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Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Framework BRADI Mnemonic ... blocking agent • Shock ... differential #diagnosis #causes ... #cardiology #BRADI ... #Mnemonic
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... effects: Reflex bradycardia ... Bradyarrhythmias, Some cases ... - Indication: Can
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
Risk of reflex bradycardia ... first agent in shock ... • Higher doses cause ... line in septic shock ... /cGMP • Causes
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
60 (1) Sinus bradycardia ... 200ms from longer pause ... lower AV cells can ... bradyarrhythmia #ECG ... electrocardiogram #cardiology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
• Everyone who can ... production to cause ... Contraindications: - Bradycardia ... arrythmias Diagnostics: EKG ... Stress #Testing #cardiology
Antibiotics for severe community-onset pneumonia 

Atypical coverage always 

- Usually azithromycin 500 mg daily 

- Doxycycline
piperacillin-tazobactam Septic Shock ... Immunocompromise (e.g ... only in selected cases ... #Community #Acquired ... #Pneumonia #CAP
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Have the patient tap ... congenital or acquired ... disease • Severe bradycardia ... #Palpitations #Cardiology
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
exertional syncope, can ... be caused by left ... too #WOBBLER #Mnemonic ... ECG #Diagnosis # ... Cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
correct profile can ... ECG is vital while ... essentially Cardiogenic Shock ... the determined cause ... algorithm #management #cardiology
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
infographic provides a mnemonic ... evaluate potential causes ... breakdown of the mnemonic ... cause arrhythmias ... #cardiology #differential