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cardiology diagnosis differential ekg algorithm tachycardia narrowcomplex acutepe arrhythmias bradyarrhythmia bradycardia cheatsheet digitalis digoxin effect embolism interpretation management narrow palpitations
Causes of Tachycardia - Differential Diagnosis Algorithm Narrow Complex - Regular: • Sinus tachycardia • Atrial flutter
Causes of Tachycardia ... fibrillation • Multifocal ... • Atrial flutter ... Diagnosis #Algorithm #Causes ... #cardiology
Narrow Complex Tachycardias (Simplified) Irregular Narrow Complex Tachycardia: 1. Atrial fibrillation - Usually the correct answer 2. Multifocal
Narrow Complex Tachycardias ... Multifocal Atrial ... Atrial flutter ... differential #diagnosis #causes ... #cardiology
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
• Premature atrial ... Tachycardia • Aflutter ... Conduction • Multifocal ... tachyarrhythmias #Cardiology ... Diagnosis #Algorithm #causes
Digoxin effect on Electrocardiogram (EKG) Digoxin is a cardiac glycoside from the foxglove leaf Mechanism - Inhibits Na-K
Digoxin effect on Electrocardiogram ... nodal conduction Uses ... and atrial flutter ... Digoxin effect on ECG ... #EKG #Cardiology
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
block (3) Multifocal ... 200ms from longer pause ... bradyarrhythmia #ECG ... #electrocardiogram ... #cardiology #differential
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
evaluating for other causes ... also a result of atrial ... Incomplete or Complete ... in relation to ECG ... #electrocardiogram
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Stable Narrow-Complex ... flutter, ectopic ... Treat underlying cause ... Treat underlying cause ... Treatment #management #cardiology
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
(e.g. ectopic atrial ... P-Wave Morphology = multifocal ... Flutter PR Interval ... Interpretation #ECG ... #Electrocardiogram
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... flutter, or atrial ... fibrillation/flutter ... sinus syndrome) • Multifocal ... #Palpitations #Cardiology
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