11 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 ... Cardiology #Diagnosis #ECG ... #EKG #Management
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... Drive: • Sinus Tachycardia ... Arrhythmia* (e.g ... in relation to ECG ... #EKG #Pulmonary
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Arrhythmias on ... ECG Multifocal ... tachycardia ECG ... cardiology #diagnosis #ekg ... electrocardiogram #clinical #comparison
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 • Advantages: Continuous recording, records asx events, all
Compared Ambulatory ECG ... events, all (most) ECG ... detect various arrhythmias ... #Comparison #cardiology ... #management #holter
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 ... or arrhythmia ... Valvular disease (e.g ... Pheochromocytoma • Pulmonary
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Arrhythmia (MAA ... of a variable P-wave ... diagnosis #cardiology #ekg ... #ecg #electrocardiogram ... #comparison
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... shock state) • Tachycardia ... telemetry, 12-Lead EKG ... - Distended neck ... Tamponade - Pulmonary
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
Oxygen Delivery Devices ... tight-fitting mask (e.g ... • FiO2 24-60% Partial ... • FiO2 ~80% Nick ... #management #pulmonary
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
, bradycardia, arrhythmias ... heparinized tube) • ECG ... bradycardia → sine wave ... dose PRN (ongoing arrhythmia ... Monitor for tachycardia
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Any implantable devices ... indicated • EKG ... Obtain EKG if: ... CV disease - Arrhythmia ... medical and surgical management