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
PR interval are normal ... Wandering Atrial ... #cardiology #diagnosis ... #ekg #ecg #electrocardiogram ... #variants #clinical
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... summation gallop • Abnormal ... ECG, echocardiogram ... #Management #Cardiology
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Arrhythmias on ... ECG Multifocal ... waves will have normal ... #diagnosis #ekg ... electrocardiogram #clinical
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
PR interval are normal ... Wandering Atrial ... #cardiology #diagnosis ... #ekg #ecg #electrocardiogram ... #variants #clinical
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid - Diagnosis ... Clinical Presentation ... hepatomegaly - normal ... despite hx HTN) EKG ... precordial leads) - atrial
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Cardiogenic shock, Arrythmias ... agent, steroids, AC ... #Myocarditis #diagnosis ... #management #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
ancestry, LGE on MRI ... sx overlap with normal ... shock and severe arrhythmias ... Serial TTE and close ... #management #cardiology
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Guillain-Barre Clinical ... labile BP and arrythmias ... CSF PROTEIN - NORMAL ... axonal form • MRI ... #management #treatment
Amyloidosis - Summary
Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
Clinical suspicion ... Amyloidosis Clinical ... abnormalities, arrhythmia ... disproportionate atrial ... enlargement • MRI
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
CV disease - Arrhythmia ... Change in clinical ... CARP, DECREASE V trials ... medical and surgical management ... stratification #diagnosis