14 results
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
atrial rhythm & ... tachycardia ECG ... #rhythm #tachycardia ... cardiology #diagnosis #ekg ... electrocardiogram #clinical #comparison
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
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
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Common Sustained Arrhythmia ... • Absence of P waves ... Irregular wide-complex tachycardia ... AFib #diagnosis #management
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 ... and Survey 4) Workup ... - Distended neck
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
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
, Check pulse, rhythm ... obtain 12-lead ECG ... primary cardiac arrhythmia ... Checklist #Diagnosis #Management ... #Workup