25 results
Pulmonary Embolism on EKG

- Dr. Josh Farkas  @PulmCrit

Note Right Axis Deviation, T-Wave Inversion on Inferior
Pulmonary Embolism ... #Pulmonary # ... #clinical #ecg ... #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
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
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
segment at (or 40-60 ms ... V2 • Wellens sign ... pain • Wellens sign ... #differential #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 ... Elbow #Humerus #Radiology ... #Orthopedics #MSK
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... on ECG Mid ... inversions V1-V4 plus inferior ... #EKG #Electrocardiogram ... #clinical #cardiology
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
Septal (V1-2) • Anterior ... aVL, V5-6) • Inferior ... Interpretation #ECG ... #Electrocardiogram ... #cardiology #diagnosis
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... : weight gain, lung ... HFrEF may lack lung ... Other: Electrocardiogram ... diagnosis #management #cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... Short QT <300-360 ms ... : ↑ca - Long QT ... #electrocardiogram ... #cardiology #interpretation