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cardiology diagnosis differential algorithm ecg electrocardiogram acutepe avr bradyarrhythmia bradycardia cardiogenic dcsi detroit embolism fibrillation initiative irregular leadavr mat multifocal
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
Multifocal Atrial ... Tachycardia (MAT ... #Tachycardia #MAT ... #Cardiology #Diagnosis ... #ECG #EKG #Management
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
abberancy - N B Afib ... (2) Atrial ... tachycardia (MAT ... #EKG #diagnosis ... electrocardiogram #cardiology
Supraventricular Tachycardia (SVT) - Differential Diagnosis Framework and Management Regular SVT: Sinus Tachycardia, AVNRT, AVRT, Atrial Flutter,
Framework and Management ... , AVNRT, AVRT, Atrial ... Irregular SVT: Atrial ... w/ PACs, AFIb w ... #cardiology
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
Drive: • Sinus Tachycardia ... common finding) • Atrial ... ., A-Fib also a ... result of atrial ... AcutePE #diagnosis #cardiology
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Subepicardial atrial ... injury from pericardial ... aVR • Classic EKG ... : AVNRT, AVRT, atrial ... #differential #cardiology
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular Narrow - Regular: Use P
Tachycardia - Differential ... Diagnosis and Management ... • Atrial Flutter ... SarahFoohey #Tachycardia ... #cardiology #wide
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Narrow-Complex Tachycardia ... Control rate (e.g ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Irregular wide-complex tachycardia ... (< 5% pts with afibb ... ventricular hypertrophy, pericardial ... #diagnosis #management ... #cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... brain flow (VT/Vfib ... /Afib/WPW) • Loss ... #Palpitations #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... Obtain femoral arterial ... flow in all major epicardial ... DCSI #Initiative #Management ... #Cardiology
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