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Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
Premature Ventricular Complexes ... (PVC's) - Summary ... : • Broad QRS complex ... #Ventricular #Complexes ... #PVCs #PVC #diagnosis
Cannon A Waves of Complete Heart Block on Physical Exam
A patient presented to clinic with lightheadedness
Cannon A Waves of Complete ... ddx includes (1) complete ... (2) VT (3) PAC/PVCs ... She had complete ... CannonA #AWaves #Complete
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
• The QRS complex ... may progress to complete ... Degree AV Block aka Complete ... sinus rhythm with complete ... blocked PAC or PVC
Premature atrial complex (PAC) - ECG Recognition
 • Prematurity and altered P wave morphology.
 • P
Premature atrial complex ... premature junctional complex ... #PACs #premature ... #atrial #complexes
The 3 Fates of a Premature Atrial Complex
 • PAC can be conducted with normal QRS
Premature Atrial Complex ... #PACs #cardiology ... premature #atrial #complexes
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
VT: - No RS complexes ... - Very broad complexes ... produce a hybrid complex ... onset of the QRS complex ... S-wave - RSR' complexes
Anatomical Differential Diagnosis for Arrhythmias
 • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS)
 • AV
Contractions (PACs ... Contractions (PVC
Beta Blockers - Pharmacology Comparison Table
Metoprolol:
 • Receptors: β1
 • Indications: Rate control of a-fib/a-flutter, Suppression
Suppression of PACs ... /PVCs, Suppression
VT versus SVT with Aberration - Interpretation Cheat Sheet

Features favouring VT
● Absence of typical RBBB or
dissociation (P and QRS complexes ... beats (hybrid complex ... negative (QS) complexes
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
Care Syndrome (PICS ... ) Symptoms of PICS ... IntensiveCare #Syndrome #PICS