13 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial Tachycardia ... 3 different P wave ... • Oxygen • Treatment ... Multifocal #Atrial #Tachycardia ... #EKG #Management
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
(1) Sinus tachycardia ... Multifocal atrial tachycardia ... 3 different P waves ... bradyarrhythmia #ECG ... #EKG #diagnosis
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
• Consider K+ binder ... potassium and ECG ... amplitude of P waves ... - Absence of T wave ... management #algorithm #treatment
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Arrhythmias on ECG ... Multifocal atrial tachycardia ... atrial #rhythm #tachycardia ... cardiology #diagnosis #ekg ... electrocardiogram #clinical #comparison
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
SVT - Wide Tachycardias ... nadir of the S-wave ... nadir of the S-wave ... VT #VTach #SVT #Comparison ... #ekg #cardiology
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
Hyperdefecation • Anterior neck ... threatening: - Tachycardia ... ↑ AST/ALT • Treatment ... Hyperreflexia • Tachycardia ... tenderness Treatment
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
300 = NSVT EKG ... No associated P-wave ... , and the T-wave ... Supraventricular tachycardia ... more intensive treatment
External Ventricular Drains (EVDs) & ICP waveform interpretation
An EVD is a temporary closed sterile system that
is increased (e.g ... cerebral compliance (e.g ... CNS compliance LONGER ... called Lundberg waves ... Nick Mark MD @nickmmark
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 ... #criticalcare #treatment
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
urinary retention, tachycardia ... death Miller Fisher ... Electrodiagnostic studies - EMG ... Treatment: • Plasmapheresis ... diagnosis #management #treatment