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cardiology diagnosis differential algorithm ekg electrocardiogram treatment 1: a4c afib bradyarrhythmia bradycardia classification clinical contrast degrees doubleshunt echocardiogram endocarditis fibrillation
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... (2) Atrial ... SVTs - atrial/junctional ... (3) Multifocal atrial ... electrocardiogram #cardiology
Supraventricular Tachycardia (SVT) - Differential Diagnosis Framework and Management Regular SVT: Sinus Tachycardia, AVNRT, AVRT, Atrial Flutter,
, AVNRT, AVRT, Atrial ... Flutter, Ectopic ... Atrial Tachycardia ... Irregular SVT: Atrial ... flush and empty 2)
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 ... #Treatment #management
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular Narrow - Regular: Use P
Tachycardia - Differential ... Diagnosis and Management ... • Atrial Flutter ... . 150+/-20, 2:1. ... #cardiology #wide
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Paroxysmal AF, atrial ... flutter, or atrial ... Arrhythmias: • Atrial ... • Multifocal atrial
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Atrial Fibrillation ... risk factors Atrial ... identify left atrial ... test for DM Atrial ... cardioversion 2.
Summary of Heart Blocks 1st Degree Heart Block: • Prolonged PR >200ms (5 small squares). • Narrow
Brady Management ... relationship (2: ... P and QRS • Atrial ... Block infranodal level ... #cardiology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
- ↓ Effective arterial ... heparinized tube) • ECG ... Treatments: • Calcium 2- ... 10U reg IV + 1-2 ... Monitor for tachycardia
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
with end-stage liver ... as RAP>LAP as atrial ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary ... #cardiology #saline
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