20 results
Wolff-Parkinson-White (WPW)
- Orthodromic AVRT: Narrow complex, most common 
- Antidromic AVRT: wide complex because goes through
- Orthodromic AVRT ... : wide complex because ... WolffParkinsonWhite #WPW #Cardiology ... #ECG #EKG #Electrocardiogram ... #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 ... @EM_RESUS #AVRT ... #Cardiology #EKG ... #Clinical
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Differential Diagnosis Algorithm ... Hypoglycemia • Anemia ... AFlutter • AVNRT ... Syndrome #Syncope #Cardiology ... #causes
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Differential Diagnosis Algorithm ... Tachycardia - Wide ... aberrancy - Wide ... tachyarrhythmias #Cardiology ... #causes
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Converts - Probably AVnRT ... Treat underlying cause ... Treat underlying cause ... Treatment #management #cardiology ... #algorithm
Algorithm for the Evaluation of Regular, Wide-Complex Tachycardia
1. aVR: Is the initial deflection in aVR positive?
Algorithm for the ... Evaluation of Regular ... , Wide-Complex Tachycardia ... Interpretation #ECG ... #Diagnosis #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
A waves during AVNRT ... EKG of the same ... to diagnose the case ... that’s called “clinical ... PhysicalExam #JVP #Cardiology
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS Evaluation ... physical activity - Nausea ... - History - EKG ... ChestPain #ACS #Evaluation ... #cardiology #Angina
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Hyperthyroidism • Anemia ... maneuvers: SVT-AVNRT ... bending over: AVNRT ... #Palpitations #Cardiology
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... intrinsic factor, IF) Clinical ... Worsening macrocytic anemia ... wt loss • If anemia ... total body stores Evaluation