17 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial Tachycardia ... • Oxygen • Treatment ... #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Algorithm for the Evaluation of Regular, Wide-Complex Tachycardia
1. aVR: Is the initial deflection in aVR positive?
Algorithm for the ... Evaluation of Regular ... , Wide-Complex Tachycardia ... #ECG #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
: HR > 180bpm ECG ... Signs of shock or ... supraventricular #tachycardia ... #Management #Algorithm ... peds #Pediatric #treatment
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... #Initiative #Management ... #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Unexplained sinus tachycardia ... gallop • Abnormal ECG ... • Cardiogenic shock ... #Management #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... Wide-Complex Tachycardia ... nodal agents (e.g ... #Treatment #management ... #cardiology #algorithm
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... state) • Tachycardia ... telemetry, 12-Lead EKG ... #Diagnosis #Management ... #criticalcare #treatment
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - ... EKG & echocardiography ... Revascularization, treatment ... Nephrotoxins (e.g ... channel blocker (eg
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
HF, Cardiogenic shock ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... #Myocarditis #diagnosis ... #management #cardiology