Differential diagnosis of tachycardia (tachyarrhythmia) and hypertension

  • Tachycardia is a very prevalent rhythm disorder in the Stroke Unit, most often as tachyarrhythmia. We introduce a new – albeit german – mnemonic to remind us of frequent causes: SCHNELL & DEFTIG.
  • Stress – usually with hypertension (see below)
  • Cardiac – coronary, valves, pericarditis, endocarditis, …
  • Hypovolemia
  • eNdocrine (TSH)
  • Elytes (K, Mg, Ca, …)
  • Lung (pulmonary embolism)
  • L
  • Delirium
  • Entzug (withdrawal)
  • Fever
  • Toxic (drugs)
  • Ictal (postictal)
  • Gases (pH)

As for hypertension we also have a cute mnemonic: 3H5A

  • Hirndruck (cerebral hypertension
  • Hemodynamics
  • Harndrang (has to pee)
  • Aua (ouch, pain)
  • Angst
  • Atemnot (dyspnea)
  • Alcohol withdrawal
  • Alzheimer’s (delirium)

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