20 results
Multifocal Atrial Tachycardia (MAT) on EKG
 • Heart rate > 100 bpm (usually 100-150 bpm)
 •
Multifocal Atrial Tachycardia ... (MAT) on EKG ... morphologies in the same lead ... Multifocal #Atrial #Tachycardia ... #diagnosis #cardiology
66 yo with syncope - Ventricular Tachycardia

This ECG shows a wide-complex tachycardia in a right bundle
- Ventricular Tachycardia ... rate about 150 BPM ... QRS complex in lead ... complex in this lead ... VentricularTachycardia #Clinical #Cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... anterior descending (LAD ... in aVR > 0.7: ppv ... only looks at aVR lead ... #differential #cardiology
Pacemaker Complications
 • Implantation-Related: Pocket hematoma, Infection (pocket), Pneumothorax, Hemothorax, Lead dislodgement, Cardiac perforation / tamponade
Pneumothorax, Hemothorax, Lead ... ) • Delayed: Lead ... Infection (pocket or lead ... #Pacemaker #PPM ... #management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... nodal agents (e.g ... irregular protocol #Stable ... #Treatment #management ... #cardiology #algorithm
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Hypocalcemia (rarely) Treatment ... sulfate • Adult load ... infusion after load ... • Pediatric load ... evidence • Load
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... shock state) • Tachycardia ... telemetry, 12-Lead ... EKG • Ensure ... #criticalcare #treatment
Managing warfarin INR

Warfarin dosage must be individualized according to the patient's response to the drug, and
Over-anticoagulation can lead ... #management #algorithm ... #pharmacology #treatment ... #medications #table ... #decisionaid #cardiology
Temporary / External Pacing
 • Transvenous & epicardial pacing are temporary methods of supporting brady- &
or definitive treatment ... to each pacing lead ... nickmmark #pacemaker #PPM ... External #Pacing #cardiology ... #diagnosis #management