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Narrow Complex Tachycardias (Simplified)

Irregular Narrow Complex Tachycardia:
 1. Atrial fibrillation
	- Usually the correct answer
 2. Multifocal
Tachycardia (MAT ... A regular rhythm ... Sinus tachycardia ... Atrial flutter ... #causes #cardiology
Anatomical Differential Diagnosis for Arrhythmias
 • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS)
 • AV
Atria: Premature ... Flutter (AFL), Atrial ... Tachycardia (FAT ... Tachycardia (MAT ... #Causes #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
atrial tachycardia ... Control rate (e.g ... flutter or MAT ... Control rate (e.g ... #management #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
(2) Atrial flutter ... tachycardia (MAT ... arrest - escape rhythms ... bradyarrhythmia #ECG ... #EKG #diagnosis
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... flutter, or atrial ... Premature supraventricular ... Valvular disease (e.g ... Family history of premature
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Atrial Tachycardia ... #Rhythm #tachycardia ... #cardiology #ekg ... #ecg #electrocardiogram ... #comparison
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 ... • Sinus arrhythmia