78 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... specificity for EKG ... EKG is helpful in ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... hypertension Management ... #Multifocal #Atrial ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... abberancy - N B Afib ... (3) SVTs - atrial ... bradyarrhythmia #ECG ... #EKG #diagnosis
Wandering atrial pacemaker - ECG Diagnosis
 • The change in P wave contour is gradual
 •
Wandering atrial ... pacemaker - ECG ... Diagnosis • The ... wave contour is gradual ... #ekg #ecg #electrocardiogram
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... junction origin (e.g ... (e.g. ectopic atrial ... @AmyChung #EKG ... Interpretation #ECG
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Arrhythmias on ECG ... tachycardia ECG ... morphology is not gradual ... tachycardia #cardiology #diagnosis ... #ekg #electrocardiogram
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
rate change is gradual ... Wandering Atrial ... wave contour is gradual ... Arrhythmia #cardiology #diagnosis ... #ekg #ecg #electrocardiogram
Management Algorithm for Confusion
- Substrate verification, glucose, oxygen checks
- Toxidrome present
- Focal findings on neurologic examination
-
Management Algorithm ... Focal findings on neurologic ... electrolytes, CXR, ECG ... (might include cranial ... AlteredMentalStatus #Delirium #Management
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
Large Mobile Left Atrial ... Transesophageal Echocardiogram ... ECG: AF. ... CHA2DS2VASc: 5. ... @odremanr #Atrial
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... gallop • Abnormal ECG ... , echocardiogram ... cardiac death Management ... #Management #Cardiology