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cardiology diagnosis ecg ekg electrocardiogram arrhythmia avblock causes clinical comparison differential indications management variants 3rd acutepericarditis acutestemi arrhythmias atrioventricular brugadasyndrome
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 ... unclear origin • Sinus ... BrighamMedRes #Pacemaker ... #Indications #PPM
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
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
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 ... etiology with sinus ... #PPM #indications
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 ... by a junctional pacemaker ... an infra-Hisian pacemaker
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
Syncope - Differential Diagnosis Algorithm Neurocardiogenic: • Vasovagal • Orthostatic Hypotension • Autonomic Neuropathy • Situational (micturition,
Differential Diagnosis Algorithm ... : • Sick Sinus ... /3rd degree AV Block ... • Pacemaker ... 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
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