16 results
Tachyarrhythmia Framework - Differential Diagnosis
 • Narrow QRS - Regular Rhythm: Sinus tachycardia, AVNRT, Orthodromic AVRT,
AVRT, Atrial Tachycardia ... flutter w/ variable AV ... • Wide QRS - Regular ... • Wide QRS - Irregular ... with variable AV
Narrow Complex Tachycardias (Simplified)

Irregular Narrow Complex Tachycardia:
 1. Atrial fibrillation
	- Usually the correct answer
 2. Multifocal
Narrow Complex Tachycardias ... retrograde) - AVNRT ... , AVRT, Junctional ... #NarrowComplex # ... differential #diagnosis #causes
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
• SA Block • AV ... Aflutter • AVNRT ... • AVRT (ie ... with Variable AV ... Diagnosis #Algorithm #causes
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
vs Narrow, Regular ... ST vs SVT (AVNRT ... SVT+conduction ... abnormality • Beware AV ... #Narrow #Irregular
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
Causes of Tachycardia ... Atrial flutter • AV ... • AV reentrant ... SVT with wide QRS ... • Irregular SVT
Lead aVR on EKG
Lead aVR can provide some unique insight into 5 different conditions:

 - Acute
Lead aVR on EKG ... TCA-like overdose - AVRT ... in wide complex ... Diagnosis #Cardiology #EKG ... #ECG #Lead #AVR
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... • Classic EKG ... aVR in narrow cornplex ... #AVR #leadAVR #ecg ... electrocardiogram #diagnosis #ekg
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 ... Is it wide or narrow ... @EM_RESUS #AVRT ... #Tachycardia #EKG
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Tachycardia Regular ... 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