22 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• Hypoxia • Pulmonary ... • Oxygen • Treatment ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... evaluating for other causes ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #management #cardiology ... #algorithm
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... Triage EKG (no prior ... Differential/diagnosis ... See thread for POCUS ... #Embolism #ECG
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
- Differential Diagnosis ... Algorithm Cardiac ... Cardiomyopathy - Valves ... #HeartFailure #Cardiology ... #Algorithm #causes
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... Pneumothorax • Pulmonary ... Initial workup: • EKG ... , PT. aPTT • Serial
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Causes of Fatigue ... Infectious • Endocarditis ... Chronic Obstructive Pulmonary ... • Drug Abuse (e.g ... #Algorithm #causes
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... Diagnosis? ... ↑ ESR, CRP • EKG ... #cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... heart disease Causes ... 300 = NSVT EKG ... more intensive treatment ... #differential #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... exam • 12-lead ECG ... Valvular disease (e.g ... Pheochromocytoma • Pulmonary ... #Palpitations #Cardiology