19 results
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
Algorithm for the Management of Ventricular Tachycardia Electrical Storm
ES diagnosed (≥ 3 episodes of VT/ICD therapies
of Ventricular Tachycardia ... cardioversion Stable ... VT • Normal QTc ... • Long QTc (Torsades ... #morphology #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... with caution in pulmonary ... with caution in pulmonary ... #Treatment #management ... #cardiology #algorithm
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 and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... rupture, VSD, etc ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management ... #comparison #table
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Pediatric SVT - Management ... : HR > 180bpm ECG ... Monitors, Pads AP Stable ... Signs of shock or ... supraventricular #tachycardia
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
overwhelmed, symptomatic tachycardia ... Cold and Dry) • Pulmonary ... embolism or severe pulmonary ... Types #diagnosis #management ... warm #wet #dry #table
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... nodal agents (e.g ... irregular protocol #Stable ... #Treatment #management ... #cardiology #algorithm
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... state) • Tachycardia ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... #Diagnosis #Management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... - Management Checklist ... function tests if shock ... #HeartFailure #Cardiology ... #Management