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Narrow Complex Tachycardias (Simplified) Irregular Narrow Complex Tachycardia: 1. Atrial fibrillation - Usually the correct answer 2. Multifocal
retrograde) - AVNRT ... , AVRT, Junctional ... differential #diagnosis #causes
Syncope - Differential Diagnosis Algorithm Neurocardiogenic: • Vasovagal • Orthostatic Hypotension • Autonomic Neuropathy • Situational (micturition,
AFlutter • AVNRT ... /AVRT - Bradyarrhythmia ... Diagnosis #Algorithm #causes
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular Regular Rhythm - Narrow Complex
• ST vs SVT (AVNRT ... whether AF is cause ... Tx: Underlying cause ... Narrow #Irregular #causes
Anatomical Differential Diagnosis for Arrhythmias • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS) • AV
re-entrant tachycardia (AVRT ... re-entrant tachycardia (AVNRT ... Differential #Diagnosis #Causes
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Converts - Probably AVnRT ... or AVRT - Observe ... Treat underlying cause ... Treat underlying cause
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
Aflutter • AVNRT ... • AVRT (ie ... Diagnosis #Algorithm #causes
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
twitching CARDIAC CAUSES ... • Bradycardia caused ... NON-CARDIAC CAUSES ... maneuvers: SVT-AVNRT ... bending over: AVNRT
Tachycardia - Differential Diagnosis Framework Narrow-Complex: • Regular: Sinus Tachycardia, Junctional Tachycardia, Atrial Tachycardia, Atrial Flutter, AVRT
Atrial Flutter, AVRT ... WPW), AVnRT (ie ... Tachycardia, Antidromic AVRT
Tachyarrhythmia Framework - Differential Diagnosis • Narrow QRS - Regular Rhythm: Sinus tachycardia, AVNRT, Orthodromic AVRT,
Sinus tachycardia, AVNRT ... , Orthodromic AVRT ... block, Antidromic AVRT
Cannon A waves during AVNRT on Physical Exam In AVNRT, the atria and ventricles contract nearly simultaneously
A waves during AVNRT ... Physical Exam In AVNRT ... minute=rate of AVNRT ... to diagnose the case ... as Typical AVNRT
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