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differential checklist anesthesia anesthesiology treatment intraoperative criticalcare neurology electrocardiogram algorithm bradycardia cardiac cardiomyopathy clinical elevation embolism endocarditis icu perioperative peripartum
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
Multifocal Atrial Tachycardia ... • Hypoxia • Pulmonary ... #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... evaluating for other causes ... Drive: • Sinus Tachycardia ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... (2) Sick Sinus Syndrome ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Control rate (e.g ... Treat underlying cause ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
Wolff–Parkinson–White syndrome (WPW) is one of several disorders of the electrical system of the heart that
Wolff–Parkinson–White syndrome ... WPW is caused by ... Pathophysiology #Diagnosis ... #Cardiology #MedStudent ... #EKG #WPW #WolffParkinsonWhite
Congenital Long QT Syndrome: Illness Script Who? - Kids or young adults, usually < 30 - high
Syndrome: Illness ... **Get baseline EKG ... abnormalities - Avoid QTc ... post-arrest or very long QTc ... #Diagnosis #Cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... (e.g. haloperidol ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... exam • 12-lead ECG ... Valvular disease (e.g ... Pheochromocytoma • Pulmonary ... #Palpitations #Cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
Inherited arrhythmia syndromes ... (e.g., long QT ... syndrome, ARVC) ... 300 = NSVT EKG ... #differential #cardiology
Massive Hemoptysis - Diagnosis and Management • Definitions: - Hemoptysis = bleeding from
Massive Hemoptysis - Diagnosis ... respiratory tract (e.g ... has potential to cause ... • Workup • General ... #workup #pulmonary
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