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Supraventricular Tachycardia EKG

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

Her heart
EKG Here’s a ... great ECG case of ... @EM_RESUS #AVRT ... #EKG #ECG #Electrocardiogram ... #Clinical
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
• Sick Sinus Syndrome ... • SA Block • AV ... • AVRT (ie ... with Variable AV ... Diagnosis #Algorithm #causes
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Converts - Probably AVnRT ... or AVRT - Observe ... Control rate with AV ... Control rate (e.g ... Control rate (e.g
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
rhythms (5) AV ... block (lower AV ... QRS - Distal AV ... bradyarrhythmia #ECG ... #EKG #diagnosis
Visual Guide to AV Nodal Reentrant Tachycardia (AVNRT) - Pathophysiology
 - Dual AV nodal physiology is
Visual Guide to AV ... - Dual AV nodal ... stays inside the AV ... ECG usually shows ... Visualmedapp #AV
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
AV block ... • Ventricular tachycardia ... effect (e.g. αblockers ... Subclavian steal syndrome ... effect (e.g. sedation
Beta Blocker Side Effects / Toxicity
Cardiac Side Effects:
 • Sinus bradycardia, AV block, Heart failure exacerbation,
Beta Blocker Side ... Toxicity Cardiac Side ... Sinus bradycardia, AV ... blocker withdrawal syndrome ... (e.g. tachycardia
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 ... Red Flag Symptoms
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable Wide-Complex ... Tachycardia Regular ... WPW) - Avoid AV ... nodal agents (e.g ... #Treatment #management
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
evaluate potential causes ... O: Obstructed AV ... atrioventricular (AV ... as first-degree AV ... segment • Epsilon #clinical