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Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... Tachycardia (MAT ... #Tachycardia #MAT ... #Cardiology #Diagnosis ... #ECG #EKG #Management
Multifocal Atrial Tachycardia (MAT) on EKG
 • Heart rate > 100 bpm (usually 100-150 bpm)
 •
Multifocal Atrial ... Tachycardia (MAT ... #Multifocal #Atrial ... #Tachycardia #diagnosis ... #cardiology #EKG
Narrow Complex Tachycardias (Simplified)

Irregular Narrow Complex Tachycardia:
 1. Atrial fibrillation
	- Usually the correct answer
 2. Multifocal
Atrial fibrillation ... Multifocal Atrial ... Tachycardia (MAT ... Atrial flutter ... (Ectopic) Atrial
Anatomical Differential Diagnosis for Arrhythmias
 • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS)
 • AV
Atrial Contractions ... (PACs), Atrial ... (PST), Focal Atrial ... Tachycardia (FAT ... Tachycardia (MAT
MAT - Multifocal Atrial Tachycardia #Clinical #Cardiology #MedStudent #EKG #MAT #MultifocalAtrialTachycardia #ECGEducator
MAT - Multifocal ... Atrial Tachycardia ... #Clinical #Cardiology ... #MedStudent #EKG ... #MAT #MultifocalAtrialTachycardia
MAT - Multifocal Atrial Tachycardia #Clinical #Cardiology #MedStudent #EKG #MAT #MultifocalAtrialTachycardia #ECGEducator
MAT - Multifocal ... Atrial Tachycardia ... #Clinical #Cardiology ... #MedStudent #EKG ... #MAT #MultifocalAtrialTachycardia
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
convert - Possible atrial ... flutter, ectopic atrial ... Rhythm: • Probable atrial ... #Treatment #management ... #cardiology #algorithm
Classic Digoxin-Associated Arrhythmias
 • Atrial fibrillation with an unusually slow ventricular response
 • Atrial Fibrillation with
Arrhythmias • Atrial ... ventricular response • Atrial ... Escape Rhythm • Atrial ... #Arrhythmias #diagnosis ... #cardiology #ecg
Tachycardia - Differential Diagnosis Framework
Narrow-Complex:
 • Regular: Sinus Tachycardia, Junctional Tachycardia, Atrial Tachycardia, Atrial Flutter, AVRT
, Atrial Tachycardia ... , Atrial Flutter ... • Irregular: Atrial ... Tachycardia (MAT ... ), Atrial Flutter
Supraventricular Tachycardia Differential Diagnosis
Sinus Tachycardia
Sinus Node Re-entry Tachycardia
Unifocal Atrial Tachycardia
Junctional Tachycardia
Multifocal Atrial Tachycardia (MAT)

- EB Medicine
Differential Diagnosis ... Unifocal Atrial ... Atrial Tachycardia ... (MAT) - EB Medicine ... #causes #svt #cardiology