28 results
Pulmonary Embolism on EKG

- Dr. Josh Farkas  @PulmCrit

Note Right Axis Deviation, T-Wave Inversion on Inferior
Pulmonary Embolism ... and Anterior Leads ... #Pulmonary # ... #electrocardiogram ... #cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... becoming acute anterior ... #Wellens #Sign # ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Secondary to chronic lung ... • Hypoxia • Pulmonary ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Hypertrophic Cardiomyopathy (HOCM) - EKG Characteristics
Typical EKG findings may include:
 • Deep and narrow Q waves
Cardiomyopathy (HOCM) - EKG ... the lateral and inferior ... leads • General signs ... #ecg #clinical ... #cardiology #electrocardiogram
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... in relation to ECG ... #EKG #Pulmonary ... AcutePE #diagnosis #cardiology ... #electrocardiogram
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
sail sign or posterior ... can't make A-OK sign ... Splint: Posterior long ... recommendations MH/CCF ... Elbow #Humerus #Radiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
with caution in pulmonary ... disease or CHF) ... disease or CHF) ... Tachycardia #Treatment #management ... #cardiology #algorithm
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... V2 • Wellens sign ... pain • Wellens sign ... #differential #cardiology ... #electrocardiogram
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... inversions V1-V4 plus inferior ... #Embolism #ECG ... #EKG #Electrocardiogram ... #clinical #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
: weight gain, lung ... HFrEF may lack lung ... Other: Electrocardiogram ... heartfailure #diagnosis #management ... #cardiology #pharmacology