14 results
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
Visual Guide to AV Nodal Reentrant Tachycardia (AVNRT) - Pathophysiology
 - Dual AV nodal physiology is
Visual Guide to AV ... (AVNRT) - Pathophysiology ... - Dual AV nodal ... ECG usually shows ... #AVNRT #Pathophysiology
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
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
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
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
Caused commonly ... by: - drugs (e.g ... neurodegenerative disorders (eg ... Pathophysiology: ... #PhysicalExam #clinical
Thiamine Deficiency - Differential Diagnosis Framework and Clinical Manifestations

Causes of Thiamine Deficiency:
 • Poor intake:
	- Diets
Framework and Clinical ... Manifestations Causes ... cardiomyopathy - Tachycardia ... Lactate/Pyruvate - AV ... beriberi #nutrition #pathophysiology