17 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... • Oxygen • Treatment ... #Multifocal #Atrial ... Tachycardia #MAT #Cardiology ... #EKG #Management
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
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
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
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 ... #Tachycardia #Treatment ... #management #cardiology
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
(e.g. ectopic atrial ... Fibrillary = afib • Saw-Tooth ... aVF) • Right ventricular ... Arrhythmogenic right ventricular ... Electrocardiogram #cardiology
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... Regular • If ventricular ... nodal agents (e.g ... #Tachycardia #Treatment ... #management #cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
300 = NSVT EKG ... capture of the atria ... arrhythmia • Atrial ... more intensive treatment ... #differential #cardiology