20 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• Hypoxia • Pulmonary ... • Oxygen • Treatment ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Medical Management of Acute RV Failure
 • Evaluate and Treat Etiology of RV Failure [e.g. Acute
Medical Management ... of RV Failure [e.g ... involving RV, Pulmonary ... Embolism] • Evaluate ... #management #treatment
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... disease or CHF) ... Control rate (e.g ... #management #cardiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Medications, Spinal Cord Injury ... Decompensated CHF ... • Obstructive: Pulmonary ... Embolism, Tension ... #management
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
level <100 pg/ml EKG ... embolism • Re-expansion ... contents • Head injury ... Traumatic brain injury ... differential #diagnosis #cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
acute cardiac injury ... Fulminant: - Acute HF ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... Myocarditis #diagnosis #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... Revascularization, treatment ... Nephrotoxins (e.g ... channel blocker (eg ... #Checklist #CHF
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... Cause Injury By ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
microvascular injury ... changes on tele/ECG ... tests in cath lab Treatment ... Prinzmetal #Angina #cardiology ... #diagnosis #management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Treatment depends ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... Traumatic brain injury