18 results
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 ... This rhythm is all ... @EM_RESUS #AVRT ... #Cardiology #EKG ... #Clinical
Vereckie Algorithm - Lead aVR - Ventricular Tachycardia - Telemetry Diagnosis
WCT is VT IF:
 • Initial
Vereckie Algorithm - Lead ... aVR - Ventricular ... Diagnosis WCT is VT ... #diagnosis #cardiology ... #ekg #ecg #telemetry
Myocardial infarction localization. A 12 lead EKG creates a 360 degree view of the electrical activity
A 12 lead EKG creates ... as you can see aVR ... (aVR stands alone ... V1 & V2 sit over ... EmergencyMedicine #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
leads with STE in avR ... inversion - STE avR ... - proximal LAD ... wave inversion in avL ... electrocardiogram #cardiology
VT versus SVT with Aberration - Interpretation Cheat Sheet

Features favouring VT
● Absence of typical RBBB or
Interpretation Cheat ... concordance in all ... point) of S > 100 ms ... in any V lead ... Comparison #Diagnosis #Cardiology
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
Concerning for proximal LAD ... • Upsloping ST-Depression ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
old with chest ... atrial rhythm with ST ... The mother of all ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
flip-flopping in the chest ... Physical exam • 12-lead ... ECG • Limited ... vagal maneuvers: SVT-AVNRT ... #Palpitations #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
segment at (or 40-60 ms ... elevation in aVR ... accompanied by chest ... of the leads l, aVL ... #differential #cardiology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... SOB from CHF, Chest ... Pain • ECG: Bad ... Pads in AP position ... differential #management #cardiology