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diagnosis differential clinical endocarditis syncope anesthesia anesthesiology arrhythmia bradycardia cardiac comparison digoxin interpretation intraoperative myocarditis sinus summary variants workup approach
Classic Digoxin-Associated Arrhythmias • Atrial fibrillation with an unusually slow ventricular response • Atrial Fibrillation with
Arrhythmias • Atrial ... Complete Heart Block ... Escape Rhythm • Atrial ... Arrhythmias #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Digoxin effect on Electrocardiogram (EKG) Digoxin is a cardiac glycoside from the foxglove leaf Mechanism - Inhibits Na-K
(EKG) Digoxin ... Digoxin effect on ECG ... at therapeutic level ... #EKG #Cardiology ... #Digitalis #ECG
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... bradyarrhythmia #ECG ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
Approach to ECGs - Syncope Syndromes Electrolytes • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology ... #electrocardiogram
Summary of Heart Blocks 1st Degree Heart Block: • Prolonged PR >200ms (5 small squares). • Narrow
Brady Management ... infranodal level ... summary #Diagnosis #EKG ... #electrocardiogram ... #ecg #cardiology
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
EKG Interpretation ... junction origin (e.g ... (e.g. ectopic atrial ... @AmyChung #EKG ... Interpretation #ECG
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... if suspected (e.g ... • Persistent fever ... (+/- daily EKG) ... of infection (e.g
The 4 Variants of Sinus Arrhythmia Phasic Sinus Arrhythmia: • The rate increases with respiration and decreases
presence of AV block ... Wandering Atrial ... Sinus #Arrhythmia #cardiology ... #diagnosis #ekg ... #ecg #electrocardiogram
Approach to ECGs Check - Age, gender, name - 25mm/s; 10mm/mV - 1mm = 40ms; 0.1 mV Rate
: WPW, ectopic atrial ... #Approach #ECG ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #interpretation
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
gallop • Abnormal ECG ... , echocardiogram ... Dysrhythmia, heart block ... cardiac death Management ... #Cardiology
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