Not all palpitations are due to arrhythmia Investigations usually occur between episodes due to palpitations’ transient nature. Diagnosis begins with patient history, physical examination, and…
TOO FAST TOO SLOW NARROW COMPLEX BROAD COMPLEX NARROW COMPLEX BROAD COMPLEX REGUALR IRREGULAR REGULAR IRREGULAR SVTFlutterSinus Tachy AFA-flutter with variable block VTConduction abN VFAF…
Intro Risk factors, disease associations and potentially reversible precipitants for atrial fibrillation Risk factors and disease associations Potentially reversible precipitants ObesityHypertensionType 2 diabetes/impaired glucose toleranceSmokingObstructive…
Delayed conduction of electrical current as it passes through the conducting system May occur at any level in the conducting system (AV node, Bundle of…
Two main categories: AV NODE INDEPENDENT AV NODE DEPENDENT MANAGEMENT Undifferentiated Narrow Complex Tachycardia Ventricular stand-still post Adenosine AV NODE INDEPENDENT AV NODE DEPENDENT
Aetiology Palpitations: Associated Symptoms and Causes Cardiac:Arrhythmias Cardiac: Nonarrhythmic cardiac causes Serious Indicators: Symptom Characteristics: Orthostatic Intolerance: Psychiatric causes Drugs and medications Extracardiac causes History…
Wolff-Parkinson-White (WPW) Syndrome ECG features of WPW in sinus rhythm Tachyarrhythmias associated with WPW syndrome Atrioventricular reentrant tachycardia (AVRT) WPW with AF – FBI =…
DIAGNOSIS ECG Inappropriate sinus tachycardia (IST) Postural orthostatic tachycardia syndrome (POTS)
most common: birth to 13 years aged 14 to 24 years causes:
Case: Jane is a 42 yr old women who teachers at the local primary school. She attends your surgery at lunch time complaining of feeling…
Causes of tachyarrhythmias and differentiating clinical features Rate P-waves Variability Most common demographic Sinus Tachycardia <220 Present, normal morphology Variable Typically unwell children or…
Risk factors Causes of prolonged QT Antipsychotics Antiarrhythmics Tricyclics Other antidepressants Antihistamines Others Chlorpromazine Quinidine Amitriptyline Citalopram Diphenhydramine Erythromycin Haloperidol Procainamide Doxepin Escitalopram Loratadine Clarithromycin…
Features: always associated with absent pulse and loss of consciousness ECG Differential diagnosis Management: Electrical cardioversion Management: Drug therapy Special circumstances
Monomorphic Polymorphic complex of normal duration. (the first of the narrower complexes is a fusion beat (the next two are capture beats) Brugada Criteria:: RS…