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Algorithm for the management of atrial fibrillation with rapid ventricular response

- Dr. Tom Fadial @thame 

#Atrial
Algorithm for the ... management of atrial ... rapid ventricular ... Fadial @thame #Atrial ... AFib #RVR #Algorithm
Anatomical Differential Diagnosis for Arrhythmias
 • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS)
 • AV
: Premature Atrial ... Flutter (AFL), Atrial ... FAT), Multifocal Atrial ... Fibrillation (V-Fib ... Differential #Diagnosis #Causes
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
tachycardia • Atrial ... tachycardia • Atrial ... Irregular: • Atrial ... • Multifocal atrial ... tachycardia • Atrial
Atrial Fibrillation on Cardiac Catheterization

Elderly patient taken up for primary PCI. See the way the proximal
Atrial Fibrillation ... AF cause coarse ... shows movement of ventricular ... @DrRajeshG1 #Atrial ... CathLab #AFib #clinical
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
abberancy - N B Afib ... tachycardia (2) Atrial ... (3) SVTs - atrial ... (3) Multifocal atrial ... #EKG #diagnosis
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
• Premature atrial ... Monofocal Ectopic Atrial ... interval) • AFib ... • Multifocal Atrial ... #causes
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
Ventricular Fibrillation on POCUS - Apical 4 Chamber View

A 50-year-old woman with a history of cardiac
Ventricular Fibrillation ... on POCUS - Apical ... preserved atrial ... #VFib #Ventricular ... POCUS #echocardiogram
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
heart disease Causes ... 300 = NSVT EKG ... capture of the atria ... arrhythmia • Atrial ... fibrillation