36 results
Morphological Criteria for Discriminating Ventricular Tachycardia from Supraventricular Tachycardia with Aberration

Source Article: Wide Complex Tachycardia –
Supraventricular Tachycardia ... : Wide Complex Tachycardia ... www.ncbi.nlm.nih.gov/pmc ... Distinguishing #Criteria #Cardiology ... #ECG #EKG #Electrocardiogram
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial Tachycardia ... hypertension Management ... #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Unexplained sinus tachycardia ... gallop • Abnormal ECG ... , echocardiogram ... cardiac death Management ... #Cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... 300 = NSVT EKG ... Sustained ventricular tachycardia ... Supraventricular tachycardia ... #differential #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Narrow-Complex Tachycardia ... Control rate (e.g ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Stable Wide-Complex Tachycardia ... If ventricular tachycardia ... nodal agents (e.g ... #Treatment #management ... #cardiology #algorithm
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Diagnosis #Management ... #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Diagnosis #Management ... #Workup
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Checklist Evaluation ... - EKG & echocardiography ... Nephrotoxins (e.g ... channel blocker (eg ... #Management
Management of Jehovah's Witness patient in ICU 

Clarify which products may be used 
 - Discuss
Management of Jehovah's ... early & document (e.g ... pts will accept PCC ... hemostatic agents (e.g ... twitter.com/PulmCrit #Checklist