Re: A-FIB with RVR vs. Multifocal Atrial Tachycardia

[Guest guest]

I've honestly never heard of the multiy strial tach.. Where just looking at the

name I would assume you are getting an impulse from the atria vs afib which the

atria aren't even conducting an impulse.. I'm still learning been medic just

over a year now.. Me and my friend whose testing for his medic tom are curious

as to what the answer is...

Sent from my Verizon Wireless BlackBerry

A-FIB with RVR vs. Multifocal Atrial Tachycardia

Can someone please explain the differences betweeen AFIB with RVR and Multifocal

Atrial Tachycardia this came up on a practice test I took and noone seems to

know the difference!!!

-Chris

[Guest guest]

Check out this site, maybe it will help

http://emedicine.medscape.com/article/155825-overview

Sent from my iPhone,

McGee, EMT-P, EMT-T

Can someone please explain the differences betweeen AFIB with RVR and Multifocal

Atrial Tachycardia this came up on a practice test I took and noone seems to

know the difference!!!

-Chris

[Guest guest]

WIthout sitting down and checking some books, I can only offer an off-the-cuff

reply, so I could be off base. I'm also just assuming you are looking at strips

on an EKG test, and ignoring other clinical indications.

Multifocial atrial tachycardia (MAT) is based on multiple ( > 2) points of

excitement in the atria, so there is still some organization that is lacking in

Atrial Fib. A-Fib w/ RVR and MAT are going to look the same on first glance. If

I can find p-waves that look similar and repetitive (not a pattern but just

p-waves with the same morphology/shape that match later waves) especially if

there were only a few different shapes. I would be inclined to call it MAT. If I

had many different p-wave shapes, then I'd be inclined to call it A-Fib with

RVR.

If you have an " after " strip, that would give you a lot more data. A-Fib w/ RVR

will likely return to A-Fib, with MAT is likely to return to a sinus rhythm or

Wandering Atrial Pacemaker (WAP). History, labs, and other clinical info would

add a lot to the diagnosis as well, obviously.

Hope that helps.

Austin

> Can someone please explain the differences betweeen AFIB with RVR and

Multifocal Atrial Tachycardia this came up on a practice test I took and noone

seems to know the difference!!!

>

> -Chris

>

>

>

[Guest guest]

Thanks everyone for the help, and it has helped!!! The problem with this

particular questions at least for me is that there was no strip attached it's

hard for me to picture things like that in my head!!! Well one thing is a fact

after all this is over and I pass this test I may be the worlds worst paramedic

but I'll be a damn good test taker!!!

-Chris

Sorry for the spelling and punctuation this was typed on the tiny keyboard on my

iPhone

On Aug 13, 2010, at 21:56, " B. Austin " abaustin+yahoogroups@...>

wrote:

>

> WIthout sitting down and checking some books, I can only offer an off-the-cuff

reply, so I could be off base. I'm also just assuming you are looking at strips

on an EKG test, and ignoring other clinical indications.

>

> Multifocial atrial tachycardia (MAT) is based on multiple ( > 2) points of

excitement in the atria, so there is still some organization that is lacking in

Atrial Fib. A-Fib w/ RVR and MAT are going to look the same on first glance. If

I can find p-waves that look similar and repetitive (not a pattern but just

p-waves with the same morphology/shape that match later waves) especially if

there were only a few different shapes. I would be inclined to call it MAT. If I

had many different p-wave shapes, then I'd be inclined to call it A-Fib with

RVR.

>

> If you have an " after " strip, that would give you a lot more data. A-Fib w/

RVR will likely return to A-Fib, with MAT is likely to return to a sinus rhythm

or Wandering Atrial Pacemaker (WAP). History, labs, and other clinical info

would add a lot to the diagnosis as well, obviously.

>

> Hope that helps.

>

> Austin

>

>

>

>

>> Can someone please explain the differences betweeen AFIB with RVR and

Multifocal Atrial Tachycardia this came up on a practice test I took and noone

seems to know the difference!!!

>>

>> -Chris

>>

>>

>>

[Guest guest]

Thanks everyone for the help, and it has helped!!! The problem with this

particular questions at least for me is that there was no strip attached it's

hard for me to picture things like that in my head!!! Well one thing is a fact

after all this is over and I pass this test I may be the worlds worst paramedic

but I'll be a damn good test taker!!!

-Chris

Sorry for the spelling and punctuation this was typed on the tiny keyboard on my

iPhone

On Aug 13, 2010, at 21:56, " B. Austin " abaustin+yahoogroups@...>

wrote:

>

> WIthout sitting down and checking some books, I can only offer an off-the-cuff

reply, so I could be off base. I'm also just assuming you are looking at strips

on an EKG test, and ignoring other clinical indications.

>

> Multifocial atrial tachycardia (MAT) is based on multiple ( > 2) points of

excitement in the atria, so there is still some organization that is lacking in

Atrial Fib. A-Fib w/ RVR and MAT are going to look the same on first glance. If

I can find p-waves that look similar and repetitive (not a pattern but just

p-waves with the same morphology/shape that match later waves) especially if

there were only a few different shapes. I would be inclined to call it MAT. If I

had many different p-wave shapes, then I'd be inclined to call it A-Fib with

RVR.

>

> If you have an " after " strip, that would give you a lot more data. A-Fib w/

RVR will likely return to A-Fib, with MAT is likely to return to a sinus rhythm

or Wandering Atrial Pacemaker (WAP). History, labs, and other clinical info

would add a lot to the diagnosis as well, obviously.

>

> Hope that helps.

>

> Austin

>

>

>

>

>> Can someone please explain the differences betweeen AFIB with RVR and

Multifocal Atrial Tachycardia this came up on a practice test I took and noone

seems to know the difference!!!

>>

>> -Chris

>>

>>

>>

[Guest guest]

Thanks everyone for the help, and it has helped!!! The problem with this

particular questions at least for me is that there was no strip attached it's

hard for me to picture things like that in my head!!! Well one thing is a fact

after all this is over and I pass this test I may be the worlds worst paramedic

but I'll be a damn good test taker!!!

-Chris

Sorry for the spelling and punctuation this was typed on the tiny keyboard on my

iPhone

On Aug 13, 2010, at 21:56, " B. Austin " abaustin+yahoogroups@...>

wrote:

>

> WIthout sitting down and checking some books, I can only offer an off-the-cuff

reply, so I could be off base. I'm also just assuming you are looking at strips

on an EKG test, and ignoring other clinical indications.

>

> Multifocial atrial tachycardia (MAT) is based on multiple ( > 2) points of

excitement in the atria, so there is still some organization that is lacking in

Atrial Fib. A-Fib w/ RVR and MAT are going to look the same on first glance. If

I can find p-waves that look similar and repetitive (not a pattern but just

p-waves with the same morphology/shape that match later waves) especially if

there were only a few different shapes. I would be inclined to call it MAT. If I

had many different p-wave shapes, then I'd be inclined to call it A-Fib with

RVR.

>

> If you have an " after " strip, that would give you a lot more data. A-Fib w/

RVR will likely return to A-Fib, with MAT is likely to return to a sinus rhythm

or Wandering Atrial Pacemaker (WAP). History, labs, and other clinical info

would add a lot to the diagnosis as well, obviously.

>

> Hope that helps.

>

> Austin

>

>

>

>

>> Can someone please explain the differences betweeen AFIB with RVR and

Multifocal Atrial Tachycardia this came up on a practice test I took and noone

seems to know the difference!!!

>>

>> -Chris

>>

>>

>>