7 results
Pacemaker Placement Indications
Class I:
 • Third degree block
 • Advanced 2nd degree block
 • Symptomatic Mobitz
Pacemaker Placement ... with syncope • ... arrest, prolonged PR ... • Reversible causes ... BrighamMedRes #Pacemaker
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... Diagnosis Algorithm ... /3rd degree AV Block ... • Pacemaker ... #causes
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
assessment in Syncope ... - Bifascicular block ... look for a short PR ... , can be caused ... characteristically cause
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
- w/ variable block ... 1º - long PR intervals ... 200ms from longer pause ... successively longer PR ... - ventricular pacemaker
Causes of Syncope - Differential Diagnosis Algorithm
Cardiac - Arrhythmia:
 • Tachyarrhythmia
 • Bradyarrhythmia
 • Supraventricular Tachycardia
Causes of Syncope ... Differential Diagnosis Algorithm ... Atrioventricular Block ... Differential #Diagnosis #Algorithm ... #Causes
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
with variable block ... atrioventricular block ... valve prolapse • Pacemaker-mediated ... consciousness • Near-syncope ... , or syncope: Hemodynamically
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
evaluate potential causes ... ECG Section: P, PR ... pathway that can cause ... • ECG Section: PR ... (prolonged PR interval