40 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Secondary to chronic lung ... • Hypoxia • Pulmonary ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... evaluating for other causes ... in relation to ECG ... #EKG #Pulmonary ... AcutePE #diagnosis #cardiology
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
• Diffuse Lung ... • Chronic Lung ... Arterial Hypertension ... RHF #RightSided #HeartFailure ... #Cardiology #Differential
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #management #cardiology ... #algorithm
High Output Heart Failure - Pathophysiology and Differential Diagnosis
Obesity - Systemic Vasodilation, Vasoactive Adipokines
Arteriovenous Fistula -
- Congenital (e.g ... HHT), Acquired (e.g ... Vasodilation Lung ... Differential #Diagnosis #cardiology ... #causes
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
PATM 760 mm Hg at sea ... High altitude (eg ... shunting (eg, pulmonary ... intracardiac shunting (eg ... , atrial or ventricular
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Tamponade Beck's Triad ... chest pain - PE ... paradoxus - ECG ... collapse of RV - Treatment ... #Diagnosis #Cardiology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... Pneumothorax • Pulmonary ... Initial workup: • EKG ... , PT. aPTT • Serial ... Well score for PE
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
AV block 1º - long ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Pericarditis can be seen on EKG with diffuse ST elevations without reciprocal changes along with diffuse
can be seen on EKG ... First line treatment ... in refractory cases ... #Pericarditis #Cardiology ... #Diagnosis #Signs