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| * [[Bradyarrhythmias]] and Conduction Abnormalities | | * [[Bradyarrhythmias]] and Conduction Abnormalities |
| **H&P: syncope, nausea, vomiting, blurred vision, dizziness | | **H&P: syncope, nausea, vomiting, blurred vision, dizziness |
− | **DDx: sinus brady, SSS, 1st degree AV block, 2nd degree AV block (Mobitz 1), 2nd degree AV block (Mobitz 2), 3rd degree AV block | + | **DDx: [[sinus brady]], [[SSS]], [[1st degree AV block]], [[2nd degree AV block (Mobitz 1)]], [[2nd degree AV block (Mobitz 2)]], [[3rd degree AV block]] |
| **Tx: correct electrolytes/hypothermia, atropine/dopamine, transcutaneous pacing, transvenous pacing, leadless pacing, permanent pacemaker | | **Tx: correct electrolytes/hypothermia, atropine/dopamine, transcutaneous pacing, transvenous pacing, leadless pacing, permanent pacemaker |
| * [[Tachyarrhythmias]] | | * [[Tachyarrhythmias]] |
| **H&P: palpitations, syncope | | **H&P: palpitations, syncope |
− | **DDx: Sinus tach, Multifocal Atrial Tachycardia, [[Afib]], Aflutter, AVNRT, AVRT, WPW, Vtach, Vfib | + | **DDx: [[Sinus tach]], [[Multifocal Atrial Tachycardia]], [[Afib]], [[Aflutter]], [[AVNRT]], [[AVRT]], [[WPW]], [[Vtach]], [[Vfib]], [[Torsades de Pointes]] |
| **Tx: Stable vs. Unstable. Synchronized cardioversion vs DCCV. Vagal maneuvers (blowing into a 20 ml syringe), atropine, [[beta blockers]], [[amiodarone]], digoxin, diltiazem. Rate control superior to rhythm control most of the time. Calculate a CHA2DS2-VASc for Afib patients. Consider cardioablation vs. Watchman. Always get a TEE/cardioversion for chronic Afib. The most effective [[AC]] is warfarin. Best AC is usually DOAC because of once daily oral dosing. LMWH is an alternative if they can't have a DOAC. Aflutter can be 2:1, 3:1, or 4:1 with fixed rates of 150, 100, and 75 respectively. Do NOT shock sinus tach. | | **Tx: Stable vs. Unstable. Synchronized cardioversion vs DCCV. Vagal maneuvers (blowing into a 20 ml syringe), atropine, [[beta blockers]], [[amiodarone]], digoxin, diltiazem. Rate control superior to rhythm control most of the time. Calculate a CHA2DS2-VASc for Afib patients. Consider cardioablation vs. Watchman. Always get a TEE/cardioversion for chronic Afib. The most effective [[AC]] is warfarin. Best AC is usually DOAC because of once daily oral dosing. LMWH is an alternative if they can't have a DOAC. Aflutter can be 2:1, 3:1, or 4:1 with fixed rates of 150, 100, and 75 respectively. Do NOT shock sinus tach. |
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