15 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 ... #ECG #EKG #Electrocardiogram ... #Clinical #Diagnosis
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Differential Diagnosis Algorithm ... AFlutter • AVNRT ... /AVRT - Bradyarrhythmia ... #Syncope #Cardiology ... #causes
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
• Sick Sinus Syndrome ... Aflutter • AVNRT ... • AVRT (ie ... tachyarrhythmias #Cardiology ... #causes
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Converts - Probably AVnRT ... or AVRT - Observe ... #management #cardiology ... #algorithm
Supraventricular Tachycardia EKG

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

Her heart
case of a 50-year-old ... Is it wide or narrow ... @EM_RESUS #AVRT ... #Cardiology #EKG ... #Clinical
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 ... as Typical AVNRT ... that’s called “clinical ... PhysicalExam #JVP #Cardiology
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 ... 1. aVR: Is the ... #Diagnosis #Cardiology
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
Wolff-Parkinson-White Syndrome ... The definitive treatment ... Delta wave) 2 Wide ... WolffParkinsonWhite #WPW #Cardiology ... #Clinical #Diagnosis
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... maneuvers: SVT-AVNRT ... or AVRT • Standing ... bending over: AVNRT ... #Palpitations #Cardiology
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
Pisa Syndrome (pleurothotonus ... the body to one side ... Caused commonly ... Treatment: anticholinergics ... #PhysicalExam #clinical