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Classic Digoxin-Associated Arrhythmias
 • Atrial fibrillation with an unusually slow ventricular response
 • Atrial Fibrillation with
Digoxin-Associated Arrhythmias ... Tachycardia with 2:1 AV ... EricsMedicalLectures/ #Digoxin #Arrhythmias ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Anatomical Differential Diagnosis for Arrhythmias
 • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS)
 • AV
Syndrome (SSS) • AV ... Tachycardia (MAT) • AV ... node: AV re-entrant ... tachycardia (AVRT ... ), AV nodal re-entrant
Almost any type of cardiac arrhythmia is seen in digitalis toxic­ity. However, type II second-degree atrioventricular
atrioventricular (AV ... , first-degree AV ... (SA) block, AV ... disso­ciation, AV ... with vari­able AV
Electrocardiographic Features of Digoxin Toxicity
 • Virtually any arrhythmia is possible. None specific for digoxin toxicity
Virtually any arrhythmia ... ventricular rate (↓ AV ... digitalis #Toxicity #Electrocardiogram ... #ekg #ecg #toxicology ... #cardiology #diagnosis
Atrial Fibrillation and WPW - Pre-Excitation AFib
In pre-excitation + a-fib with RVR:
 • All AV nodal
Atrial Fibrillation ... : • All AV nodal ... EricsMedicalLectures/ #Atrial ... PreExcitation #clinical #ecg ... #ekg #electrocardiogram
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
- Decreases AV ... nodal conduction Uses ... and atrial flutter ... #EKG #Cardiology ... #Digitalis #ECG
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... • Predictor of arrhythmia ... #AVR #leadAVR #ecg ... #electrocardiogram ... cardiology
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Arrhythmias - Differential ... • SA Block • AV ... AVNRT • AVRT ... with Variable AV ... Diagnosis #Algorithm #causes
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
increases (II, Ill and aVF ... the presence of AV ... Wandering Atrial ... #cardiology #diagnosis ... #ekg #ecg #electrocardiogram
The 3 Fates of a Premature Atrial Complex
 • PAC can be conducted with normal QRS
of a Premature Atrial ... conducts through the AV ... period of the AV ... #PACs #cardiology ... #ecg #electrocardiogram