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cardiology differential algorithm narrowcomplex palpitations anatomical arrhythmias bradyarrhythmia bradycardia complexes ecg electrocardiogram hyperthyroidism management narrow premature pvc pvcs signs stable
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 ... #causes #cardiology
Anatomical Differential Diagnosis for Arrhythmias • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS) • AV
Atrial Contractions ... (PACs), Atrial ... Flutter (AFL), Atrial ... (PST), Focal Atrial ... #Causes #cardiology
Causes of Tachycardia - Differential Diagnosis Algorithm Narrow Complex - Regular: • Sinus tachycardia • Atrial flutter
Causes of Tachycardia ... • Atrial flutter ... • Atrial tachycardia ... • Multifocal atrial ... Atrial flutter
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
convert - Possible atrial ... atrial tachycardia ... Rhythm: • Probable atrial ... fibrillation or ... possible atrial
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
ARRYTHMIA • ATRIAL ... FIBRILLATION ... • ATRIAL FLUTTER ... • ATRIAL TACHYCARDIA ... #Differential #Diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
(2) Atrial ... SVTs - atrial/junctional ... (3) Multifocal atrial ... 200ms from longer pause ... #EKG #diagnosis
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
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
hyperthyroidism Diagnosis ... Ophthalmoplegia • Atrial ... fibrillation/flutter ... hyperthyroidism #causes ... #endocrinology
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
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