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cardiology diagnosis differential management treatment electrocardiogram arrhythmias avrt bradyarrhythmia classification clinical hyperkalemia irregular k narrowcomplex nephrology palpitations potassium supraventricular syncope
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
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
bpm) • Sinus Bradycardia ... Aflutter • AVNRT ... • AVRT (ie ... WPW) - Narrow ... #causes
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular Regular Rhythm - Narrow Complex
Diagnosis Table ... - Wide vs Narrow ... (AVNRT, OAVRT, AFIutter ... Differential #Diagnosis #Table ... #Wide #Narrow #
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... 200ms from longer pause ... can function) Wide ... bradyarrhythmia #ECG ... #EKG #diagnosis
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
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... dysfunction • Bradycardia-tachycardia ... Valvular disease (e.g ... vagal maneuvers: SVT-AVNRT ... or AVRT • Standing
Treatment of Stable Wide-Complex Tachycardia Regular • If ventricular tachycardia or uncertain rhythm: -
Treatment of Stable ... Wide-Complex Tachycardia ... cardioversion • If known SVT ... nodal agents (e.g ... irregular protocol #Stable
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
• Ventricular tachycardia ... effect (e.g. αblockers ... effect (e.g. sedation ... Classification #Table ... #Causes
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
heparinized tube) • ECG ... badness): Peak T, flat ... only if no clear cause ... Elimination (see Table ... Monitor for tachycardia
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