10 results
Wellen's Syndrome 
Type A - Biphasic T wave 
Type B - Deeply inverted T wave
Wellen's Syndrome ... specific for a critical ... stenosis of the left anterior ... descending (LAD ... #EKG #ECG #Electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... artery (LMCA). left anterior ... #AVR #leadAVR #ecg ... #electrocardiogram ... #differential #cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... becoming acute anterior ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Left Anterior Fascicular Block on EKG
 • Left axis deviation (LAD) (-45 degrees to -90 degrees)
Left Anterior Fascicular ... axis deviation (LAD ... Block #diagnosis #cardiology ... #EKG #ECG #Electrocardiogram ... #labeled #clinical
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... inversions V1-V4 plus inferior ... leads (II, III, AVF ... #ECG #EKG #Electrocardiogram ... #clinical #cardiology
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
Embolism The sensitivity ... Drive: • Sinus Tachycardia ... Changes • STE in aVR ... #diagnosis #cardiology ... #electrocardiogram
Supraventricular Tachycardia EKG

Here’s a great ECG case of a 50-year-old lady who presented with palpitations

Her heart
a 50-year-old lady ... @EM_RESUS #AVRT ... #EKG #ECG #Electrocardiogram ... #Cardiology #EKG ... #Clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Wellen's T ... - proximal LAD ... - early inferior ... #electrocardiogram ... #cardiology #STEMI
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
ventricle pacing lead ... complex Pulmonary Embolism ... anteroseptal and inferior ... block; and sinus tachycardia ... #ecg #ekg #electrocardiogram
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
Cesarean delivery Clinical ... Key Point: High clinical ... Pulmonary/amniotic embolism ... on the electrocardiogram ... patients require LVAD