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management cardiology anesthesiology checklist differential workup intraoperative bradycardia cardiac electrocardiogram pulmonary acutepe algorithm anaphylaxis arrest bradyarrhythmia cardiomyopathy complexes cooling criteria
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
Multifocal Atrial ... Tachycardia (MAT ... • Oxygen • Treatment ... #Cardiology #Diagnosis ... #ECG #EKG #Management
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... EKG is helpful in ... evaluating for other causes ... Drive: • Sinus Tachycardia ... Embolism #AcutePE #diagnosis
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Treat underlying cause ... Control rate (e.g ... #cardiology #algorithm
Wolff–Parkinson–White syndrome (WPW) is one of several disorders of the electrical system of the heart that
WPW is caused by ... pathway between the atria ... Pathophysiology #Diagnosis ... #EKG #WPW #WolffParkinsonWhite ... ShortPR #Criteria #ECGEducator
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Checklist #Diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Consider invasive arterial ... Intraoperative #Checklist #Diagnosis
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... heart disease Causes ... 300 = NSVT EKG ... capture of the atria ... more intensive treatment
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... Guidelines for Crises ... remember to tailor treatment ... obtain 12-lead ECG ... Intraoperative #Checklist #Diagnosis
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Palpitations Diagnosis ... exam • 12-lead ECG ... Valvular disease (e.g ... #Palpitations #Cardiology
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