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cardiology ekg electrocardiogram atrial clinical cannon differential management multifocal pacemaker sinus treatment variants wandering wap acutepe arrhythmias avnrt complexes criticalcare
Multifocal Atrial Arrhythmias on ECG Multifocal atrial rhythm & Multifocal atrial tachycardia ECG Recognition: • Variable P wave
ECG Recognition ... • Variable P wave ... • Some P waves ... #diagnosis #ekg ... electrocardiogram #clinical #comparison
Cannon A Waves • Caused by atrial contracting against a closed tricuspid valve • Atrioventricular dissociation
Cannon A Waves ... • The cannon a wave ... ., junctional rhythm ... 2LmUODZ #Cannon #AWaves ... #CVP
Cannon A waves during AVNRT on Physical Exam In AVNRT, the atria and ventricles contract nearly simultaneously
Cannon A waves during ... EKG of the same ... rapid cannon a waves ... Hussainch #Cannon #Awaves ... #PhysicalExam #JVP
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 The 4 Variants of Sinus Arrhythmia Phasic Sinus Arrhythmia: • The rate increases with respiration and decreases
increases, the P wave ... decreases, the P wave ... is gradual and rhythmic ... : • The P wave ... the pacemaker shifts
Wandering atrial pacemaker - ECG Diagnosis • The change in P wave contour is gradual •
atrial pacemaker - ECG ... change in P wave ... the pacemaker shifts ... Variant of sinus arrhythmia ... appreciate this rhythm
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
Drive: • Sinus Tachycardia ... finding) • Atrial Arrhythmia ... • Dominant R Wave ... in V1 • Shift ... in relation to ECG
The 4 Variants of Sinus Arrhythmia Phasic Sinus Arrhythmia: • The rate increases with respiration and decreases
increases, the P wave ... decreases, the P wave ... is gradual and rhythmic ... : • The P wave ... the pacemaker shifts
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
syndromes (e.g. ... 300 = NSVT EKG ... No associated P-wave ... , and the T-wave ... • Sinus arrhythmia
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... in the chest or neck ... exam • 12-lead ECG ... Valvular disease (e.g ... palpitations: PVC
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
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