9 results
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
• Variable P wave ... in contrast to WAP ... • Some P waves ... #diagnosis #ekg ... electrocardiogram #clinical #comparison
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
Wandering atrial pacemaker - ECG Diagnosis
 • The change in P wave contour is gradual
 •
change in P wave ... the pacemaker shifts ... Variant of sinus arrhythmia ... appreciate this rhythm ... #wap #Wandering
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
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
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 ... Have the patient tap ... Valvular disease (e.g ... palpitations: PVC
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Multifocal Atrial Tachycardia ... of a variable P-wave ... #Pacemaker #wap ... #ekg #ecg #electrocardiogram ... #comparison
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
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

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