32 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial Tachycardia ... • At least 3 different ... • Hypoxia • Pulmonary ... #MAT #Cardiology ... #EKG #Management
Lead aVR on EKG
Lead aVR can provide some unique insight into 5 different conditions:

 - Acute
Lead aVR on EKG ... insight into 5 different ... narrow complex tachycardias ... #Diagnosis #Cardiology ... #EKG #ECG #Lead
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Inpatient Cath Lab ... ASAP: STEMI NSTEMI ... low (1-2) risk, +ECG ... #Indications #Cardiac ... catheterization #cardiology
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... other causes of cardio-pulmonary ... Drive: • Sinus Tachycardia ... #EKG #Pulmonary ... AcutePE #diagnosis #cardiology
Hyperkalemia EKG - K of 8.5

Here’s an #ECG of a man with ROSC after cardiac arrest

Computer
Hyperkalemia EKG ... with ROSC after cardiac ... Computer is calling STEMI ... classic “Pseudo-STEMI ... #Cardiology #Clinical
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... DCSI #Initiative #Management ... #Cardiology
Pacemaker Complications
 • Implantation-Related: Pocket hematoma, Infection (pocket), Pneumothorax, Hemothorax, Lead dislodgement, Cardiac perforation / tamponade
dislodgement, Cardiac ... ) • Delayed: Lead ... Pacemaker-mediated tachycardia ... complications #cardiology ... #management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... with caution in pulmonary ... with caution in pulmonary ... #Treatment #management ... #cardiology #algorithm
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Unexplained sinus tachycardia ... gallop • Abnormal ECG ... shock, sudden cardiac ... death Management ... #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Capture: Narrow, different ... Criteria - Suspect STEMI ... > 1 mm in any lead ... Diagnosis #Checklist #EKG ... #cardiology #lbbb