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cardiology differential algorithm arrhythmias ecg ecgeducator electrocardiogram narrowcomplex palpitations acutepe anatomical aorticdissection aorticregurgitation bradyarrhythmia bradycardia cardiacus clinical complexes criteria deltawave
Counterclockwise and (Left) vs Clockwise (Right) Flutter Typical atrial flutter is counterclockwise in direction and originates from
Typical atrial ... Atypical atrial ... from the left atrium ... #Diagnosis #ECG ... #Classification
Narrow Complex Tachycardias (Simplified) Irregular Narrow Complex Tachycardia: 1. Atrial fibrillation - Usually the correct answer 2. Multifocal
Atrial fibrillation ... Multifocal Atrial ... Atrial flutter ... (Ectopic) Atrial ... #causes #cardiology
Anatomical Differential Diagnosis for Arrhythmias • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS) • AV
• Atria: Premature ... Atrial Contractions ... (PACs), Atrial ... Flutter (AFL), Atrial ... #Causes #cardiology
Causes of Tachycardia - Differential Diagnosis Algorithm Narrow Complex - Regular: • Sinus tachycardia • Atrial flutter
Causes of Tachycardia ... • Atrial flutter ... • Atrial tachycardia ... Irregular: • Atrial ... Atrial flutter
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
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
ARRYTHMIA • ATRIAL ... FIBRILLATION • ATRIAL ... FLUTTER • HEART ... • ATRIAL TACHYCARDIA ... #Differential #Diagnosis
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
• Premature atrial ... Monofocal Ectopic Atrial ... • Aflutter ... • Multifocal Atrial ... #Algorithm #causes
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
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 ... also a result of atrial ... Embolism #AcutePE #diagnosis
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... leads indicates atrial ... indefinitely inverted #Diagnosis ... #EM #IM #Cardiology ... #EKG #Pericarditis
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