15 results
Pacemaker Placement Indications
Class I:
 • Third degree block
 • Advanced 2nd degree block
 • Symptomatic Mobitz
2nd degree block ... compromise • Bi/Tri-fascicular ... block with syncope ... Indications #PPM #cardiology ... #management
Second Degree AV Block Type I aka Mobitz I / Wenckebach 
 • Normal P waves.
Second Degree AV ... #Second #Degree ... Type1 #Wenckebach #diagnosis ... #cardiology #ecg ... #ekg #electrocardiogram
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
• No Treatment ... Brady Management ... #summary #Diagnosis ... #EKG #electrocardiogram ... #ecg #cardiology
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs - Syncope ... see below), 1st degree ... Wong @mchlwng #Syncope ... #EKG #Checklist ... #diagnosis #cardiology
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... Diagnosis Algorithm ... • 2nd/3rd degree ... AV Block ... #Cardiology #Differential
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
WOBBLER for ECG ... assessment in Syncope ... for 2nd or 3rd degree ... #EKG #ECG #Diagnosis ... #Cardiology
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
Diagnosis Summary ... First Degree AV ... Second Degree AV ... #cardiology #ekg ... #ecg #diagnosis
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... gallop • Abnormal ECG ... Dysrhythmia, heart block ... #Management #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Pericarditis, Tamponade EKG ... Findings: - AV block ... Low voltage Treatment ... #Myocarditis #diagnosis ... #management #cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
- RAD: AntLat MI ... ) - HiPR: AV block ... Short QT <300-360 ms ... #EKG #diagnosis ... electrocardiogram #cardiology