11 results
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
Approach to ECGs ... - Fusion beats ... - Brugada's sign ... #ekg #cardiology ... #diagnosis #electrocardiogram
Accelerated Idioventricular Rhythm (AIVR) on EKG
 • Regular rhythm with wide. 
 • QRS complexes >120
complexes >120 ms ... Ventricular origin • Capture ... and fusion beats ... #Rhythm #AIVR #diagnosis ... #cardiology #EKG
Algorithm for the Evaluation of Regular, Wide-Complex Tachycardia
1. aVR: Is the initial deflection in aVR positive?
dissociation (fusion ... or capture beats ... Interpretation #ECG ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... worsening brady, Signs ... Confirm mechanical capture ... #bradycardia #diagnosis ... differential #management #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... segment at (or 40-60 ms ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
2ms spike - Fusion ... fusing - Capture ... Discordance" = ST ... electrocardiogram #ecg ... #cardiology #lbbb
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... Equivalents / Don't Miss Signs ... deWinter T waves - starts ... #EKG #diagnosis ... electrocardiogram #cardiology
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
progression ST ... de pointes • Short ... between QRS and ST ... Electrocardiogram #cardiology ... #diagnosis #system
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... STE: "Pardee's sign ... (Eiffel Tower sign ... #differential #diagnosis ... #cardiology #ecg
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Prepare • Full Set ... of Vital Signs ... Setup - Ultrasound ... telemetry, 12-Lead EKG