28 results
Narrow Complex Tachycardias (Simplified)

Irregular Narrow Complex Tachycardia:
 1. Atrial fibrillation
	- Usually the correct answer
 2. Multifocal
Narrow Complex Tachycardias ... (MAT) ≥ 3 different ... Atrial flutter ... retrograde) - AVNRT, AVRT ... diagnosis #causes #cardiology
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
Tachycardia - Differential ... deflection not AVRT ... waves, is MAT ... SarahFoohey #Tachycardia ... Diagnosis #Management #cardiology
T Waves: Benign Early Repolarization vs Hyperacute T Waves vs Peaked T Waves 

BER = Notching
Notching or slurring at ... J-point; Prominent ... = Tall, narrow, ... symmetrically peaked #ECG ... #EKG #cardiology
Tachycardia - Differential Diagnosis Framework
Narrow-Complex:
 • Regular: Sinus Tachycardia, Junctional Tachycardia, Atrial Tachycardia, Atrial Flutter, AVRT
, Atrial Flutter ... , AVRT (ie. ... (MAT), Atrial Flutter ... , Antidromic AVRT ... Differential #Diagnosis #cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
may come before ... ST elevation in aVR ... J point usually ... FOAMfrat #DeWinter #TWaves ... #diagnosis #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... EKG findings: Sinus ... in narrow cornplex ... • Narrow complex ... #differential #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
- DANGER Narrow ... (MAT) - 3 ... different P waves ... #EKG #diagnosis ... electrocardiogram #cardiology
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
(AVNRT, OAVRT, AFIutter ... ) • P-waves. ... variable block >> MAT ... abnormality • Beware AV ... Irregular #causes #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable Narrow-Complex ... Probably AVnRT or AVRT ... Possible atrial flutter ... or MAT - Control ... Treatment #management #cardiology
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
ST-Depression at ... J Point in leads ... • STE in lead aVR ... #TWaves #EKG #ECG ... #diagnosis #cardiology