16 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 ... • Oxygen • Treatment ... #EKG #Management
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Arrhythmias on ... tachycardia ECG ... #rhythm #tachycardia ... electrocardiogram #clinical #comparison ... #Arrhythmias
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 ... • Dominant R Wave ... #EKG #Pulmonary
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... with caution in pulmonary ... with caution in pulmonary ... #Treatment #management
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
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
shock state) • Tachycardia ... telemetry, 12-Lead EKG ... - Distended neck ... Tamponade - Pulmonary ... #criticalcare #treatment
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
300 = NSVT EKG ... capture of the atria ... • Sinus arrhythmia ... • Atrial fibrillation ... more intensive treatment
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
Hyperdefecation • Anterior neck ... Cardiac arrhythmia ... ↑ AST/ALT • Treatment ... Ophthalmoplegia • Atrial ... tenderness Treatment
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Tachycardia: Belong ... Arrhythmia (MAA ... of a variable P-wave ... #Rhythm #tachycardia ... #comparison
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Noncardiac: • Pulmonary ... Common Sustained Arrhythmia ... • Absence of P waves ... Irregular wide-complex tachycardia ... AFib #diagnosis #management