10 results
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
If see flutter p ... • Atrial Flutter ... If not Flutter P ... Diagnosis #Management #cardiology ... algorithm #irregular
Tachyarrhythmia Framework - Differential Diagnosis
 • Narrow QRS - Regular Rhythm: Sinus tachycardia, AVNRT, Orthodromic AVRT,
flutter, Junctional ... flutter w/ variable ... AV block, Multifocal ... flutter with variable ... Differential #Diagnosis #cardiology
Tachycardia - Differential Diagnosis Framework
Narrow-Complex:
 • Regular: Sinus Tachycardia, Junctional Tachycardia, Atrial Tachycardia, Atrial Flutter, AVRT
Flutter, AVRT ( ... Fibrillation, Multifocal ... (MAT), Atrial Flutter ... Differential #Diagnosis #cardiology ... #wide #narrow #
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
Narrow Complex ... flutter • AV ... fibrillation • Multifocal ... • Atrial flutter ... #Causes #cardiology
Narrow Complex Tachycardias (Simplified)

Irregular Narrow Complex Tachycardia:
 1. Atrial fibrillation
	- Usually the correct answer
 2. Multifocal
) Irregular Narrow ... Atrial fibrillation ... Multifocal Atrial ... Atrial flutter ... diagnosis #causes #cardiology
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Tachycardia • Aflutter ... WPW) - Narrow ... • AFib • AFIutter ... Conduction • Multifocal ... tachyarrhythmias #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
Treatment of Stable Narrow-Complex ... flutter, ectopic ... flutter or MAT ... Treatment #management #cardiology ... #algorithm
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
(e.g. ectopic atrial ... P-Wave Morphology = multifocal ... atrial rhythm ... Flutter PR Interval ... Electrocardiogram #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... flutter, or atrial ... fibrillation/flutter ... sinus syndrome) • Multifocal ... #Palpitations #Cardiology