11 results
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Converts - Probably AVnRT ... pulmonary disease or CHF ... Treat underlying cause ... pulmonary disease or CHF ... Treat underlying cause
Supraventricular Tachycardia EKG

Here’s a great ECG case of a 50-year-old lady who presented with palpitations

Her heart
case of a 50-year-old ... Is it wide or narrow ... computer thinks it’s wide ... @EM_RESUS #AVRT ... #ECG #Electrocardiogram
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
A waves during AVNRT ... Physical Exam In AVNRT ... EKG of the same ... to diagnose the case ... Hussain Ch @Hussainch
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 ... bending over: AVNRT ... Red Flag Symptoms
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
(mild ↑CO) - Side ... is not desired (e.g ... is not desired (e.g ... Bradyarrhythmias, Some cases ... comparison #table #pharmacology
Metformin Pharmacology Summary
Mechanisms of Action:
 • Suppresses gluconeogenesis by the liver
 • Increases insulin-mediated glucose utilization
Metformin Pharmacology ... agent • Does not cause ... disease Common Side ... effects (e.g. diarrhea ... #Metformin #Pharmacology
GLP-1 Receptor Agonists - Pharmacology Summary
Mechanisms of Action: Stimulate glucose-dependent insulin release from the pancreas (GLP-1
Receptor Agonists - Pharmacology ... effects (e.g. diarrhea ... , nausea, worsen ... not definitively cause ... Receptor #Agonists #Pharmacology
Hydroxychloroquine is an antimalarial & DMARD (disease modifying antirheumatic drug). It is currently being discussed as
number of CNS side ... tinnitus) and may cause ... It also can cause ... Serious side effects ... Hydroxychloroquine #HCQ #Pharmacology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
condition with a wide ... ECG is vital while ... the determined cause ... #heartfailure #chf ... icu #clinical #pharmacology
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary

Epidemiology:
 • Prevalence: 1-2 cases per million -
Prevalence: 1-2 cases ... antagonist muscles) • Wide ... unit activity on EMG ... of diazepam • EMG ... • CSF: Oligoclonal