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diagnosis cardiology differential ecg ekg electrocardiogram causes management bradycardia syncope arrhythmia clinical comparison indications stelevation summary variants 3rd acutepericarditis acutestemi
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary First Degree AV Block • The P wave is
• During sinus ... • In sinus rhythm ... by a junctional pacemaker ... an infra-Hisian pacemaker ... electrocardiogram #classification
Pacemaker Placement Indications Class I: • Third degree block • Advanced 2nd degree block • Symptomatic Mobitz
Pacemaker Placement ... • Third degree block ... or 3rd degree block ... unclear origin • Sinus ... #Indications #PPM
Third Degree AV Block aka Complete Heart Block • In sinus rhythm with complete AV block,
Third Degree AV Block ... Complete Heart Block ... • In sinus rhythm ... with complete AV block ... by a junctional pacemaker
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
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
Differential Diagnosis Algorithm ... • Sick Sinus ... Syndrome • SA Block ... • AV Block (ISt ... Differential #Diagnosis #Algorithm
The 4 Variants of Sinus Arrhythmia Phasic Sinus Arrhythmia: • The rate increases with respiration and decreases
4 Variants of Sinus ... normal • The PP ... presence of AV block ... Wandering Atrial Pacemaker ... several cycle the pacemaker
Pacemaker Indications Class I • Symptomatic sinus node dysfunction • 3° AV or type 2 2° AV
Pacemaker Indications ... • Symptomatic sinus ... or type 2 2° AV block ... or Type 1 2° AV block ... #PPM #indications
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
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 ... Septal hypertrophy Sinus ... pause Sinus arrest ... SA block Nonconducted ... STdepression #Ischemia #DigEffect
Bradycardia Diagnostic and Management Algorithm CONSIDER ETIOLOGY (not inclusive): - STRUCTURAL: sick sinus, AV block, ischemia,
and Management Algorithm ... STRUCTURAL: sick sinus ... , AV block, ischemia ... - TOX: beta-blockers ... #Bradycardia #Algorithm
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