21 results
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... to diagnose the case ... excludes other differentials ... PhysicalExam #JVP #Cardiology ... #Neck #Frog #Sign
Narrow Complex Tachycardias (Simplified)

Irregular Narrow Complex Tachycardia:
 1. Atrial fibrillation
	- Usually the correct answer
 2. Multifocal
A regular rhythm ... retrograde) - AVNRT ... #Tachycardias #differential ... #diagnosis #causes ... #cardiology
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Arrhythmias - Differential ... Aflutter • AVNRT ... tachyarrhythmias #Cardiology ... #Differential # ... Diagnosis #Algorithm #causes
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
Tachycardia - Differential ... • ST vs SVT (AVNRT ... whether AF is cause ... #Tachycardia #Differential ... #cardiology
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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Kussmaul's Sign ... and other rarer causes ... physicalexam #clinical #video ... #jvp #cardiology ... #neck #jugular
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Narrow-Complex Tachycardia Regular ... Converts - Probably AVnRT ... Treat underlying cause ... Treat underlying cause ... Treatment #management #cardiology
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
It is caused by ... backwards into the jugular ... PhysicalExam #Clinical #Video ... #Neck #Jugular ... #JVP #Cardiology
Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in
Lancisi’s Sign in ... It is caused by ... #Lancisis #Sign ... PhysicalExam #Clinical #Video ... #Cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Narrow - Regular ... pause 2º - Mobitz ... #EKG #diagnosis ... electrocardiogram #cardiology ... #differential
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
evaluate her JVP (video ... Causes = RV failure ... #PhysicalExam #Video ... Clinical #Neck #JVP #Jugular ... Pericarditis #Cardiology