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Tachycardia - Wide vs Narrow Complex, Regular vs Irregular rhythm table

#Diagnosis #Cardiology #EKG #ECG #WideComplex #Narrow
Narrow Complex, Regular ... vs Irregular rhythm ... Diagnosis #Cardiology #EKG ... #ECG #WideComplex ... #Tachycardia #Irregular
Multifocal Atrial Tachycardia (MAT) on EKG
 • Heart rate > 100 bpm (usually 100-150 bpm)
 •
Tachycardia (MAT) on EKG ... 100-150 bpm) • Irregularly ... irregular rhythm ... diagnosis #cardiology #EKG ... #ECG #Electrocardiogram
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Rate 100-180 • Irregular ... • Oxygen • Treatment ... Cardiology #Diagnosis #ECG ... #EKG #Management
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
Differential Diagnosis Algorithm ... Narrow Complex - Irregular ... Monomorphic - Irregular ... : • Irregular ... Differential #Diagnosis #Algorithm
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... nodal agents (e.g ... narrow-complex irregular ... #Tachycardia #Treatment ... management #cardiology #algorithm
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
vs Irregular Narrow ... Narrow - Irregular ... Wide - Irregular ... #wide #narrow #algorithm ... #irregular
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
• No Treatment ... Narrow & irregular ... No Treatment. ... summary #Diagnosis #EKG ... electrocardiogram #ecg
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Differential Diagnosis Algorithm ... Narrow Complex - Irregular ... Wide Complex - Irregular ... long QT) • Irregular ... Differential #Diagnosis #Algorithm
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... underlying cause Irregular ... #Tachycardia #Treatment ... management #cardiology #algorithm
ECG Changes in Hyperkalemia and Treatment
Membrane Stabilization
 - Calcium gluconate or chloride 
Redistribution
 - Insulin
ECG Changes in Hyperkalemia ... and Treatment ... #Hyperkalemia #Treatment ... Management #Diagnosis #ECG ... #EKG