17 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
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 ... @EM_RESUS #AVRT ... #ECG #Electrocardiogram ... #Cardiology #EKG ... #Clinical
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Converts - Probably AVnRT ... or AVRT - Observe ... Control rate (e.g ... Control rate (e.g ... #cardiology #algorithm
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 ... that’s called “clinical ... PhysicalExam #JVP #Cardiology
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
evaluating for ... other causes of ... cardio-pulmonary ... Changes • STE in aVR ... AcutePE #diagnosis #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... maneuvers: SVT-AVNRT ... or AVRT • Standing ... bending over: AVNRT
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... Bradyarrhythmias, Some cases ... Inotropes #comparison #table ... #pharmacology #
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Vascular Resistance, Cardiac ... Resistance, Main Uses ... #Pharmacology # ... Effect #Management
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
• They must be able ... production to cause ... arrythmias Diagnostics: EKG ... Stress #Testing #cardiology ... #management #diagnosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
condition with a wide ... ECG is vital while ... the determined cause ... #table #foamed ... #pharmacology