8 results
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Management Algorithm ... : HR > 180bpm ECG ... Signs of shock or ... supraventricular #tachycardia ... #Management #Algorithm
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Endomyocardial biopsy ... Unexplained sinus tachycardia ... gallop • Abnormal ECG ... • Cardiogenic shock ... #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Fulminant: - Acute HF ... , Cardiogenic shock ... Pericarditis, Tamponade EKG ... Myocarditis #diagnosis #management ... #biopsy
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... pulmonary disease or CHF ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... brady, Signs of Shock ... AMS, SOB from CHF ... Chest Pain • ECG ... Connect ECG Leads
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... Nephrotoxins (e.g ... channel blocker (eg ... #HeartFailure # ... Cardiology #Management
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
If ventricular tachycardia ... cardioversion • If known SVT ... nodal agents (e.g ... #Treatment #management ... #cardiology #algorithm
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... #differential #algorithm ... #management #cardiology ... table #foamed #heartfailure ... #chf #criticalcare