Top Tweets for #CORCONFERENCE
¡Gracias por asistir a la conferencia! ¡Fue un honor conocervos a todos, y esperamos ver sus propios logros futuros! [please excuse my Spanish...I'm still learning!]
@CriticalCareNow @critcareguys @airwayGladiator @stereoaphonica @agilrodrigo @PacoCampilloPal #CorConference
Spanish team at Cor Conference 2023, with the best three professors ever...@amalmattu @CriticalCareNow @CriticalCareNow @stereoaphonica @agilrodrigo @PacoCampilloPal
“Patients don’t read medicine books, they don’t follow the rules”
Fortunately @amalmattu did that and explained very well to all of us at #CorConference
Thank you for your great lectures and your precious tips!
(Spotted: @rob_cosentini 😂)
Fun-tastic learning at Rome #CorConference via @airwayGladiator with incredibly passionate speakers
@amalmattu @CriticalCareNow @critcareguys
If this isn’t nice,
What is?
Amazing #CorConference in Rome via @airwayGladiator
In essence:
➡️ learned ECG like a guru via @amalmattu
➡️ learned systematic approach to crashing pts via @CriticalCareGuys
➡️ learned CC literature update via @CritCareNow
🩺 EM + 🏟️ Rome are the beauty of life
Arrhythmias via @amalmattu at #CorConference
AFib with WPW
NEVER use these drugs:
➡️ NEVER use adenosine (AV block —> VF induction)
➡️ NEVER amiodarone (mixed mechanism of action —> deadly med)
➡️ NEVER use digoxin AV block —> VF induction)
➡️ NEVER use Blockers
Arrhythmias via @amalmattu at #CorConference
AFib with WPW
➡️ very dangerous
➡️ very fast HR >> 180bpm (bypassed AV nose)
➡️ wide and narrow complexes
Arrhythmias via @amalmattu at #CorConference
Regular Tachy with Pre-excitation
➡️ orthodromic —> SVT
➡️ antidromic —> resemble VTach —> amiodarone/peocainomide/lido
Arrhythmias via @amalmattu at #CorConference
Tachy with Pre-excitation
➡️ Delta wave not always present/not all waves
➡️ look for short PR interval
Arrhythmias via @amalmattu at #CorConference
SVT
➡️ look for retrograde P waves
➡️ HR > 150
➡️ HR might be > maximal heart rate (220-age)
Arrhythmias via @amalmattu at #CorConference
Artifacts
➡️ look for all leads
➡️ look for regular ventricular breasts
Arrhythmias via @amalmattu at #CorConference
Atrial flutter
➡️ ventricular rate 150 +/- 20
➡️ look at leads (V1 > DII) to spot atrial activity
➡️ inverted P waves in inferior leads
➡️ ➡️ flip the ecg upside down
➡️ R-R interval in flutter is fixed in contrast to sinus tach
Arrhythmias via @amalmattu at #CorConference
Look for ventricular rate:
➡️ atrial flutter with low ventricular rate —> Pace
➡️ atrial flutter with very high ventricular rate —> Shock
Arrhythmias via @amalmattu at #CorConference
Bradycardia and HyperK:
➡️ atropine doesn’t work
➡️ Transcutaneous pacing doesn’t work
Arrhythmias via @amalmattu at #CorConference
Bradycardia and HyperK:
➡️ think HyperK
➡️ Calcium/Bicarbonate save lives
➡️ Bizzarre ECGs
BradyArrhythmias via @amalmattu at #CorConference
AV blocks
➡️ PR interval makes the differential diagnosis
➡️ PR increase —> Mobitz 1
➡️ PR constant —> Mobitz 2
➡️ PR irregular —> 3rd degree block
Deadly Arrhythmias via @amalmattu at #CorConference
VT vs SVT
➡️ WCT is VT, unless proven otherwise
➡️ Valsalva manouver doesn’t exclude VT
➡️ if not Sinus Tachy —> call it VT
Deadly Arrhythmias via @amalmattu at #CorConference
Electrical storm Take home points
➡️ Monomorphyc vs Polymorphic (QT)
➡️ Incessant VF —> DSD
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