11 results
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
AVNRT on Neck Physical ... shown , what’s the diagnosis ... EMdoc14 #CannonA #AWaves ... #AVNRT #Neck #PhysicalExam ... #JVP #Cardiology
Cannon A Waves
 • Caused by atrial contracting against a closed tricuspid valve
 • Atrioventricular dissociation
activation from SVT (e.g ... ., junctional rhythm ... 2LmUODZ #Cannon #AWaves ... #diagnosis #cardiology ... #CVP
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
IJ vein seen on POCUS ... between sinus rhythm ... Regurgitation #PhysicalExam ... #Cardiology #Neck ... #Jugular #JVP
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
have elevated JVP ... the underlying diagnosis ... amzn.to/2LmUODZ #AWaves ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
are enough to diagnose ... Hussainch #Cannon #Awaves ... #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Atrial Flutter on Neck Examination

If you can dx this rhythm, you are born before 1960. 
Early
Atrial Flutter on Neck ... you can dx this rhythm ... #PhysicalExam # ... JVP #Clinical #Video ... #Cardiology
Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
you can dx the rhythm ... #Fibrillation #Neck ... #JVP #Clinical ... #Video #AFib #PhysicalExam ... #Cardiology
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Arrhythmias on ECG ... Multifocal atrial rhythm ... of at least 3 different ... #tachycardia #cardiology ... #diagnosis #ekg
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... P waves in lead ... arrest - escape rhythms ... #EKG #diagnosis ... electrocardiogram #cardiology
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
of a variable P-wave ... of at least 3 different ... dominant pacemaker focus ... #cardiology #ekg ... #ecg #electrocardiogram