18 results
Pacemaker Placement Indications
Class I:
 • Third degree block
 • Advanced 2nd degree block
 • Symptomatic Mobitz
Pacemaker Placement ... unclear origin • Sinus ... arrest, prolonged PR ... • Reversible causes ... BrighamMedRes #Pacemaker
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Differential Diagnosis by Classification ... bradycardia • Sinus ... pauses • AV ... Differential #Diagnosis #Classification ... #Table #Causes
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 ... Wandering Atrial Pacemaker ... several cycle the pacemaker ... diagnosis #ekg #ecg #electrocardiogram
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... Diagnosis Algorithm ... : • Sick Sinus ... Block • Pacemaker ... #causes
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
• Prolonged PR ... • Treatment: Pacemaker ... • Treatment: Pacemaker ... HeartBlocks #Types #Classification ... Diagnosis #EKG #electrocardiogram
Antiarrhythmics - Vaughan Williams Classification
Class I (Ia, Ib, Ic) - Na+ Channel Blockade
 • Slows depolarization
Vaughan Williams Classification ... cells • Slows sinus ... rate and prolongs PR ... cells • Slow sinus ... #Classes #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
block 1º - long PR ... 200ms from longer pause ... successively longer PR ... - ventricular pacemaker ... EKG #diagnosis #electrocardiogram
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 ... Wandering Atrial Pacemaker ... several cycle the pacemaker ... diagnosis #ekg #ecg #electrocardiogram
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
Causes of Tachycardia ... Differential Diagnosis Algorithm ... - Regular: • Sinus ... aberrancy • Pacemaker-facilitated ... #Causes #cardiology
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Wandering Atrial Pacemaker ... irregular PP and PR ... : VARIANT OF SINUS ... focus from the sinus ... cardiology #ekg #ecg #electrocardiogram