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cardiology diagnosis ecg ekg electrocardiogram arrhythmia avblock causes clinical comparison differential indications management summary variants acutepericarditis acutestemi arrhythmias atrioventricular brugadasyndrome
Pacemaker Placement Indications Class I: • Third degree block • Advanced 2nd degree block • Symptomatic Mobitz
Pacemaker Placement ... induced 2nd or 3rd ... unclear origin • Sinus ... BrighamMedRes #Pacemaker ... #Indications #PPM
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
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
Differential Diagnosis Algorithm ... Syndrome • SA Block ... • AV Block (ISt ... /2nd /3rd degree ... Differential #Diagnosis #Algorithm
Summary of Heart Blocks 1st Degree Heart Block: • Prolonged PR >200ms (5 small squares). • Narrow
Summary of Heart Blocks ... • Treatment: Pacemaker ... 3rd Degree, Complete ... • Treatment: Pacemaker ... HeartBlocks #Types #Classification
Third Degree AV Block aka Complete Heart Block • In sinus rhythm with complete AV block,
Third Degree AV Block ... • In sinus rhythm ... by a junctional pacemaker ... an infra-Hisian pacemaker ... #ThirdDegree #3rd
Syncope - Differential Diagnosis Algorithm Neurocardiogenic: • Vasovagal • Orthostatic Hypotension • Autonomic Neuropathy • Situational (micturition,
Differential Diagnosis Algorithm ... : • Sick Sinus ... Node) • 2nd/3rd ... degree AV Block ... • Pacemaker
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 ... etiology with sinus ... #PPM #indications
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
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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