14 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... Tachycardia (MAT ... #Tachycardia #MAT ... #Cardiology #Diagnosis ... #ECG #EKG #Management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Narrow-Complex Tachycardia ... Control rate (e.g ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Unexplained sinus tachycardia ... gallop • Abnormal ECG ... Elevated troponin • Cardiogenic ... cardiac death Management ... #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... Obtain femoral arterial ... DCSI #Initiative #Management ... #Cardiology
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Stable Wide-Complex Tachycardia ... If ventricular tachycardia ... nodal agents (e.g ... #Treatment #management ... #cardiology #algorithm
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-Serial evaluation ... monitoring ABG values ... patient's diagnosis (e.g ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Tachycardia: Belong ... dominant pacemaker focus ... #Rhythm #tachycardia ... wap #diagnosis #cardiology ... #ekg #ecg #electrocardiogram
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... with sinus tachycardia ... root, and left atrium ... #Clinical #EM #Radiology ... #POCUS #CardiacUS
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g ... #cardiology #treatment
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology