36 results
Tachyarrhythmia Framework - Differential Diagnosis
 • Narrow QRS - Regular Rhythm: Sinus tachycardia, AVNRT, Orthodromic AVRT,
Sinus tachycardia, AVNRT ... Rhythm: Atrial fibrillation ... tachycardia • Wide ... Pre-excited SVT • Wide ... Differential #Diagnosis #cardiology
Tachycardia - Differential Diagnosis Framework
Narrow-Complex:
 • Regular: Sinus Tachycardia, Junctional Tachycardia, Atrial Tachycardia, Atrial Flutter, AVRT
Atrial Flutter, AVRT ... WPW), AVnRT (ie ... Irregular: Atrial Fibrillation ... Differential #Diagnosis #cardiology ... #wide #narrow #
Wolff-Parkinson-White (WPW)
- Orthodromic AVRT: Narrow complex, most common 
- Antidromic AVRT: wide complex because goes through
- Orthodromic AVRT ... - Antidromic AVRT ... : wide complex because ... WolffParkinsonWhite #WPW #Cardiology ... #ECG #EKG #Electrocardiogram
Narrow Complex Tachycardias (Simplified)

Irregular Narrow Complex Tachycardia:
 1. Atrial fibrillation
	- Usually the correct answer
 2. Multifocal
Atrial fibrillation ... retrograde) - AVNRT ... , AVRT, Junctional ... differential #diagnosis #causes ... #cardiology
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 ... #Cardiology #EKG
Lead aVR on EKG
Lead aVR can provide some unique insight into 5 different conditions:

 - Acute
Lead aVR on EKG ... TCA-like overdose - AVRT ... with aberrancy in wide ... #Diagnosis #Cardiology ... #EKG #ECG #Lead
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Converts - Probably AVnRT ... Treat underlying cause ... Probable atrial fibrillation ... Treat underlying cause ... Treatment #management #cardiology
Anatomical Differential Diagnosis for Arrhythmias
 • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS)
 • AV
(AFL), Atrial Fibrillation ... re-entrant tachycardia (AVNRT ... ), Ventricular Fibrillation ... Differential #Diagnosis #Causes ... #cardiology
Flecainide Toxicity on ECG

70 year old patient with chronic atrial fibrillation on an antiarrhythmic presented with
Flecainide Toxicity on ECG ... chronic atrial fibrillation ... presented with nausea ... Flecainide #Toxicity #ECG ... #Cardiology #Clinical
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
Causes of Tachycardia ... Irregular: • Atrial fibrillation ... • Ventricular fibrillation ... Diagnosis #Algorithm #Causes ... #cardiology