23 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... Tachycardia (MAT ... • Oxygen • Treatment ... #Cardiology #Diagnosis ... #ECG #EKG #Management
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... aVR • Classic EKG ... tachycardia (SVT ... #AVR #leadAVR #ecg ... electrocardiogram #diagnosis #ekg
Supraventricular tachycardia (SVT) is an abnormally fast heart rhythm arising from improper electrical activity in upper
Supraventricular tachycardia ... four main types: atrial ... (PSVT), atrial ... of breath, or chest ... #EKG #SVT #SupraVentricularTachycardia
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
: HR > 180bpm ECG ... , Monitors, Pads ... 0.2 mg/kg Unstable ... supraventricular #tachycardia ... peds #Pediatric #treatment
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... leads indicates atrial ... 4 - ECG becomes ... inverted #Diagnosis #EM ... #EKG #Pericarditis
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
on EKG 47 year ... old with chest ... Ectopic atrial rhythm ... #STEMI #EKG #clinical ... #ecg
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... SOB from CHF, Chest ... Pain • ECG: Bad ... Connect ECG Leads ... #differential #management
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... cardioversion • If known SVT ... nodal agents (e.g ... #Treatment #management ... #cardiology #algorithm
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
flip-flopping in the chest ... exam • 12-lead ECG ... Valvular disease (e.g ... Flag Symptoms: • Chest ... #Palpitations #Cardiology