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cardiology diagnosis ecg ekg electrocardiogram differential arrhythmia causes clinical comparison indications management ppm variants 3rd atrioventricular blocks bradyarrhythmia bradycardia classification
Pacemaker Placement Indications Class I: • Third degree block • Advanced 2nd degree block • Symptomatic Mobitz
Pacemaker Placement ... with syncope • ... unclear origin • Sinus ... arrest, prolonged PR ... BrighamMedRes #Pacemaker
Syncope - Differential Diagnosis Algorithm Neurocardiogenic: • Vasovagal • Orthostatic Hypotension • Autonomic Neuropathy • Situational (micturition,
Syncope - Differential ... Diagnosis Algorithm ... : • Sick Sinus ... /3rd degree AV Block ... • Pacemaker
The 4 Variants of Sinus Arrhythmia Phasic Sinus Arrhythmia: • The rate increases with respiration and decreases
4 Variants of Sinus ... The P wave and PR ... presence of AV block ... Wandering Atrial Pacemaker ... several cycle the pacemaker
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
DANGER (2) Sinus ... Regular (1) Sinus ... 1º - long PR intervals ... successively longer PR ... - ventricular pacemaker
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary First Degree AV Block • The P wave is
• PR interval ... • During sinus ... by a junctional pacemaker ... an infra-Hisian pacemaker ... atrioventricular #blocks #AVBlock
The 4 Variants of Sinus Arrhythmia Phasic Sinus Arrhythmia: • The rate increases with respiration and decreases
4 Variants of Sinus ... The P wave and PR ... presence of AV block ... Wandering Atrial Pacemaker ... several cycle the pacemaker
Third Degree AV Block aka Complete Heart Block • In sinus rhythm with complete AV block,
• In sinus rhythm ... • The PR interval ... by a junctional pacemaker ... an infra-Hisian pacemaker ... ThirdDegree #3rd #AVBlock
Pacemaker Indications Class I • Symptomatic sinus node dysfunction • 3° AV or type 2 2° AV
Pacemaker Indications ... • Symptomatic sinus ... • Syncope of ... etiology with sinus ... EricsMedicalLectures/featured #Pacemaker
Causes of Syncope - Differential Diagnosis Algorithm Cardiac - Arrhythmia: • Tachyarrhythmia • Bradyarrhythmia • Supraventricular Tachycardia
Differential Diagnosis Algorithm ... Tachycardia • Sick-Sinus ... Atrioventricular Block ... Volume • Carotid Sinus ... Differential #Diagnosis #Algorithm
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
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