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diagnosis differential management algorithm ekg electrocardiogram neurology anatomical avrt barre biopsy bradyarrhythmia bradycardia cardiomyopathy complexes criticalcare echocardiogram emergency foamed guillain
Anatomical Differential Diagnosis for Arrhythmias • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS) • AV
bradycardia, Sick Sinus Syndrome ... tachycardia (AVRT ... tachycardia (AVNRT ... Differential #Diagnosis #Causes ... #cardiology
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... • Predictor of arrhythmia ... ddx: AVNRT, AVRT ... (SVT) in wide cornplex ... #AVR #leadAVR #ecg
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
Arrhythmias - Differential ... • Sick Sinus Syndrome ... • AVRT (ie ... tachyarrhythmias #Cardiology ... Diagnosis #Algorithm #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 ... Treat underlying cause ... #cardiology #algorithm
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
Supraventricular Tachycardia EKG Here’s a great ECG case of a 50-year-old lady who presented with palpitations Her heart
Supraventricular Tachycardia ... great ECG case of ... @EM_RESUS #AVRT ... #Cardiology #EKG ... #Clinical
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... (2) Sick Sinus Syndrome ... 200ms from longer pause ... can function) Wide ... electrocardiogram #cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
syndromes (e.g. ... , long QT syndrome ... heart disease Causes ... more intensive treatment ... #differential #cardiology
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Epidemiology: • 1-2 cases ... meningococcal, H1N1) Clinical ... Guillain-Barre Clinical ... labile BP and arrythmias ... urinary retention, tachycardia
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Fulminant: - Acute HF ... Cardiogenic shock, Arrythmias ... Findings: - AV ... Low voltage Treatment ... diagnosis #management #cardiology
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