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cardiology differential ekg electrocardiogram algorithm clinical arrhythmias echocardiogram endocarditis management narrowcomplex palpitations ventricular acs acutepe anatomical angina aorticdissection aorticregurgitation bradyarrhythmia
Narrow Complex Tachycardias (Simplified) Irregular Narrow Complex Tachycardia: 1. Atrial fibrillation - Usually the correct answer 2. Multifocal
Atrial fibrillation ... Multifocal Atrial ... Atrial flutter ... #differential #diagnosis ... #causes #cardiology
Anatomical Differential Diagnosis for Arrhythmias • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS) • AV
Anatomical Differential Diagnosis ... (PACs), Atrial ... Flutter (AFL), Atrial ... #Differential #Diagnosis ... #Causes #cardiology
Causes of Tachycardia - Differential Diagnosis Algorithm Narrow Complex - Regular: • Sinus tachycardia • Atrial flutter
Causes of Tachycardia ... • Atrial flutter ... • Atrial tachycardia ... Atrial flutter ... #cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
flutter, ectopic ... atrial tachycardia ... Treat underlying cause ... Treat underlying cause ... Treatment #management #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... (2) Atrial ... 200ms from longer pause ... #EKG #diagnosis ... electrocardiogram #cardiology
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
- Differential Diagnosis ... • Aflutter ... tachyarrhythmias #Cardiology ... #Differential #Diagnosis ... #Algorithm #causes
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
Causes of Palpitations ... FLUTTER • HEART ... • ATRIAL TACHYCARDIA ... #Differential #Diagnosis ... #Cardiology
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
evaluating for other causes ... Drive: • Sinus Tachycardia ... also a result of atrial ... Wave in V1 • Shift ... Embolism #AcutePE #diagnosis
Digoxin effect on Electrocardiogram (EKG) Digoxin is a cardiac glycoside from the foxglove leaf Mechanism - Inhibits Na-K
nodal conduction Uses ... and atrial flutter ... biphasic T waves - Short ... #Cardiology #Digitalis ... #ECG
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Palpitations Diagnosis ... exam • 12-lead ECG ... flutter, or atrial ... #Palpitations #Cardiology
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