17 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial Tachycardia ... hypertension Management ... Multifocal #Atrial #Tachycardia ... #MAT #Cardiology ... #EKG #Management
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
(1) Sinus tachycardia ... Multifocal atrial tachycardia ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Raynaud's Syndrome - Washing off under hot water.
Raynaud phenomenon is an exaggerated vasoconstrictive response of the
and arterioles (e.g ... ., in the fingers ... phenomenon #clinical #video ... #physicalexam # ... water #fingers #
Raynaud's Syndrome - Washing off under hot water wath.

Raynaud phenomenon is an exaggerated vasoconstrictive response of
and arterioles (e.g ... ., in the fingers ... phenomenon #clinical #video ... #physicalexam # ... water #fingers #
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Narrow-Complex Tachycardia ... Control rate (e.g ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Unexplained sinus tachycardia ... gallop • Abnormal ECG ... cardiac death Management ... Myocarditis #Diagnosis #Management ... #Cardiology
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Stable Wide-Complex Tachycardia ... If ventricular tachycardia ... nodal agents (e.g ... #Treatment #management ... #cardiology #algorithm
Physical Exam - Quincke’s Pulse

The tips of the patient’s index finger and thumb as well as
patient’s index finger ... Quinckess #Pulse #PhysicalExam ... #Video #Fingernails ... AorticRegurgitation #Signs #Cardiology
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
and an atrial tachycardia ... #AWaves #Neck #PhysicalExam ... JVP #Clinical #Video ... #Cardiology
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 • Advantages: Continuous recording, records asx events, all
Compared Ambulatory ECG ... events, all (most) ECG ... • Advantages: Longer ... Devices #Comparison #cardiology ... #management #holter