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diagnosis ekg electrocardiogram algorithm clinical treatment neurology stemi syncope arrhythmias criticalcare embolism equivalents pulmonary table acutepe anatomical barre bradyarrhythmia bradycardia
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... artery (LMCA). left anterior ... #AVR #leadAVR #ecg ... #differential # ... cardiology
Anatomical Differential Diagnosis for Arrhythmias • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS) • AV
Anatomical Differential ... bradycardia, Sick Sinus Syndrome ... tachycardia (AVRT ... #Diagnosis #Causes ... #cardiology
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Pseudo-acute coronary syndrome ... Recent flu-like syndrome ... Paraclinical assessment: EKG ... #Myocarditis #differential ... #cardiology #MRI
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
evaluating for other causes ... Drive: • Sinus Tachycardia ... in relation to ECG ... Changes • STE in aVR ... AcutePE #diagnosis #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... (2) Sick Sinus Syndrome ... 200ms from longer pause ... electrocardiogram #cardiology ... #differential
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Probably AVnRT or AVRT ... Treat underlying cause ... Treat underlying cause ... #Treatment #management ... #cardiology #algorithm
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
Arrhythmias - Differential ... • Sick Sinus Syndrome ... AVNRT • AVRT ... tachyarrhythmias #Cardiology ... Diagnosis #Algorithm #causes
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... - early inferior ... electrocardiogram #cardiology ... Interpretation #differential
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
Shock - Differential ... • AV block ... • Ventricular tachycardia ... Subclavian steal syndrome ... Classification #Table #Causes
Syncope - Differential Diagnosis Algorithm Neurocardiogenic: • Vasovagal • Orthostatic Hypotension • Autonomic Neuropathy • Situational (micturition,
Syncope - Differential ... Contractility: • MI ... #Syncope #Cardiology ... #Differential # ... Diagnosis #Algorithm #causes
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