30 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• Hypoxia • Pulmonary ... • Oxygen • Treatment ... #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
: HR > 180bpm ECG ... Monitors, Pads AP Stable ... Signs of shock or ... supraventricular #tachycardia ... peds #Pediatric #treatment
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Unexplained sinus tachycardia ... gallop • Abnormal ECG ... • Cardiogenic shock ... #Management #Cardiology
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
urinary retention, tachycardia ... Diagnosis: • ... Electrodiagnostic studies - EMG ... #Syndrome #diagnosis ... #management #treatment
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... Nephrotoxins (e.g ... channel blocker (eg ... #Checklist #CHF ... #HeartFailure #Cardiology
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
rupture, VSD, etc ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison ... #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 - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Decompensated CHF ... • Obstructive: Pulmonary ... ) UOP > 0.5 cc/kg ... #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... state) • Tachycardia ... telemetry, 12-Lead EKG ... #Diagnosis #Management ... #criticalcare #treatment