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cardiology diagnosis differential algorithm management ekg electrocardiogram stable svt table anesthesia arrhythmias avrt bradyarrhythmia bradycardia checklist classification clinical intraoperative irregular
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
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Converts - Probably AVnRT ... or AVRT - Observe ... Control rate with AV ... Treat underlying cause
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular Regular Rhythm - Narrow Complex
• ST vs SVT (AVNRT ... whether AF is cause ... Tx: Underlying cause ... abnormality • Beware AV ... Narrow #Irregular #causes
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
Supraventricular Tachycardia EKG Here’s a great ECG case of a 50-year-old lady who presented with palpitations Her heart
Supraventricular Tachycardia ... great ECG case of ... Is it wide or narrow ... computer thinks it’s wide ... @EM_RESUS #AVRT
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
rhythms (5) AV ... 200ms from longer pause ... QRS - Proximal AV ... block (lower AV ... QRS - Distal AV
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 ... #Treatment #management
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... maneuvers: SVT-AVNRT ... or AVRT • Standing ... bending over: AVNRT ... Red Flag Symptoms
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
• AV block ... • Ventricular tachycardia ... - Medication side ... - Medication side ... Classification #Table #Causes
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... remember to tailor treatment ... obtain 12-lead ECG ... : central line/wire ... #Anesthesiology
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