This topic explores the clinical approach and ECG diagnosis of patients presenting with three classes of arrhythmias : irregular tachycardia, broad complex tachycardia and bradycardia.
Relevance to General Practice
Immediate treatment priorities are considered including the clinical features of vital organ hypoperfusion, red flag arrhythmias associated with a high risk for rapid deterioration / cardiac arrest, approach to interpreting the ECG and emergency management of Rapid AF, Ventricular Tachycardia and Complete heart Block.
- List the differential diagnosis for irregular tachycardia
- Describe the indications and procedure for synchronised cardioversion in the emergency department using the Ottawa Aggressive Protocol for new onset AF
- Identify the "Red Flag Rhythms" with a high risk for sudden clinical deterioration
- Describe the ECG characteristics of bradycardia
- Identify and explain the management options for the patient with severe / life threatening complete heart block
Domains of General Practice
D1. Communication skills and the patient-doctor relationship
D2. Applied professional knowledge and skills
D3. Population health and the context of general practice
D4. Professional and ethical role
D5. Organisational and legal dimensions
Curriculum Contextual Units