30 results
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
• ↑ Ca - short QT ... • ↓ Ca - long QT ... • ↓ Mg - long QT ... -500ms) Short QT ... #diagnosis #cardiology
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
Congenital Long QT ... **Get baseline EKG ... - QT prolonging ... post-arrest or very long QTc ... Syndrome #Diagnosis #Cardiology
Causes of Sudden Cardiac Arrest
Primary Myocardial Processes (> 90%):
 • Acquired structural heart disease: CAD, Most
Causes of Sudden ... Channelopathies: Long/short QT ... Acquired long QT ... Cardiac #Arrest #cardiology ... #differential #
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
nodal conduction Uses ... Digoxin effect on ECG ... waves - Short QT ... #Cardiology #Digitalis ... #ECG
Torsades de Pointes (TdP): Pathogenesis and Clinical Findings

Polymorphic ventricular tachycardia initiated by PVC in the setting
the setting of QT ... pathophysiology #cardiology ... #causes #differential
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
WOBBLER for ECG ... found in long QT ... is also a short QT ... #ECG #Diagnosis ... #Cardiology
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Torsades de Pointes - Management ... Drugs that prolong QT ... Congenital long QT ... 1b (lidocaine)- case ... TorsadesdePointes #TDP #Management
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain • ECG ... Connect ECG Leads ... bradycardia #diagnosis #differential ... #management #cardiology
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 • Regular: Sinus Bradycardia, AFib w/ AV
Bradycardia - Differential ... : 1) PADS ON!! ... epinephrine 4) Page Cardiology ... #Bradycardia #Differential ... #cardiology #criticalcare
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