9 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... • Hypoxia • Pulmonary ... hypertension ... #Multifocal #Atrial ... #EKG #Management
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... common finding) • Atrial ... result of atrial ... #EKG #Pulmonary ... AcutePE #diagnosis #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Stable Narrow-Complex ... convert - Possible atrial ... flutter, ectopic atrial ... Rhythm: • Probable atrial ... fibrillation or possible 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 ... Noncardiac: • Pulmonary ... Irregular wide-complex ... identify left atrial ... #cardiology
Complete AV Canal Defect on Echocardiogram

Among pts with Pulmonary Arterial Hypertension, those with Eisenmenger syndrome have
Complete AV Canal ... Among pts with Pulmonary ... Arterial Hypertension ... Echocardiogram #clinical #cardiology ... #pocus
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... Cardiogenic Shock  Hypotension ... Obtain femoral arterial ... DCSI #Initiative #Management ... #Cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
abnormalities (hypo- or hypertension ... Stop or rapidly complete ... Consider invasive arterial ... consultation with cardiology ... Checklist #Diagnosis #Management
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
HFpEF and CAD Management ... current guidelines (eg ... may exacerbate hypertension ... with increased arterial ... #Algorithm #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... Cerebral > Splenic, pulmonary ... ↑ ESR, CRP • EKG ... #cardiology