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diagnosis cardiology arrhythmias anatomical bradyarrhythmia bradycardia chronic complexes ecg electrocardiogram endocrinology hyperthyroidism management narrowcomplex palpitations premature pvc pvcs signs sob
Anatomical Differential Diagnosis for Arrhythmias • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS) • AV
Atrial Contractions ... (PACs), Atrial ... (PST), Focal Atrial ... ), Multifocal Atrial ... #Diagnosis #Causes
Causes of Tachycardia - Differential Diagnosis Algorithm Narrow Complex - Regular: • Sinus tachycardia • Atrial flutter
Causes of Tachycardia ... • Atrial flutter ... • Atrial tachycardia ... • Multifocal atrial ... Atrial flutter
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
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
convert - Possible atrial ... flutter, ectopic atrial ... Rhythm: • Probable atrial ... fibrillation or ... possible atrial
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
• Premature atrial ... Monofocal Ectopic Atrial ... interval) • AFib ... • Multifocal Atrial ... #causes
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Dyspnea - Differential ... Diagnosis Algorithm ... Arrhythmia • Atrial ... Fibrillation ... #SOB #Differential
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Paroxysmal AF, atrial ... flutter, or atrial ... Arrhythmias: • Atrial ... fibrillation/flutter ... • Multifocal atrial
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
300 = NSVT EKG ... capture of the atria ... may not occur Differential ... arrhythmia • Atrial ... fibrillation
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
• Exertional dyspnea ... Ophthalmoplegia • Atrial ... fibrillation/flutter ... hyperthyroidism #causes ... #diagnosis #differential
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