14 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
w/ septic pulmonary ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #diagnosis #management
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... mitral inflow, MA ... atrium, PASP: pulmonary ... #Diagnosis #Cardiology ... Grades #Criteria #Table
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... with caution in pulmonary ... atrial flutter or MAT ... Control rate (e.g ... #algorithm
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
normal • The PP ... intervals vary at ... #diagnosis #ekg ... #ecg #electrocardiogram ... variants #clinical #comparison
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
criteria required to diagnose ... hypertension (e.g ... - Pulmonary edema ... might support the diagnosis ... #Algorithm #CriticalCare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... SBP drop >40, MAP ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... Management #Summary #criticalcare
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
normal • The PP ... intervals vary at ... #diagnosis #ekg ... #ecg #electrocardiogram ... variants #clinical #comparison
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... occlusion that may ... Diagnosis? ... ↑ ESR, CRP • EKG ... #cardiology
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
both MAT (atrial ... and an irregular PP ... #cardiology #ekg ... #ecg #electrocardiogram ... #comparison
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... ECG is vital while ... #algorithm #management ... #table #foamed ... heartfailure #chf #criticalcare