31 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... • At least 3 different ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
on POCUS Severe ... x 1 hour, Ant/Sept ... STEMI on EKG. ... #PSAX #Clinical ... #Cardiology
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
counterclockwise in direction ... At times, the direction ... appearance on ECG ... #Diagnosis #ECG ... #EKG #Cardiology
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
on POCUS (PLAX ... Non-ischemic EKG ... What's the Diagnosis ... Echocardiogram #PLAX ... Clinical #Ultrasound #POCUS
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Serial EKGS in pts ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Serial trops (- ... does echo ==> Septal ... echocardiogram #plax ... #cardiology #pocus
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
positive to negative direction ... Originates from single focus ... TorsadesDePointes #Diagnosis ... #Cardiology #ECG ... #EKG
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Type A Aortic Dissection ... on POCUS Echocardiogram ... STEMI on EKG ... #cardiology #clinical ... #plax #clinical
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... MAT) - 3 different ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... infarction • Aortic dissection ... Initial workup: • EKG ... , PT. aPTT • Serial ... #Chest #Pain #Diagnosis