21 results
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Arrhythmias on ... atrial rhythm & ... tachycardia ECG ... #rhythm #tachycardia ... electrocardiogram #clinical #comparison
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... Tachycardia (MAT ... 3 different P wave ... • Oxygen • Treatment ... #EKG #Management
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
(2) Atrial ... tachycardia (MAT ... 3 different P waves ... arrest - escape rhythms ... #EKG #diagnosis
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Regular Rhythm: ... Control rate (e.g ... cause Irregular Rhythm ... #Treatment #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 ... #ecg #electrocardiogram ... variants #clinical #comparison
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
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 ... Heart Rate and Rhythm ... Rapid and regular rhythms ... and irregular rhythms
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 ... #ecg #electrocardiogram ... variants #clinical #comparison
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... • Consider K+ binder ... potassium and ECG ... sinoventricular rhythm ... #algorithm #treatment
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
Narrow & regular rhythm ... Narrow & irregular rhythm ... Brady Management ... P and QRS • Atrial ... summary #Diagnosis #EKG