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diagnosis differential causes tachycardia ecg electrocardiogram anatomical bradyarrhythmia bradycardia cheatsheet evaluation interpretation management narrowcomplex palpitations perioperative preop preoperative risk stable
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
Diagnosis Algorithm ... Tachycardia • Aflutter ... • AFib • AFIutter ... Conduction • Multifocal ... tachyarrhythmias #Cardiology
Anatomical Differential Diagnosis for Arrhythmias • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS) • AV
Diagnosis for Arrhythmias ... rhythm) Tachy-arrhythmias ... Flutter (AFL), ... Tachycardia (FAT), Multifocal ... Diagnosis #Causes #cardiology
Causes of Tachycardia - Differential Diagnosis Algorithm Narrow Complex - Regular: • Sinus tachycardia • Atrial flutter
Differential Diagnosis Algorithm ... flutter • AV ... fibrillation • Multifocal ... • Atrial flutter ... #Causes #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
DANGER (4) Vfib/flutter ... flutter (3) ... absent P (2) A flutter ... block (3) Multifocal ... electrocardiogram #cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
flutter, ectopic ... Control rate (e.g ... flutter or MAT ... Treatment #management #cardiology ... #algorithm
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... flutter, or atrial ... /flutter • Bradycardia ... sinus syndrome) • Multifocal ... #Palpitations #Cardiology
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
(e.g. ectopic atrial ... P-Wave Morphology = multifocal ... Flutter PR Interval ... @AmyChung #EKG ... Electrocardiogram #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... determine if stress test ... Obtain EKG if: ... CV disease - Arrhythmia ... one post op Cardiology
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