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Algorithm for the management of atrial fibrillation with rapid ventricular response

- Dr. Tom Fadial @thame 

#Atrial
Algorithm for the ... management of atrial ... fibrillation with rapid ventricular ... #management #Rapid ... #Emergency #Cardiology
Almost any type of cardiac arrhythmia is seen in digitalis toxic­ity. However, type II second-degree atrioventricular
heart block, sino-atrial ... (SA) block, AV ... Non-paroxysmal atrial ... #Diagnosis #Cardiology ... #EKG #ECG #Digoxin
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Differential Diagnosis Algorithm ... Sinus Syndrome • SA ... Escape Rhythm • Ventricular ... • Premature ventricular ... tachyarrhythmias #Cardiology
Left Ventricular Thrombus Arterial Embolization on Echocardiogram- Caught in Action! 

The TTE was ordered for cardioembolic
Left Ventricular ... Thrombus Arterial ... #Cardiac #Arterial ... #Clinical #POCUS ... echocardiogram #Cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
(3) SVTs - atrial ... (3) Multifocal atrial ... Distal AV block - ventricular ... #EKG #diagnosis ... electrocardiogram #cardiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
disease, left ventricular ... thrombus • Digoxin ... TEE to exclude thrombus ... AFib #diagnosis #management ... #cardiology
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
(e.g. ectopic atrial ... aVF) • Right ventricular ... Arrhythmogenic right ventricular ... @AmyChung #EKG ... Electrocardiogram #cardiology
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
inhibitor; AF, atrial ... cardioverter-defibrillator; LV, left ventricular ... ; LVH, left ventricular ... Stages #ACCAHA #Algorithm ... #Management #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
flutter, ectopic atrial ... Control rate (e.g ... Control rate (e.g ... Tachycardia #Treatment #management ... #cardiology #algorithm
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
Brady Management ... P and QRS • Atrial ... rate > Ventricular ... summary #Diagnosis #EKG ... #cardiology