28 results
Pacemaker Placement Indications
Class I:
 • Third degree block
 • Advanced 2nd degree block
 • Symptomatic Mobitz
Pacemaker Placement ... • Third degree block ... • Reversible causes ... of AV block - ... #Indications #PPM
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
, the PP and RR ... usually 40-60 bpm ... by a junctional pacemaker ... an infra-Hisian pacemaker ... electrocardiogram #classification
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
1st Degree Heart Block ... Mobitz I Heart Block ... Complete Heart Block ... • Block in AV ... HeartBlocks #Types #Classification
Third Degree AV Block aka Complete Heart Block
 • In sinus rhythm with complete AV block,
Third Degree AV Block ... Complete Heart Block ... with complete AV block ... by a junctional pacemaker ... an infra-Hisian pacemaker
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Differential Diagnosis Algorithm ... Syndrome • SA Block ... • AV Block (ISt ... Differential #Diagnosis #Algorithm ... #causes
Bradycardia Diagnostic and Management Algorithm

CONSIDER ETIOLOGY (not inclusive): 
 - STRUCTURAL: sick sinus, AV block, ischemia,
and Management Algorithm ... sick sinus, AV block ... - TOX: beta-blockers ... LIFE THREATENING CAUSES ... #Bradycardia #Algorithm
Antiarrhythmics - Vaughan Williams Classification:
CLASS 1 - Sodium Channel Blockers:
 • MOA: Block fast Na+ channels
Vaughan Williams Classification ... : • MOA: Block ... : • MOA: Block ... primarily) and block ... : • MOA: Block
LAD
IWMI
LAHB
RAD
[PHB
RVH
Lateral wall infarct
Lead reversal
Dextrocardia
Wide ORS
RBBB - terminal delay
[BBB
IVED
WPW = delta wave
Hyperkalemia
Type l antiarrhythmic drugs
Pacemaker
ST elevation
Early repolarization
antiarrhythmic drugs Pacemaker ... hypertrophy Sinus pause ... Sinus arrest SA block ... Type1AntiarrhythmicDrugs #Pacemaker ... STdepression #Ischemia #DigEffect
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Differential Diagnosis Algorithm ... /3rd degree AV Block ... • Pacemaker ... Differential #Diagnosis #Algorithm ... #causes
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
- w/ variable block ... (3) SA node block ... rhythms (5) AV block ... - Proximal AV block ... QRS - Distal AV block