11 results
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
atrial rhythm & ... tachycardia ECG ... #rhythm #tachycardia ... electrocardiogram #clinical ... #comparison #Arrhythmias
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
is gradual and rhythmic ... Wandering Atrial ... cardiology #diagnosis #ekg ... #variants #clinical ... #comparison
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
in the chest or neck ... Heart Rate and Rhythm ... Rapid and regular rhythms ... and irregular rhythms ... Nonarrhythmic Cardiac
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Atrial Tachycardia ... of a variable P-wave ... #Rhythm #tachycardia ... diagnosis #cardiology #ekg ... #comparison
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 • Advantages: Continuous recording, records asx events, all
• Advantages: Longer ... Correlation of rhythm ... detect various arrhythmias ... Monitoring #Devices #Comparison ... #cardiology #management
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
is gradual and rhythmic ... Wandering Atrial ... cardiology #diagnosis #ekg ... #variants #clinical ... #comparison
Atrial Fibrillation (A-Fib) Summary

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

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

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
Hyperthyroidism Overview Clinical ... Hyperdefecation • Anterior neck ... threatening: - Tachycardia ... Cardiac arrhythmia ... Ophthalmoplegia • Atrial
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
, bradycardia, arrhythmias ... bradycardia → sine wave ... line, stabilizes cardiac ... 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
overload, irregular rhythm ... Obtain EKG if: ... CV disease - Arrhythmia ... Change in clinical ... medical and surgical management