32 results
Wolff-Parkinson-White (WPW)
- Orthodromic AVRT: Narrow complex, most common 
- Antidromic AVRT: wide complex because goes through
- Orthodromic AVRT ... - Antidromic AVRT ... : wide complex because ... WPW #Cardiology #ECG ... #Clinical #Diagnosis
Supraventricular Tachycardia EKG

Here’s a great ECG case of a 50-year-old lady who presented with palpitations

Her heart
Here’s a great ECG ... case of a 50-year-old ... Is it wide or narrow ... @EM_RESUS #AVRT ... #Clinical
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
Differential Diagnosis Table ... • ST vs SVT (AVNRT ... whether AF is cause ... Differential #Diagnosis #Table ... Irregular #causes
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Converts - Probably AVnRT ... Control rate (e.g ... Treat underlying cause ... Treat underlying cause
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 ... EKG of the same ... to diagnose the case ... that’s called “clinical
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
- Medication side ... effect (e.g. αblockers ... - Medication side ... Classification #Table ... #Causes
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
(mild ↑CO) - Side ... is not desired (e.g ... is not desired (e.g ... Bradyarrhythmias, Some cases ... Inotropes #comparison #table
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Resistance, Main Uses ... Dobutamine 2-20 mcg ... Internet Book of Critical ... Vasopressors #Properties #Table
GLP-1 Receptor Agonists - Pharmacology Summary
Mechanisms of Action: Stimulate glucose-dependent insulin release from the pancreas (GLP-1
Ozempic), or daily tablet ... Toxicities: • Gl side ... effects (e.g. diarrhea ... , nausea, worsen ... not definitively cause
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
the body to one side ... Caused commonly ... by: - drugs (e.g ... neurodegenerative disorders (eg ... #PhysicalExam #clinical