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Narrow Complex Tachycardias (Simplified)

Irregular Narrow Complex Tachycardia:
 1. Atrial fibrillation
	- Usually the correct answer
 2. Multifocal
Narrow Complex Tachycardias ... Atrial fibrillation ... Multifocal Atrial ... Atrial flutter ... (Ectopic) Atrial
Classic Digoxin-Associated Arrhythmias
 • Atrial fibrillation with an unusually slow ventricular response
 • Atrial Fibrillation with
Arrhythmias • Atrial ... ventricular response • Atrial ... Complete Heart ... Escape Rhythm • Atrial ... #ekg #electrocardiogram
Anatomical Differential Diagnosis for Arrhythmias
 • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS)
 • AV
Atrial Contractions ... (PACs), Atrial ... Flutter (AFL), Atrial ... (PST), Focal Atrial ... ), Multifocal Atrial
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
Atrial flutter ... • Atrial tachycardia ... Irregular: • Atrial ... • Multifocal atrial ... Atrial flutter
Tachycardia - Differential Diagnosis Framework
Narrow-Complex:
 • Regular: Sinus Tachycardia, Junctional Tachycardia, Atrial Tachycardia, Atrial Flutter, AVRT
Tachycardia - Differential ... , Atrial Tachycardia ... , Atrial Flutter ... Fibrillation, Multifocal ... Atrial Tachycardia
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Irregular wide-complex ... tachycardia: bundle ... identify left atrial ... test for DM Atrial
Supraventricular Tachycardia (SVT) - Differential Diagnosis Framework and Management

Regular SVT: Sinus Tachycardia, AVNRT, AVRT, Atrial Flutter,
, AVNRT, AVRT, Atrial ... Flutter, Ectopic Atrial ... Irregular SVT: Atrial ... Fibrillation, MAT ... w/ PACs, AFIb w
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
(2) Atrial ... (3) SVTs - atrial ... (3) Multifocal atrial ... #EKG #diagnosis ... electrocardiogram #cardiology #differential
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Arrhythmias - Differential ... • Premature atrial ... Monofocal Ectopic Atrial ... interval) • AFib ... • Multifocal Atrial
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Stable Narrow-Complex ... convert - Possible atrial ... flutter, ectopic atrial ... Rhythm: • Probable atrial ... possible atrial