19 results
Narrow Complex Tachycardias (Simplified)

Irregular Narrow Complex Tachycardia:
 1. Atrial fibrillation
	- Usually the correct answer
 2. Multifocal
A regular rhythm ... retrograde) - AVNRT ... , AVRT, Junctional ... differential #diagnosis #causes ... #cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
simultaneously at regular ... EKG of the same ... to diagnose the case ... #PhysicalExam # ... JVP #Cardiology
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
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
• ST vs SVT (AVNRT ... whether AF is cause ... Tx: Underlying cause ... Narrow #Irregular #causes ... #cardiology
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Aflutter • AVNRT ... • AVRT (ie ... Wide Complex - Regular ... tachyarrhythmias #Cardiology ... Diagnosis #Algorithm #causes
Supraventricular Tachycardia EKG

Here’s a great ECG case of a 50-year-old lady who presented with palpitations

Her heart
Here’s a great ECG ... case of a 50-year-old ... @EM_RESUS #AVRT ... #ECG #Electrocardiogram ... #Cardiology #EKG
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
large systolic jugular ... venous wave caused ... Regurgitation #PhysicalExam ... #Cardiology #Neck ... #Jugular #JVP
Visual Guide to AV Nodal Reentrant Tachycardia (AVNRT) - Pathophysiology
 - Dual AV nodal physiology is
substrate for AVNRT ... - In most case ... ECG usually shows ... : regular narrow ... Pathophysiology #cardiology
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
Jugular Waveform ... • c wave - caused ... y descent - is caused ... Waveforms #JVP #PhysicalExam ... #cardiology
Kussmaul's Sign on Physical Exam

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

-
and other rarer causes ... Kussmauls #Sign #physicalexam ... clinical #video #jvp #cardiology ... #neck #jugular