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differential management ekg electrocardiogram anesthesia anesthesiology checklist ecg intraoperative palpitations acutepe algorithm anatomical bradyarrhythmia bradycardia cardiac comparison complexes crisis embolism
Anatomical Differential Diagnosis for Arrhythmias • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS) • AV
Atrial Contractions ... (PACs), Atrial ... (PST), Focal Atrial ... ), Multifocal Atrial ... #Causes #cardiology
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
• ATRIAL FIBRILLATION ... • ATRIAL FLUTTER ... • ATRIAL TACHYCARDIA ... #Differential #Diagnosis ... #Cardiology
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
• Premature atrial ... Monofocal Ectopic Atrial ... interval) • AFib ... • Multifocal Atrial ... #Algorithm #causes
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Paroxysmal AF, atrial ... flutter, or atrial ... : • Atrial fibrillation ... • Multifocal atrial ... /Afib/WPW) • Loss
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
(2) Atrial ... (3) SVTs - atrial ... (3) Multifocal atrial ... bradyarrhythmia #ECG #EKG #diagnosis ... electrocardiogram #cardiology
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 ... #cardiology
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
evaluating for other causes ... Drive: • Sinus Tachycardia ... common finding) • Atrial ... Arrhythmia* (e.g ... result of atrial
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
heart disease Causes ... capture of the atria ... • Sinus arrhythmia ... • Atrial fibrillation ... #differential #cardiology
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia: Belong to a group
Tachycardia: Belong ... Arrhythmia (MAA ... criteria for the diagnosis ... dominant pacemaker focus ... #cardiology #ekg
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
inversion • Arrhythmias ... Consider invasive arterial ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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