9 results
Lead aVR on EKG
Lead aVR can provide some unique insight into 5 different conditions:

 - Acute
Lead aVR on EKG ... - Pericarditis ... #Cardiology #EKG ... #ECG #Lead #AVR ... #Utility #ALiEM
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
in acute pericarditis ... indefinitely inverted #Diagnosis ... #EM #IM #Cardiology ... #EKG #Pericarditis ... #Spodick #ECGEducator
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... Paraclinical assessment: EKG ... hypokinesia, associated pericarditis ... #Causes #cardiology ... #MRI
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... • Chest pain, pericarditis ... gallop • Abnormal ECG ... #Cardiology
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on ... depression; In aVR ... seen in acute MI ... EricsMedicalLectures/ #Pericarditis ... #cardiology #diagnosis
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
shock, Arrythmias, Pericarditis ... , Tamponade EKG ... Findings: - AV ... #diagnosis #management ... #cardiology #summary
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
dissection, PE, peri/myocarditis ... leads with STE in avR ... inversion - STE avR ... #EKG #diagnosis ... electrocardiogram #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... depression Pericarditis ... /Myocarditis: ... #differential #diagnosis ... #cardiology #ecg
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... tachycardia • Pericarditis ... or myocarditis ... : SVT-AVNRT or AVRT ... #Palpitations #Cardiology