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
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... or AVRT - Observe ... Control rate (e.g ... Control rate (e.g ... #Stable #NarrowComplex
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
Diagnosis Table ... • ST vs SVT (AVNRT ... abnormality • Beware AV ... Differential #Diagnosis #Table ... Irregular #causes
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
• Ventricular tachycardia ... effect (e.g. αblockers ... Subclavian steal syndrome ... effect (e.g. sedation ... Classification #Table
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
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... (2) Sick Sinus Syndrome ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... Wide-Complex Tachycardia ... WPW) - Avoid AV ... nodal agents (e.g ... irregular protocol #Stable
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
with previously stable ... risk factors (eg ... hypertension (eg ... 109 mm Hg) with clinical ... hypertension (eg
Compelling and Possible Contraindications to Antihypertensive Drugs
Diuretics (thiazides)
 - Gout
 - Metabolic syndrome, Glucose intolerance, Pregnancy,
- Metabolic syndrome ... dihydropyridines) - Tachycardia ... Pgp-dependent drugs (e.g ... - Metabolic syndrome ... contraindications #table
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
renal failure Clinical ... symptoms are not caused ... of diagnosis (e.g ... Self-limiting, chronic but stable ... • Heerfordt syndrome