23 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... 3 different P wave ... • Hypoxia • Pulmonary ... #Multifocal #Atrial ... #EKG #Management
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... Arrhythmia* (e.g ... also a result of atrial ... • Dominant R Wave ... #EKG #Pulmonary
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
: • The P wave ... Wandering Atrial ... cardiology #diagnosis #ekg ... #ecg #electrocardiogram ... variants #clinical #comparison
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Multifocal Atrial ... Arrhythmias on ... cardiology #diagnosis #ekg ... electrocardiogram #clinical #comparison ... #Arrhythmias
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
: • The P wave ... Wandering Atrial ... cardiology #diagnosis #ekg ... #ecg #electrocardiogram ... variants #clinical #comparison
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 • Advantages: Continuous recording, records asx events, all
Compared Ambulatory ECG ... • Advantages: Longer ... detect various arrhythmias ... Monitoring #Devices #Comparison ... #cardiology #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... telemetry, 12-Lead EKG ... - Distended neck ... Tamponade - Pulmonary ... Terminate arrhythmia
External Ventricular Drains (EVDs) & ICP waveform interpretation
An EVD is a temporary closed sterile system that
is increased (e.g ... P1 - related to arterial ... cerebral compliance (e.g ... CNS compliance LONGER ... Nick Mark MD @nickmmark
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 ... flutter, or atrial ... Valvular disease (e.g ... Pheochromocytoma • Pulmonary
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Noncardiac: • Pulmonary ... Common Sustained Arrhythmia ... • Absence of P waves ... AFib #diagnosis #management