9 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... 3 different P wave ... #Atrial #Tachycardia ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Multifocal Atrial ... Arrhythmias on ECG ... atrial tachycardia ... ECG Recognition ... #diagnosis #ekg
Cannon A Waves
 • Caused by atrial contracting against a closed tricuspid valve
 • Atrioventricular dissociation
• Caused by atrial ... + retrograde atrial ... activation from SVT (e.g ... #diagnosis #cardiology ... #CVP
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 ... are enough to diagnose ... excludes other differentials ... #Cardiology #Neck
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Multifocal Atrial ... contrast to AV dissociation ... #cardiology #ekg ... #ecg #electrocardiogram ... #comparison
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... block (3) Multifocal ... atrial tachycardia ... bradyarrhythmia #ECG ... #EKG #diagnosis
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... shock state) • Tachycardia ... telemetry, 12-Lead EKG ... - Distended neck ... crackles, elevated JVP
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
in the chest or neck ... exam • 12-lead ECG ... sinus syndrome) • Multifocal ... atrial tachycardia ... Valvular disease (e.g
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
- ↓ Effective arterial ... heparinized tube) • ECG ... bradycardia → sine wave ... Monitor for tachycardia ... hypertonic Amp IVP