17 results
Narrow Complex Tachycardias (Simplified)

Irregular Narrow Complex Tachycardia:
 1. Atrial fibrillation
	- Usually the correct answer
 2. Multifocal
Narrow Complex Tachycardias ... Atrial fibrillation ... Multifocal Atrial ... Atrial flutter ... (Ectopic) Atrial
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
Typical atrial ... causing clockwise atrial ... Atypical atrial ... from the left atrium ... #Classification
Tachyarrhythmia Framework - Differential Diagnosis
 • Narrow QRS - Regular Rhythm: Sinus tachycardia, AVNRT, Orthodromic AVRT,
Orthodromic AVRT, Atrial ... Tachycardia, Atrial ... Rhythm: Atrial ... fibrillation, Atrial ... , Atrial fibrillation
Tachycardia - Differential Diagnosis Framework
Narrow-Complex:
 • Regular: Sinus Tachycardia, Junctional Tachycardia, Atrial Tachycardia, Atrial Flutter, AVRT
, Atrial Tachycardia ... , Atrial Flutter ... • Irregular: Atrial ... Fibrillation, Multifocal Atrial ... ), Atrial Flutter
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
Atrial flutter ... • Atrial tachycardia ... Irregular: • Atrial ... • Multifocal atrial ... Atrial flutter
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
Tachycardia - Differential ... and Management - Narrow ... vs Irregular Narrow ... • Atrial Flutter ... SarahFoohey #Tachycardia
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
- DANGER Narrow ... (2) Atrial ... SVTs - atrial/junctional ... (3) Multifocal atrial ... #EKG #diagnosis
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
• Premature atrial ... Monofocal Ectopic Atrial ... • Aflutter ... WPW) - Narrow ... • Multifocal Atrial
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable Narrow-Complex ... convert - Possible atrial ... atrial tachycardia ... Rhythm: • Probable atrial ... fibrillation or possible atrial
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
cue to look for flutter ... #Clinical #EM #Cardiology ... #ECG #Atrial #Flutter