21 results
Ventricular Tachycardia - Management Algorithm
Wide Complex Tachycardia: Rate > 100, QRS > 120
DDx: Ventricular tachycardia, SVT
- Management Algorithm ... aberrancy, SVT iso Na channel ... blocker, Hyperkalemia ... Tachycardia #VTach #Management ... #Algorithm #cardiology
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
BRASH Syndrome ... Typical ECG ... • If on a Ca2+ channel ... DrEricStrong #BRASH #Syndrome ... #diagnosis #management
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... ECG changes, weakness ... injury, etc) ECG ... changes? ... #Management
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... Algorithm • IV ... potassium and ECG ... changes • 5.5 ... #algorithm #treatment
Tumor Lysis Syndrome
An acute, life-threatening condition that appears within 7 days of starting cytotoxic therapies in
Tumor Lysis Syndrome ... with Ca only if EKG ... changes, otherwise ... treat with "hyperkalemia ... TLS #oncology #management
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
Inherited arrhythmia syndromes ... (e.g., long QT ... syndrome, ARVC) ... Hypomagnesemia • Hypokalemia ... 300 = NSVT EKG
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
vs Tumor Lysis Syndrome ... tinnitus, visual changes ... hydration - Hyperkalemia ... unless worrisome EKG ... TLS #diagnosis #management
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Regular • If ventricular ... nodal agents (e.g ... If polymorphic ventricular ... Tachycardia #Treatment #management ... #cardiology #algorithm
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
V5-6 • Left Ventricular ... Disorders: • Hyperkalemia ... no P waves • Hypercalcemia ... dissection • Sodium-channel ... #ecg #ekg #electrocardiogram
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Torsades de Pointes - Management ... Algorithm Drugs ... Congenital long QT Syndrome ... Hypomagnesemia • Hypokalemia ... #Algorithm