59 results
Bradycardia Diagnostic and Management Algorithm

CONSIDER ETIOLOGY (not inclusive): 
 - STRUCTURAL: sick sinus, AV block, ischemia,
and Management Algorithm ... sick sinus, AV block ... Hypothyroidism - TOX: beta-blockers ... LIFE THREATENING CAUSES ... TREATMENT - Drugs (beta-blockers
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
• AV block ... Medication side effect (e.g ... . αblockers, antidepressants ... Medication side effect (e.g ... Classification #Table #Causes
Complete (3rd Degree) Heart Block on ECG

ECG of a man brought to the ER by paramedics
Degree) Heart Block ... on ECG ECG of ... an episode of syncope ... #3rdDegree #HeartBlock #ECG ... #EKG #Electrocardiogram
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
Summary of Heart Blocks ... 1st Degree Heart Block ... Mobitz I Heart Block ... Complete Heart Block ... • Block in AV
Pacemaker Placement Indications
Class I:
 • Third degree block
 • Advanced 2nd degree block
 • Symptomatic Mobitz
• Third degree block ... Advanced 2nd degree block ... or 3rd degree block ... • Reversible causes ... of AV block -
Syncope - Differential Diagnosis Framework
Reflex Syncope:
• Vasovagal: Prolonged standing, Stress, Pain
• Situational: Coughing, Sneezing, Micturition, Defecation,
Syncope - Differential ... Framework Reflex Syncope ... Medication Effect: a-blockers ... bradycardia, Sinus pauses ... , AV block • Tachyarrhythmias
Beta Blocker Side Effects / Toxicity
Cardiac Side Effects:
 • Sinus bradycardia, AV block, Heart failure exacerbation,
Beta Blocker Side ... bradycardia, AV block ... exacerbation, Beta ... blocker withdrawal ... syndrome (e.g.
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
- Bifascicular block ... or 3rd degree block ... B bifascicular block ... bundle branch block ... , can be caused
Sinus pause/arrest vs Sinoatrial Block

#cardiology #diagnosis #ekg #ecg #electrocardiogram #sinuspause #sinoatrialblock
Sinus pause/arrest ... vs Sinoatrial Block ... cardiology #diagnosis #ekg ... #ecg #electrocardiogram
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
- Syncope Syndromes ... assoc with 1K, AV block ... Trifascicular block ... 1st degree heart block ... #Syndromes #ECG