10 results
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
glycoside from the ... conduction Uses: - Atrial ... fibrillation and ... atrial flutter ... at therapeutic level
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... identify left atrial ... thrombusDigoxin ... test for DM Atrial ... weeks before or TEE
Almost any type of cardiac arrhythmia is seen in digitalis toxic­ity. However, type II second-degree atrioventricular
heart block, sino-atrial ... and ventricular fibrillation ... Non-paroxysmal atrial ... The various ECG ... #EKG #ECG #Digoxin
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
Large Mobile Left Atrial ... ECG: AF. ... embolic events in 3 arterial ... @odremanr #Atrial ... #LA #TEE #Echocardiogram
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... - TSH and/or digoxin ... level depending ... (no B-lines on ultrasound ... #Management
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
Substances • Digoxin ... atria may or may ... arrhythmia • Atrial ... fibrillation ... #differential #cardiology
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
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... Obtain femoral arterial ... visualization with use of ultrasound ... DCSI #Initiative #Management ... #Cardiology
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... preferable as the ... , atrial fibrillation ... for hemoglobin level ... #Shock #Management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... night sweats, fever ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology