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Tachycardia - Wide vs Narrow Complex, Regular vs Irregular rhythm table

#Diagnosis #Cardiology #EKG #ECG #WideComplex #Narrow
Tachycardia - Wide ... #Diagnosis #Cardiology ... #EKG #ECG #WideComplex ... #Narrow #Tachycardia ... #Comparison #Differential
Lead aVR on EKG
Lead aVR can provide some unique insight into 5 different conditions:

 - Acute
Lead aVR on EKG ... conditions: - Acute MI ... in narrow complex ... tachycardias - ... #Diagnosis #Cardiology
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 ... • Narrow complex ... #AVR #leadAVR #ecg ... cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Narrow-Complex ... Probably AVnRT or AVRT ... #Treatment #management ... #cardiology #algorithm
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
Tachycardia - Differential ... Diagnosis Table ... #Differential # ... Diagnosis #Table ... Irregular #causes #cardiology
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... nodal agents (e.g ... aberrancy - Follow narrow-complex ... #Treatment #management ... #cardiology #algorithm
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... flutter - DANGER Narrow ... from SA node Narrow ... electrocardiogram #cardiology ... #differential
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
Tachycardia - Differential ... Diagnosis and Management ... deflection not AVRT ... #Differential # ... #cardiology #wide
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
Narrow & regular ... Narrow & irregular ... Brady Management ... electrocardiogram #ecg ... #cardiology
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