29 results
Tachycardia - Wide vs Narrow Complex, Regular vs Irregular rhythm table

#Diagnosis #Cardiology #EKG #ECG #WideComplex #Narrow
Tachycardia - Wide ... #Diagnosis #Cardiology ... #EKG #ECG #WideComplex ... Irregular #Table #Comparison ... #Differential
Wide Complex Tachycardia - ECG Definition and Causes
 • Wide Complex Tachycardia (WCT) is a cardiac
- ECG Definition ... and Causes • ... WCT #diagnosis #cardiology ... #definition #differential ... #causes
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
Non-lschemic Causes ... of Cardiogenic Shock ... #Cardiogenic #Shock ... #Differential # ... Diagnosis #Cardiology
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... Bradyarrhythmias, Some cases ... Vasopressors #Inotropes #comparison ... #pharmacology #criticalcare
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Unexplained sinus tachycardia ... gallop • Abnormal ECG ... • Cardiogenic shock ... cardiac death Management ... #Cardiology
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... • Ventricular tachycardia ... Medication side effect (e.g ... #Syncope #Differential ... Classification #Table #Causes
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... state) • Tachycardia ... telemetry, 12-Lead EKG ... #Diagnosis #Management ... #Summary #criticalcare
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... Treat underlying cause ... Treat underlying cause ... #Treatment #management ... #cardiology #algorithm
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... 200ms from longer pause ... bradyarrhythmia #ECG ... electrocardiogram #cardiology ... #differential
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... findings based on cause ... #Differential # ... Diagnosis #table #comparison ... #criticalcare