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cardiology diagnosis differential algorithm electrocardiogram palpitations acutepe anatomical aorticdissection aorticregurgitation bradyarrhythmia bradycardia cardiacus clinical complexes ecg embolism endocrinology hyperthyroidism management
Anatomical Differential Diagnosis for Arrhythmias • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS) • AV
• Atria: Premature ... Atrial Contractions ... (PACs), Atrial ... Flutter (AFL), Atrial ... (PST), Focal Atrial
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
Causes of Palpitations ... • ATRIAL FIBRILLATION ... • ATRIAL FLUTTER ... • ATRIAL TACHYCARDIA ... #Palpitations #Causes
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
• Premature atrial ... Monofocal Ectopic Atrial ... • Aflutter ... • Multifocal Atrial ... Diagnosis #Algorithm #causes
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
convert - Possible atrial ... atrial tachycardia ... Treat underlying cause ... Rhythm: • Probable atrial ... fibrillation or possible atrial
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Paroxysmal AF, atrial ... flutter, or atrial ... : • Atrial fibrillation ... • Multifocal atrial
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
evaluating for other causes ... Drive: • Sinus Tachycardia ... common finding) • Atrial ... Arrhythmia* (e.g ... also a result of atrial
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
(2) Atrial ... SVTs - atrial/junctional ... (3) Multifocal atrial ... 200ms from longer pause ... #EKG #diagnosis
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
Cardiomyopathy • Inherited arrhythmia ... 300 = NSVT EKG ... capture of the atria ... • Sinus arrhythmia ... • Atrial fibrillation
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... with sinus tachycardia ... root, and left atrium ... In this case, the ... Michael Macias, EM
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 Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
threatening: - Tachycardia ... Cardiac arrhythmia ... Ophthalmoplegia • Atrial ... fibrillation/flutter ... hyperthyroidism #causes
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