13 results
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
Tachycardia - Differential Diagnosis Framework
Narrow-Complex:
 • Regular: Sinus Tachycardia, Junctional Tachycardia, Atrial Tachycardia, Atrial Flutter, AVRT
Tachycardia, Atrial ... • Irregular: Atrial ... Fibrillation, Multifocal ... Atrial Tachycardia ... (MAT), Atrial Flutter
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
tachycardia • Atrial ... tachycardia • Atrial ... Irregular: • Atrial ... • Multifocal atrial ... tachycardia • Atrial
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
Digoxin effect on Electrocardiogram ... conduction Uses: - Atrial ... fibrillation and ... atrial flutter ... Digoxin #effect #Electrocardiogram
Narrow Complex Tachycardias (Simplified)

Irregular Narrow Complex Tachycardia:
 1. Atrial fibrillation
	- Usually the correct answer
 2. Multifocal
Atrial fibrillation ... Multifocal Atrial ... Atrial flutter ... (Ectopic) Atrial ... #Tachycardias #differential
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Stable Narrow-Complex ... convert - Possible atrial ... atrial tachycardia ... Rhythm: • Probable atrial ... possible atrial
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
tachycardia (2) Atrial ... SVTs - atrial/junctional ... (3) Multifocal atrial ... #EKG #diagnosis ... #electrocardiogram
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
(e.g. ectopic atrial ... Morphology = multifocal atrial ... • Saw-Tooth = Atrial ... Flutter PR Interval ... #Electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Subepicardial atrial ... tachycardia • Narrow complex ... : AVNRT, AVRT, atrial ... #electrocardiogram ... #differential #
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