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Pacemaker Evaluation Algorithm by Lorne Costello

#Diagnosis #ECG #EKG #Pacemaker #Evaluation #Algorithm #PPM
Pacemaker Evaluation ... Algorithm by Lorne ... #Diagnosis #ECG ... #EKG #Pacemaker ... #Evaluation #Algorithm
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
• Treatment: Pacemaker ... • Treatment: Pacemaker ... HeartBlocks #Types #Classification ... summary #Diagnosis #EKG ... electrocardiogram #ecg
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
(AV blocks) - ECG ... by a junctional pacemaker ... an infra-Hisian pacemaker ... AVBlock #cardiology #ekg ... electrocardiogram #classification
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
- w/ variable block ... (3) SA node block ... - ventricular pacemaker ... bradyarrhythmia #ECG ... #EKG #diagnosis
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
presence of AV block ... Wandering Atrial Pacemaker ... several cycle the pacemaker ... cardiology #diagnosis #ekg ... #ecg #electrocardiogram
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
) - HiPR: AV block ... ectopic atrial pacemaker ... leads rsr'), V-pacemaker ... #Approach #ECG ... #EKG #diagnosis
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain • ECG ... : Bad block? ... Connect ECG Leads ... Set pacemaker to
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management Algorithm ... potassium and ECG ... , fascicular blocks ... bundle branch blocks ... diagnosis #management #algorithm
A Summary slide of Sinoatrial Rhythms 
 • Sinus Rhythm
 • Sinus Arrhythmia
Wandering Atrial Pacemaker ... • Sinoatrial Blocks ... diagnosis #cardiology #ekg ... #ecg
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Differential Diagnosis Algorithm ... /3rd degree AV Block ... • Pacemaker ... Differential #Diagnosis #Algorithm