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diagnosis ecg clinical cardiomyopathy comparison endocarditis management peripartum sinus variants acutepe avnrt avr awaves bradyarrhythmia bradycardia cannon complexes echocardiogram elevation
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
evaluating for other causes ... Arrhythmia* (e.g ... Wave in V1 • Shift ... AcutePE #diagnosis #cardiology ... #electrocardiogram
The 4 Variants of Sinus Arrhythmia Phasic Sinus Arrhythmia: • The rate increases with respiration and decreases
Phasic Sinus Arrhythmia ... Wandering Atrial ... the pacemaker shifts ... #cardiology #diagnosis ... #ekg #ecg #electrocardiogram
Wandering atrial pacemaker - ECG Diagnosis • The change in P wave contour is gradual •
the pacemaker shifts ... Variant of sinus arrhythmia ... #pacemaker #cardiology ... #diagnosis #ekg ... #ecg #electrocardiogram
The 4 Variants of Sinus Arrhythmia Phasic Sinus Arrhythmia: • The rate increases with respiration and decreases
Phasic Sinus Arrhythmia ... Wandering Atrial ... the pacemaker shifts ... #cardiology #diagnosis ... #ekg #ecg #electrocardiogram
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... ., aortic insufficiency ... regurgitation • Severe aortic ... #Palpitations #Cardiology ... #Differential #
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Subepicardial atrial ... • Predictor of arrhythmia ... #electrocardiogram ... #diagnosis #ekg ... cardiology
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
(3) SVTs - atrial ... 200ms from longer pause ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
heart disease Causes ... 300 = NSVT EKG ... capture of the atria ... • Atrial fibrillation ... #cardiology
Cannon A waves during AVNRT on Physical Exam In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... EKG of the same ... excludes other differentials ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
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 Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
CA • Involves aortic ... Libman Sacks) • Atrial ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology
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