12 results
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
Sinus Arrhythmia ... is gradual and rhythmic ... Wandering Atrial ... Sinus #Arrhythmia ... variants #clinical #comparison
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
Sinus Arrhythmia ... is gradual and rhythmic ... Wandering Atrial ... Sinus #Arrhythmia ... variants #clinical #comparison
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
abberancy - N B Afib ... (3) SVTs - atrial ... 3 different P waves ... arrest - escape rhythms ... #EKG #diagnosis
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Arrhythmias on ... atrial rhythm & ... cardiology #diagnosis #ekg ... electrocardiogram #clinical #comparison ... #Arrhythmias
Wandering atrial pacemaker - ECG Diagnosis
 • The change in P wave contour is gradual
 •
Wandering atrial ... The change in P wave ... • Variant of sinus ... arrhythmia Note ... appreciate this rhythm
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
in the chest or neck ... PALPITATIONS: Arrhythmias ... tachycardia or arrhythmia ... Somatization Arrhythmias ... Hemodynamically significant arrhythmia
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Common Sustained Arrhythmia ... • Absence of P waves ... benefit of restoring sinus ... (< 5% pts with afibb ... #diagnosis #management
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
Adrenergic Drive: • Sinus ... Arrhythmia* (e.g ... ., A-Fib also a ... result of atrial ... • Dominant R Wave
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Arrhythmia (MAA ... of a variable P-wave ... ARRHYTHMIA - involves ... 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