12 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
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
is a congenital ... QRS interval on EKG ... #Cardiology #ECG ... #EKG #Electrocardiogram ... #Clinical #Diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... abberancy - N B Afib ... (4) Vfib/flutter ... bradyarrhythmia #ECG ... #EKG #diagnosis
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... + negative T WPW ... #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... 500 DANGER - Short ... hypo K, hypo Mg, congenital ... Wong @mchlwng #Approach ... #ECG #EKG #diagnosis
TypeA Aortic Dissection on POCUS Echocardiogram

80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat
Dissection on POCUS Echocardiogram ... with CP&SOB after syncope ... EKG: afib, twi I ... #Aorta #POCUS #Echocardiogram
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
Congenital Long ... (Torsades) or vFib ... **Get baseline EKG ... in new syncope/ ... LongQT #Syndrome #Diagnosis
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... brain flow (VT/Vfib ... /Afib/WPW) • Loss ... consciousness • Near-syncope
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis

50's male witnessed arrest. Unknown hx. AED no
- Parasternal Short ... Diagnosis? ... Fine Vfib can be ... getting 12 lead ECG ... #Fibrillation #VFib
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... junction origin (e.g ... Waves/Fibrillary = afib ... @AmyChung #EKG ... Interpretation #ECG