18 results
Wolff-Parkinson-White (WPW)
- Orthodromic AVRT: Narrow complex, most common 
- Antidromic AVRT: wide complex because goes through
Wolff-Parkinson-White (WPW ... pathway first - A-fib ... #Cardiology #ECG ... #EKG #Electrocardiogram ... #Clinical #Diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
abberancy - N B Afib ... (4) Vfib/flutter ... Irregular (1) A fib ... bradyarrhythmia #ECG ... #EKG #diagnosis
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
Tachycardia: • AFib ... • HyperK vs AF+WPW ... vs PMVT vs AFib ... unless certain of AFib ... known QRS • AFib
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... evaluating for other causes ... ., A-Fib also a ... cardionerds #EKG ... Embolism #AcutePE #diagnosis
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... Valvular disease (e.g ... brain flow (VT/Vfib ... /Afib/WPW) • Loss
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Arrhythmias - Differential ... Diagnosis Algorithm ... WPW) - Narrow ... interval) • AFib ... #causes
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
Evaluate underlying cause ... Cardioembolic: • ECG ... +/- TEE (high Afib ... v Holter (r/o Afib ... stroke #workup #diagnosis
Hypoglycemia - Differential Diagnosis Algorithm
Fasting Hypoglycemia:
 • Excess Insulin
 • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
• Medications (e.g ... Alcohol Post-Prandial ... • Alimentary (e.g ... Critical Illness (e.g ... Hyperinsulinemic States (e.g
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
Diagnosis? ... Fine Vfib can be ... PSSA from case- ... getting 12 lead ECG ... #Fibrillation #VFib
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis

50's male witnessed arrest. Unknown hx. AED no
Diagnosis? ... Fine Vfib can be ... PSSA from case- ... getting 12 lead ECG ... #Fibrillation #VFib