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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 ... Atrial flutter ... #NarrowComplex ... #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 ... #Stable #NarrowComplex
Supraventricular tachycardia (SVT) is an abnormally fast heart rhythm arising from improper electrical activity in upper
abnormally fast heart rhythm ... (PSVT), atrial ... Symptoms may include ... palpitations, feeling ... #EKG #SVT #SupraVentricularTachycardia
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Diagnosis Framework ... Palpitations Diagnosis ... exam • 12-lead ECG ... flutter, or atrial ... Valvular disease (e.g
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... tachycardia (MAT ... arrest - escape rhythms ... bradyarrhythmia #ECG ... #EKG #diagnosis
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Arrhythmias on ECG ... atrial tachycardia ... #atrial #rhythm ... #tachycardia #cardiology ... #diagnosis #ekg
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 ... the heartbeat • Palpitations ... 300 = NSVT EKG ... capture of the atria ... arrhythmia • Atrial